Health and disability pension -- an intersection of disease, psychosocial stress and gender. Long term follow up of persons with impairment of the loco motor system.

OBJECTIVES: To evaluate the outcome after 1, 2, 3 and 10 years of rehabilitation conducted by the Swedish Social Insurance Office, in relation to socioeconomic, psychosocial and gender aspects. STUDY DESIGN: A retro and prospective study of 372 individuals rehabilitated by the National Swedish Insur...

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Publicado en:Work Vol. 31; no. 2; pp. 209 - 220
Autores principales: Kaiser P, Mattsson B, Marklund S, Wimo A
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2008
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Health and disability pension -- an intersection of disease, psychosocial stress and gender. Long term follow up of persons with impairment of the loco motor system.
      aug:
        au:
          Kaiser P
          Mattsson B
          Marklund S
          Wimo A
        affil: Department of Primary Health Care, University of Göteborg, Göteborg, Sweden; po@pomedic.se
      sug:
        subj:
          Health Status Evaluation
          Pensions Trends
          Sex Factors
          Stress, Psychological Epidemiology
          Adult
          Chi Square Test
          Confidence Intervals
          Data Analysis Software
          Data Analysis, Statistical
          Descriptive Statistics
          Educational Status
          Female
          Funding Source
          Logistic Regression
          Male
          Middle Age
          Odds Ratio
          P-Value
          Prospective Studies
          Retrospective Design
          Sweden
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVES: To evaluate the outcome after 1, 2, 3 and 10 years of rehabilitation conducted by the Swedish Social Insurance Office, in relation to socioeconomic, psychosocial and gender aspects. STUDY DESIGN: A retro and prospective study of 372 individuals rehabilitated by the National Swedish Insurance Office 1993-1994. Diagnosis, socio demographic data, Sense of Coherence and Perceived Health were compared with register data in terms of sickness benefit and disability pension up to 10 years. RESULTS: At the 10 year follow up 52% of the men and 57% of the women were granted any kind of DP. 82% of the men with low PH and women with a PM or a low PH had any kind of benefit 10 year after rehabilitation started. High age and low PH increases the risk of a full DP after 3 as well as 10 years for both men and women. At the 3 year follow up however, low education was also important for a full DP for men and having a Psychosocial Marker for women. The factors civil status and kind of profession did not significantly relate to a full DP after 10 year. CONCLUSIONS: In different ways factors as age, education, psychosocial stress, Sense of Coherence and Perceived Health mediate the rehabilitation process in significant ways by affecting the manifestation of the disease itself and/or via the context in which the rehabilitation takes place, in combination with individual factors that acts over a long time. Age and Perceived Health seems to be the most important factors of them all.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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