Conditions during childhood and adolescence as explanations of social class differences in disability pension among young men.

AIMS: This study investigates whether conditions present or established in youth and adolescence among young men contribute to the differences in the risk an early disability pension (DP) among social classes. METHODS: The study is based on data from a nationwide survey of the 49,285 Swedish males b...

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Publicado en:Scandinavian Journal of Public Health Vol. 29; no. 2; pp. 96 - 104
Autores principales: Upmark M, Lundberg I, Sadigh J, Bigert C
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Jun2001
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2001
      vid: 29
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      pub: Sage Publications Inc.
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        atl: Conditions during childhood and adolescence as explanations of social class differences in disability pension among young men.
      aug:
        au:
          Upmark M
          Lundberg I
          Sadigh J
          Bigert C
        affil: Centre for Alcohol and Drug Prevention, Box 175 33, 118 91 Stockholm, Sweden. E-mail: marianne.upmark@smd.sll.se
      sug:
        subj:
          Social Class
          Sick Leave
          Persons with Disabilities Psychosocial Factors
          Insurance, Disability Utilization
          Adolescence
          Child
          Surveys
          Vital Statistics
          Prospective Studies
          Psychological Tests
          Questionnaires
          Semi-Structured Interview
          Logistic Regression
          Descriptive Statistics
          Data Analysis Software
          Relative Risk
          Odds Ratio
          Confidence Intervals
          Sweden
          Health Status
          Socioeconomic Factors In Adolescence
          Risk Factors
          Alcohol Drinking
          Alcoholism
          Substance Abuse
          Occupations and Professions
          Adult
          Male
          Funding Source
          Human
          Adolescent: 13-18 years
          Child: 6-12 years
          Adult: 19-44 years
          Male
      ab: AIMS: This study investigates whether conditions present or established in youth and adolescence among young men contribute to the differences in the risk an early disability pension (DP) among social classes. METHODS: The study is based on data from a nationwide survey of the 49,285 Swedish males born between 1949 and 1951 who were conscripted into military service between 1969 and 1970. Data on socioeconomic groups were based on information of occupation and educational level reported in the census of 1975 held by Statistics Sweden. Potential psychosocial and behavioural risk factors were linked to records from the Swedish Social Insurance Board up until 1993. The analyses were based upon those 33,609 conscripts with information on all background variables who reported an occupation and who were not granted a DP in 1975. RESULTS: The strongest social class difference in the distribution of risk indicators was found for low ranking on the psychometric tests and for having been in a remedial class. In the univariate analyses, the highest odds ratios were noted for unskilled manual workers. In the multivariate model, with all the background variables included, the increased risk ratios for lower socioeconomic groups decreased considerably for a DP irrespective of diagnosis, and diminished for a DP with an alcohol-related diagnosis. CONCLUSION: It is concluded that conditions present or established in youth and adolescence are of major importance to understand the strong social class gradient in disability pensions among young men. It is suggested that the increased risks for skilled and unskilled manual workers compared with non-manual employees might be interpreted according to the concept of unfavourable life careers.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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