Can high psychological job demands, low decision latitude, and high job strain predict disability pensions? A 12-year follow-up of middle-aged Swedish workers

Canivet, Catarina; Choi, BongKyoo; Karasek, Robert; Moghaddassi, Mahnaz; Staland-Nyman, Carin; Östergren, Per-Olof

doi:10.1007/s00420-012-0766-4

Cited by 67 publications

(60 citation statements)

References 44 publications

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“…Previous studies have found that many sources of work stress, such as low social support from one's supervisor (40), high job strain (18)(19)(20)(21), organizational downsizing (41), poor working time control (42), and low rewards (24) are associated with an increased risk of all-cause disability pension. In addition, poor working time control increases the risk of disability pension due to musculoskeletal diseases (42).…”

Section: Discussionmentioning

confidence: 99%

“…Depression and musculoskeletal diseases are the two leading causes of disability pensions worldwide (3,16,17). High job strain has been shown to associate with all-cause disability pension (18)(19)(20), while as regards diagnosis-specific disability pension, consistent associations have been found with disability pension due to musculoskeletal diseases, although not with depression or coronary heart disease (21). High ERI or the components of ERI (ie, efforts and rewards) have been associated with ill health-related early exit from working life (22), early-retirement intentions (23), and all-cause disability pension (24).…”

Section: Juvani Et Almentioning

confidence: 99%

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Effort–reward imbalance as a risk factor for disability pension: the Finnish Public Sector Study

Juvani¹,

Oksanen²,

Salo³

et al. 2013

Scand J Work Environ Health

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Section: Discussionmentioning

confidence: 99%

Section: Juvani Et Almentioning

confidence: 99%

Effort–reward imbalance as a risk factor for disability pension: the Finnish Public Sector Study

Juvani¹,

Oksanen²,

Salo³

et al. 2013

Scand J Work Environ Health

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show abstract

“…Fifteen (13,15,16,18,(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) and 17 studies (13,15,16,18,20,21,(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33) investigated the influence of overweight (23 associations) and obesity (29 associations) on the risk of disability pension, respectively (see figure 2). In 15 of 23 associations, overweight was a statistically significant risk factor with an overall estimate across all 23 associations of RR=1.16 [95% confidence interval (95% CI) 1.08-1.24].…”

Section: Disability Pensionmentioning

confidence: 99%

The contribution of overweight, obesity, and lack of physical activity to exit from paid employment: a meta-analysis

Robroek

Reeuwijk²,

Hillier³

et al. 2013

Scand J Work Environ Health

114

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This meta-analysis provides insight into the role of overweight, obesity, and lack of physical activity on three routes of premature exit from paid employment. In order to protect workers against displacement from the labor force, particularly due to disability pension, workplace health prevention programs to reduce overweight and obesity and promote physical activity are urgently required. 233Review Scand J Work Environ Health. 2013;39(3):233-240 doi:10.5271/sjweh.3354 The contribution of overweight, obesity, and lack of physical activity to exit from paid employment: a meta-analysis by Suzan JW Robroek, PhD,1 Kerstin G Reeuwijk, MSc,1 Frances C Hillier, PhD,2 Clare L Bambra, PhD,2 Rogier M van Rijn, PhD, 1 Alex Burdorf PhD 1 Robroek SJW, Reeuwijk KG, Hillier FC, Bambra CL, van Rijn RM, Burdorf A. The contribution of overweight, obesity and lack of physical activity to exit from paid employment: a meta-analysis. Scand J Work Environ Health. 2013;39(3):233-240. doi:10.5271/sjweh.3354 Objectives The objective of this review was to analyze systematically the association between overweight, obesity, and lack of physical activity (PA) and exit from paid employment through disability pension, unemployment, and early retirement. We also aimed to identify the influence of study population and study design on the magnitude of this association. MethodsWe searched PubMed and Embase for English language, longitudinal, quantitative studies that described the relationship between overweight, obesity, or lack of PA and exit from work. A short checklist was used to assess the internal and external validity of the studies. We first estimated the pooled effects using a random effects model and then analyzed the influence of study and population characteristics on associations by stratified meta-analyses. ResultsIn total, 28 out of 1097 publications met the inclusion criteria. Obese [relative risk (RR)=1.53] and, to a lesser extent, overweight (RR=1.16) individuals had an increased likelihood of exit from paid employment through disability pension, but were not at statistically significant increased risk for unemployment or early retirement. Of 17 associations between a lack of PA and disability pension, 8 were statistically significant; this was also the case for 2 of 3 for unemployment. No associations were statistically significant for early retirement. ConclusionsObesity is a risk factor for exit from paid employment through disability pension. There are also indications that a lack of PA is related to an increased risk of disability pension and unemployment. To protect workers against premature exit from paid employment, long-term interventions to prevent overweight and obesity and promote PA in the working population should be considered for implementation.Key terms disability pension; early retirement; systematic review; unemployment. Life expectancy is steadily increasing in developed countries. Governments are seeking to increase the proportion of elderly persons in paid employment by both extending working li...

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“…The risk of having to take a disability pension is not only associated with the ability to work, but also with the demands of the specific job. People with high-strain jobs (defined as high demands and low decision latitude) have a higher risk of receiving a disability pension 31. The same associations might be seen regarding RTW, but the authors were not able to control for this.…”

Section: Discussionmentioning

confidence: 90%

Return to work for patients with diffuse large B-cell lymphoma and transformed indolent lymphoma undergoing autologous stem cell transplantation

Arboe¹,

Olsen²,

Goerloev³

et al. 2017

CLEP

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BackgroundAutologous stem cell transplantation (ASCT) is the standard treatment for patients with relapsed diffuse large B-cell lymphoma (DLBCL) or transformed indolent lymphoma (TIL). The treatment is mainly considered for younger patients still available for the work market. In this study, social outcomes after ASCT in terms of return to work (RTW) are described.Patients and methodsInformation from national administrative registers was combined with clinical information on patients, who received ASCT for relapse of DLBCL or TIL between 2000 and 2012. A total of 164 patients were followed until RTW, disability or old-age pension, death, or December 31, 2015, whichever came first. A total of 205 patients were followed with disability pension as the event of interest. Cox models were used to determine cause-specific hazards.ResultsDuring follow-up, 82 (50%) patients returned to work. The rate of returning to work in the first year following ASCT was decreased for patients being on sick leave at the time of relapse (hazard ratio [HR] 0.3 [0.2;0.5]) and increased for patients aged ≥55 years (HR 1.9 [1.1;3.3]). In all, 56 (27%) patients were granted disability pension. Being on sick leave at the time of relapse was positively associated with receiving a disability pension in the first 2 years after ASCT (HR 3.7 [1.8;7.7]).ConclusionPatients on sick leave at the time of relapse have a poorer prognosis regarding RTW and have a higher rate of disability pension. Furthermore, patients >55 are more likely to RTW compared to younger patients. These results indicate an unmet need for focused social rehabilitation.

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Can high psychological job demands, low decision latitude, and high job strain predict disability pensions? A 12-year follow-up of middle-aged Swedish workers

Cited by 67 publications

References 44 publications

Effort–reward imbalance as a risk factor for disability pension: the Finnish Public Sector Study

Effort–reward imbalance as a risk factor for disability pension: the Finnish Public Sector Study

The contribution of overweight, obesity, and lack of physical activity to exit from paid employment: a meta-analysis

Return to work for patients with diffuse large B-cell lymphoma and transformed indolent lymphoma undergoing autologous stem cell transplantation

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