Labour Market Status at Ages 50–64 and All-Cause Mortality at Ages 65–70

Klein, Julia; Saarela, Jan

doi:10.23979/fypr.70216

Cited by 2 publications

(3 citation statements)

References 28 publications

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“…However, this finding suggests that the DP pension system in Finland is non-discriminatory with respect to a person's ethnolinguistic affiliation and provides equal opportunities for exiting the labor market in the case of prolonged or permanent health deterioration. This case for equity also supports previous research, which finds that disability pensioners of both ethnolinguistic groups have equally raised mortality risks (Klein and Saarela 2019b).…”

Section: Discussionsupporting

confidence: 89%

Effects of sickness absence on disability pension in two ethnolinguistic groups: register-based evidence from Finland

2022

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The Swedish-speaking ethnolinguistic minority in Finland has a health advantage over the Finnish-speaking majority in terms of lower levels of sickness allowance and disability pension receipt. We examine whether this differential has consequences within the social security system by analysing the long-term risk for disability pension after sickness allowance receipt. With longitudinal population-register data covering the period 1989–2010, we observed 110,390 individuals aged 16–40 years at baseline. Using discrete-time hazard models, we estimated how first observed receipt of sickness allowance relates to disability pension receipt in the Finnish- and Swedish-speaking groups. Receipt of sickness allowance was found to be an important predictor for future disability pension receipt, but there were no systematic differences between the two ethnolinguistic groups in this respect, and the results were highly similar for men and women. These findings suggest that the social security system in Finland is non-discriminatory and provides equal treatment of both ethnolinguistic groups despite their overall health differential.

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Section: Discussionsupporting

confidence: 89%

Effects of sickness absence on disability pension in two ethnolinguistic groups: register-based evidence from Finland

2022

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“…Both are native and have equal constitutional rights, yet there are marked differences in health outcomes. Swedish speakers have lower age-specific mortality rates ( 33 , 34 ), and lower rates of SA and DP receipt ( 17 , 30 ). Calendar year of observation was used to control for any period-specific variation in DP receipt.…”

Section: Methodsmentioning

confidence: 99%

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confidence: 98%

Sickness Absence and Disability Pension in the Very Long Term: A Finnish Register-Based Study With 20 Years Follow-Up

Klein

Reini

Saarela

2021

Front. Public Health

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Sickness allowance is paid for short-term sickness absence and is thus an indicator of temporary ill health, but it is also associated with a heightened risk of receiving disability pension. Using event history analysis, we examined the long-term risk for disability pension receipt after first observed receipt of medically certified sickness allowance in each single year after sickness allowance was first recorded. Utilizing longitudinal data from the Finnish population register, covering the period 1989–2010, we observed 110,675 individuals aged 16–40 years at baseline. Using discrete-time hazard models, we estimated how the first observed receipt of sickness allowance was related to the risk of receiving disability pension, with an average follow-up time of 20.6 years. In this population, about 40 percent received sickness allowance and 10 percent received disability pension. In the first years after sickness allowance receipt, there was a substantial difference between long-term and short-term sickness allowance recipients in the hazard of becoming a disability pensioner. This difference levelled out over time, but even 20 years after the first observed sickness allowance receipt, the hazard of disability retirement was more than 15 times higher than that of non-recipients of sickness allowance. Patterns were similar for men and women. First observed receipt of sickness allowance is a powerful predictor for disability pension receipt, also in the very distant future. Thus, it can be used to monitor people with heightened risk of becoming more permanently ill and falling outside the labour market.

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Labour Market Status at Ages 50–64 and All-Cause Mortality at Ages 65–70

Cited by 2 publications

References 28 publications

Effects of sickness absence on disability pension in two ethnolinguistic groups: register-based evidence from Finland

Effects of sickness absence on disability pension in two ethnolinguistic groups: register-based evidence from Finland

Sickness Absence and Disability Pension in the Very Long Term: A Finnish Register-Based Study With 20 Years Follow-Up

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