Time period effects in work disability due to common mental disorders among young employees in Sweden—a register-based cohort study across occupational classes and employment sectors.

Background We aimed to investigate time period effects in the risk of work disability, defined as long-term sickness absence (LTSA) and disability pension (DP) due to common mental disorders (CMDs), among young employees according to employment sector (private/public) and occupational class (non-man...

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Publicado en:European Journal of Public Health Vol. 33; no. 2; pp. 272 - 279
Autores principales: Amin, Ridwanul, Mittendorfer-Rutz, Ellenor, Björkenstam, Emma, Virtanen, Marianna, Helgesson, Magnus, Gustafsson, Niklas, Rahman, Syed
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
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      pub: Oxford University Press / USA
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        atl: Time period effects in work disability due to common mental disorders among young employees in Sweden—a register-based cohort study across occupational classes and employment sectors.
      aug:
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          Amin, Ridwanul
          Mittendorfer-Rutz, Ellenor
          Björkenstam, Emma
          Virtanen, Marianna
          Helgesson, Magnus
          Gustafsson, Niklas
          Rahman, Syed
        affil: Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet , Stockholm, Sweden
      sug:
        subj:
          Time Factors
          Mental Disorders Complications
          Blue Collar Workers Psychosocial Factors
          White Collar Workers Psychosocial Factors
          Risk Assessment
          Functional Status
          Sick Leave
          Persons with Disabilities
          Pensions
          Occupations and Professions
          Public Sector
          Private Sector
          Human
          Prospective Studies
          Sweden
          Young Adult
          Adult
          Multivariate Analysis
          Descriptive Statistics
          Confidence Intervals
          Male
          Female
          Adult: 19-44 years
          Male
          Female
      ab: Background We aimed to investigate time period effects in the risk of work disability, defined as long-term sickness absence (LTSA) and disability pension (DP) due to common mental disorders (CMDs), among young employees according to employment sector (private/public) and occupational class (non-manual/manual). Methods Three cohorts, including all employed individuals with complete information on employment sector and occupational class, aged 19–29 years and resident in Sweden on 31 December 2004, 2009 and 2014 (n  = 573 516, 665 138 and 600 889, respectively) were followed for 4 years. Multivariate-adjusted hazard ratios (aHRs) with 95% confidence intervals (CIs) were estimated to examine the risk of LTSA and DP due to CMDs using Cox regression analyses. Results In all cohorts, public sector employees had higher aHRs for LTSA due to CMDs than private sector employees, irrespective of occupational class, e.g. aHR, 95% CI: 1.24, 1.16–1.33 and 1.15, 1.08–1.23 among non-manual and manual workers in cohort 2004. The rates of DP due to CMDs were much lower in cohorts 2009 and 2014 than 2004 leading to uncertain risk estimates in the later cohorts. Still, public sector manual workers had a higher risk for DP due to CMDs than manual workers in the private sector in cohort 2014 than in 2004 (aHR, 95% CI: 1.54, 1.34–1.76 and 3.64, 2.14–6.18, respectively). Conclusions Manual workers in the public sector seem to have a higher risk of work disability due to CMDs than their counterparts in the private sector calling for the need for early intervention strategies to prevent long-term work disability.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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