Devil in disguise: Does drinking lead to a disability pension?

Böckerman, Petri; Hyytinen, Ari; Maczulskij, Terhi

doi:10.1016/j.ypmed.2016.03.008

Cited by 13 publications

(6 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The estimates show that education, marital status, alcohol use and neuroticism are important predictors of the incidence of disability pension and unemployment (Table VI). These results accord well with previous research [3,25]. Importantly, the earlier findings reported in Table IV for chronic diseases, health shock and the use of tranquilizers/sleeping pills remained intact.…”

Section: Resultssupporting

confidence: 93%

Unfit for work: Health and labour-market prospects

Böckerman

Maczulskij

2018

Scand J Public Health

Self Cite

View full text Add to dashboard Cite

Aim: The aim of this study was to examine whether health status (number of chronic diseases, health shock and use of tranquilizers/sleeping pills) is related to labour-market outcomes later in life. Methods: Twin data for Finnish men and women who were at least 33 years old in 1990 were linked to comprehensive register-based information on unemployment and the incidence of disability pension. We used the within-twin dimension of the data to account for shared family and genetic factors. Self-reported information on the number of diagnosed chronic diseases, health shock and drug use were obtained from the 1975 and 1981 twin surveys, when the twins were at least 18 years old. unemployment months and the incidence of disability pension were measured during prime working age over the 1990-2004/2009 period. Results: Poor health status is significantly positively related to unemployment and the incidence of disability pension. The results are robust to controlling for shared family and genetic factors and the key measures of risky health behaviours (alcohol use, lifetime smoking and body mass index). Conclusions: Health status is a fundamental determinant of long-term labour-market outcomes.

show abstract

Section: Resultssupporting

confidence: 93%

Unfit for work: Health and labour-market prospects

Böckerman

Maczulskij

2018

Scand J Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, there could still be a risk associated with high consumption of alcohol that was not captured by this study. Being male and a heavy drinker has previously shown to be associated with a higher risk of SA,40 and for both women and men a higher risk for DP 41. In addition, a natural experiment showed that those that had more access to alcohol in adolescents were more likely to go on DP in adulthood 42…”

Section: Discussionmentioning

confidence: 95%

Transitioning from sickness absence to disability pension—the impact of poor health behaviours: a prospective Swedish twin cohort study

et al. 2019

View full text Add to dashboard Cite

ObjectivesTo investigate the association between three poor health behaviours (current smoker, high consumption of alcohol and low physical activity levels) and the transition to disability pension (DP) among individuals who have recently been sickness absent. Furthermore, we aimed to explore whether having multiple poor health behaviours increased the risk of transitioning from sickness absence (SA) to DP.DesignProspective twin cohort study.SettingSweden.ParticipantsTwins aged 20–46 who had participated in a survey and been on SA (>14 days) in the year preceding baseline (date of answering the questionnaire).Main outcome measureIncident DP during the follow-up which ended on 31 December 2012 (mean 5.2 years). A national register with full coverage provided data on DP.ResultsThe Cox proportional-hazards regression analyses showed that current smokers had a higher risk of transitioning from SA to DP compared with never smokers (HR 1.76; 95% CI 1.08 to 2.84). Alcohol use and lack of physical activity as well as poor health behaviour sum score showed no significant associations.ConclusionsBeing a current smoker influences the transition from SA to DP. Although non-significant, there were indications that more physical activity and fewer poor health behaviours could reduce the risk of exiting the labour market through DP. Improving health behaviours among people on SA could be a valuable tool for preventing the transition to DP.

show abstract

“…Substance misuse, in particular alcohol misuse, is common and associated with absenteeism, 52 and higher risk drinking profiles in early adulthood are an important predictor of receiving a disability pension later in life. 53 The Alcohol Use Disorders Identification Test (AUDIT) used in the Adult Psychiatric Morbidity Survey 2014 found that 20% of adults in England drink at hazardous levels and above (AUDIT ≥8). White men and women are more likely to drink at hazardous, and harmful levels than Black, Asian and minority ethnic groups.…”

Section: Discussionmentioning

confidence: 99%

Health condition at first fit note and number of fit notes: a longitudinal study of primary care records in south London

et al. 2021

View full text Add to dashboard Cite

ObjectivesThe fit note replaced the sick note in the UK in 2010, with the aim of improving support for patients requiring sickness absence, yet there has been very little research into fit note use. This study aims to describe number of fit notes by condition, to improve our understanding of patterns of fit note use in primary care. Previous fit note research has relied on extracting diagnoses directly from fit notes, rather than extracting information from clinical records. In this paper, we extract information from clinical records to explore demographic factors and conditions associated with number of fit notes issued.DesignThis is a longitudinal study of clinical data. We analysed individual-level anonymised data from general practitioner consultations, including demographic information and condition recorded at first fit note. The latter encompassed diagnoses, individual symptoms and psychosocial issues.SettingA database called Lambeth DataNet, containing electronic clinical records on 326 415 adults (ages 16–60) from all 45 general practices within the London Borough of Lambeth from 1 January 2014 to 30 April 2017.ParticipantsOur analytical sample contained 40 698 people with a condition recorded at first fit note.Primary outcome measurePredicted number of fit notes in the period January 2014–April 2017ResultsOf all studied diagnostic groups, mental illness had the highest predicted number of fit notes (n=3.3; 95% CI: 3.1 to 3.4) after controlling for demographic factors and long-term conditions. The highest predicted number of fit notes for any condition subgroup was among patients presenting for drug and/or alcohol misuse (n=4.5; 95% CI: 4.1 to 4.8).ConclusionsFor the first time, we show drug and/or alcohol misuse at first fit note are associated with the highest number of fit notes. Research is needed to understand the trajectories of individuals at highest risk of long-term sickness absence, in particular, people presenting with drug and/or alcohol misuse.

show abstract

Devil in disguise: Does drinking lead to a disability pension?

Cited by 13 publications

References 29 publications

Unfit for work: Health and labour-market prospects

Unfit for work: Health and labour-market prospects

Transitioning from sickness absence to disability pension—the impact of poor health behaviours: a prospective Swedish twin cohort study

Health condition at first fit note and number of fit notes: a longitudinal study of primary care records in south London

Contact Info

Product

Resources

About