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

Klein, Julia; Reini, Kaarina; Saarela, Jan

doi:10.3389/fpubh.2021.556648

Cited by 6 publications

(4 citation statements)

References 39 publications

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“…One outcome that is clear and stands out is that higher the number of spells and number of days and more importantly the higher the number of spells of days more than four weeks (long-term spells), the possibility of disability retirement goes up by at least three times both in the penultimate and the final calendar year. While this aligns with previous studies [ 22 , 23 , 56 ] that report the impact of long-term absence, this study provides new insight to understand the absence behavior over two years. The implication of this is if a police officer request for long-term sickness leaves in higher frequency in a year, with one or more term of four weeks in year, immediate intervention is recommended to mitigate possibility of filing for disability retirement.…”

Section: Discussionsupporting

confidence: 90%

“…The study also aims to determine which measure of sickness absence is the strongest marker for disability retirement. The outcome of this study will help identify the key reasons predictors of disability retirement among police personnel in the UAE and propose strategies to balance prevention of income loss and mitigate the substantial costs to society and the government due to loss of workforce [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

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Predicting disability retirement among Abu Dhabi police using multiple measure of sickness absence

Alkaabi¹

2022

BMC Public Health

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Background Disability retirement has been investigated in the last two decades using predictors such as measures of sickness absence, psychological, social, and organizational work factors. The impact of various health-related and sickness measures on disability retirement across various occupational group reveal a significant relation. However, current literature lacks understanding in police personnel. Methods This study examines the roles of demographic and measures of sickness absence on disability retirement among police personnel in Abu Dhabi, UAE. The case–control design was used to predict disability retirement wherein controls were matched with cases according to age and gender from those who worked in the same administration as the case at baseline, to reduce the possible confounding influence of these variables. Conditional logistic regression models were used determine the odds-ratio of various measures of sickness absence in predicting disability retirement. Results Results indicate that increased number of spells, and number of days of sickness absence can predict disability retirements among police personnel in the UAE. Results indicate that odds ratios for disability retirement for the total exposure period increased from 1.76 (95% CI = 1.42-2.20) for spells of 4-7d to 2.47 (95%CI = 1.79-3.40) for spells of > 4 weeks. When compared with their married counterparts, non-married police employees had a statistically significant increase in odds of disability retirement of almost three fold (OR = 2.93, 95% CI = 1.55-5.56). Non-field and field police officers, on the other hand, had significantly reduced odds of disability retirement compared with admin/supportive staff (OR = 0.43 and 0.28 with 95% CI = 0.19-0.96 and 0.13-0.61 respectively). Odds ratios of disability retirement at end of the exposure period for the matching variables with those obtained after additionally adjusting for all demographic variables (model b), namely, marital status, occupation, employment grade and type, and educational level. The odds ratios of disability retirement remained significantly raised for the total number of days of sickness absence and for the number of spells of sickness absence for all spell types. Conclusions Recommendation to reduce the number of future disability retirements among Abu Dhabi Police include structured problem-solving process addressed through stepwise meetings between the line-managers and the employee.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Predicting disability retirement among Abu Dhabi police using multiple measure of sickness absence

Alkaabi¹

2022

BMC Public Health

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“…Sex differences in disease susceptibility and incidence for diseases such as common mental disorders with a higher incidence among women than men, may also have contributed to the observed differences. A Finnish register-based study with a 20-year follow-up found no sex difference in the long-term risk of DP following the first SA spell [ 41 ]. However, the outcome of interest was DP, while we measured both SA and DP with different lengths and sequences over the working life course, and therefore, we were also able to capture individuals with longer, but still temporary SA, with the possibility of later returning to the labour market.…”

Section: Discussionmentioning

confidence: 99%

Working life sequences over the life course among 9269 women and men in Sweden; a prospective cohort study

et al. 2023

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Objectives To investigate working life courses in women and men and possible associations with socioeconomic, health-, and work-related factors. Methods A 15-year prospective cohort study of individuals aged 18–50 in paid work at baseline and answering the Swedish Living Conditions Surveys (2000–2003, N = 9269) and their annual economic activity, using nationwide registers. We used sequence and cluster analyses to identify and group similar working life sequences. Multinomial logistic regression was used to examine associations of sex, socioeconomic, health-, and work-related factors with sequence cluster memberships. Results We identified 1284 working life sequences, of which 65% represented continuous active (in paid work/studying) states. We then identified five sequence clusters, the largest one with individuals who were continuously active (n = 6034, 65% of the participants; 54% of women and 76% of men) and smaller ones with interruptions of the active state by long-term parental-leave, unemployment, and/or sickness absence/disability pension (SA/DP), or retirement. Women were more likely than men to belong to the “Parental-leave periods” (odds ratio [OR]: 33.2; 95% confidence intervals [CI]: 25.6, 43.1) and the “SA/DP periods” sequence clusters (OR: 1.8; 95% CI: 1.4, 2.1), also after adjustment for covariates. In both sexes, low education and poor health were the strongest predictors of belonging to the sequence cluster “Unemployment & SA/DP periods”. Predictors of the “Parental-leave periods” sequence cluster differed between women and men. Conclusions In a cohort of individuals in paid work at baseline, the majority of women and men worked most of each year although women were more likely to have some interruptions characterized by long-term parental-leave or SA/DP periods than men, independently of socioeconomic, health-, and work-related factors.

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“…Within the time span of a few years, the number of SA days received increases the risk of becoming a disability pensioner (Gjesdal and Bratberg 2003). However, over the course of 20 years, any amount of SA received is associated with a heightened risk for DP (Klein et al 2021). Therefore, the first observed SA receipt is an important indicator for future DP receipt, as the latter is almost always a permanent exit from the labor market (Laaksonen and Gould 2015;Saarela and Finnäs 2002).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

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

2022

Self Cite

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

Cited by 6 publications

References 39 publications

Predicting disability retirement among Abu Dhabi police using multiple measure of sickness absence

Predicting disability retirement among Abu Dhabi police using multiple measure of sickness absence

Working life sequences over the life course among 9269 women and men in Sweden; a prospective cohort study

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

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