Socioeconomic factors in disability retirement due to mental disorders in Finland.

Background Previous research has identified low socioeconomic status (SES) as an epidemiological risk factor for early retirement and disability pension (DP) due to mental disorders. This study aims to examine these associations in greater detail, with separate consideration of the risk factors for...

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Published in:European Journal of Public Health Vol. 30; no. 6; pp. 1218 - 1225
Main Authors: Karolaakso, Tino, Autio, Reija, Näppilä, Turkka, Nurmela, Kirsti, Pirkola, Sami
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Dec2020
Online Access:View this record in EBSCOhost
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      dt: Dec2020
      vid: 30
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      pub: Oxford University Press / USA
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        10.1093/eurpub/ckaa132
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        atl: Socioeconomic factors in disability retirement due to mental disorders in Finland.
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          Karolaakso, Tino
          Autio, Reija
          Näppilä, Turkka
          Nurmela, Kirsti
          Pirkola, Sami
        affil: Faculty of Social Sciences, Tampere University , Tampere, Finland
      sug:
        subj:
          Mental Disorders Epidemiology
          Mental Disorders Risk Factors
          Retirement Psychosocial Factors
          Socioeconomic Factors
          Persons with Disabilities
          Human
          Finland
          Female
          Male
          Case Control Studies
          Age Factors
          Sex Factors
          Educational Status
          Income
          Blue Collar Workers
          Comparative Studies
          Logistic Regression
          Descriptive Statistics
          Female
          Male
      ab: Background Previous research has identified low socioeconomic status (SES) as an epidemiological risk factor for early retirement and disability pension (DP) due to mental disorders. This study aims to examine these associations in greater detail, with separate consideration of the risk factors for mood disorders (F30–39) and non-affective psychotic disorder (F20–29) DP. Methods In this case–control setting the subjects (N  = 36 879) were all those granted DP due to a mental disorder for the first time between 2010 and 2015 in Finland. All the subjects were matched with three controls for their gender, age and hospital district (N  = 94 388). Three measures of dimensions of SES were used: education, income and occupational status, as well as family type as a control factor. Differences between DP recipients and controls, and between diagnostic groups, were studied using calculated characteristics and conditional logistic regression models. Results DP recipients often lived alone and had low educational and income levels. These characteristics were more prominent in non-affective psychotic disorder than in mood disorder DP. In white-collar occupational groups, the risk of DP was greater compared with blue-collar workers. Students were associated with the highest level of risk for all mental and mood disorder DPs. Conclusions We found evidence of SES factors associating with mental disorder-related severe loss of working and studying ability in a disorder-specific way. Notably, white-collar workers had an increased risk of mental disorder DP. This could be related to the psychosocially demanding contemporary working life in non-manual work.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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