Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Journal of Occupational Rehabilitation
Erschienen in: Journal of Occupational Rehabilitation 1/2016

01.03.2016

Disability Pensions Among Young Adults in Vocational Rehabilitation

verfasst von: Arnhild Myhr, Tommy Haugan, Geir A. Espnes, Monica Lillefjell

Erschienen in: Journal of Occupational Rehabilitation | Ausgabe 1/2016

Einloggen, um Zugang zu erhalten

Abstract

Objectives Lack of work-participation and early disability pensions (DP’s) among young adults are increasing public health problems in most western European countries. The present study investigated determinants of early DP in young adults in vocational rehabilitation. Methods Data from 928 young adults (aged 18–40 years) attending a vocational rehabilitation program was linked to DP’s recorded in the Norwegian Labor and Welfare Organization registries (1992–2010) and later compared to a group of 65 employees (workers). We used logistic regression to estimate the odds ratio for entitlement to DP following rehabilitation, adjusting for socio-demographical, psychosocial and health-behavior factors. Results Significant differences in socio-demographical, psychosocial and health-behavior factors were found between the rehabilitation group and workers. A total of 60 individuals (6.5 %) were granted a DP during follow-up. Increase in age, teenage parenthood, single status, as well as low education level and not being employed were found to be the strongest independent determinants of DP. Conclusion Poor social relations (being lone), early childbearing and weak connection to working life contributed to increase in risk of DP’s among young adults in vocational rehabilitation, also after adjusting for education level. These findings are important in the prevention of early disability retirements among young adults and should be considered in the development of targeted interventions aimed at individuals particularly at risk of not being integrated into future work lives.
Literatur
1.
Bernitz BK, Grees N, Randers MJ, Gerner U, Bergendorff S. Young adults on disability benefits in 7 countries. Scand J Public Health. 2013;41(12 Suppl):3–26.CrossRef
2.
3.
Gustafsson K, Aronsson G, Marklund S, Wikman A, Hagman M, Floderus B. Social integration, socioeconomic conditions and type of ill health preceding disability pension in young women: a Swedish population-based study. Int J Behav Med. 2014;21(1):77–87.
4.
5.
Hernes T, Heum I, Haavorsen P. Work Inclusion: About the new policy and practice field in welfare. Oslo: Gyldendal; 2010.
6.
Marmot MWRG. Social determinants of health. New York: Oxford University Press; 2006.
7.
Berkman LF, Kawachi I, Glymour MM. Social epidemiology. 2nd ed. New York: Oxford University Press; 2014.
8.
9.
Marmot MG. Understanding social inequalities in health. Perspect Biol Med. 2003;46(3):S9–23.CrossRefPubMed
10.
Gravseth HM, Bjerkedal T, Irgens LM, Aalen OO, Selmer R, Kristensen P. Life course determinants for early disability pension: a follow-up of Norwegian men and women born 1967–1976. Eur J Epidemiol. 2007;22(8):533–43.CrossRefPubMed
11.
Leinonen T, Martikainen P, Lahelma E. Interrelationships between education, occupational social class, and income as determinants of disability retirement. Scand J Public Health. 2012;40(2):157–66.CrossRefPubMed
12.
De Ridder KA, Pape K, Cuypers K, Johnsen R, Holmen TL, Westin S, et al. High school dropout and long-term sickness and disability in young adulthood: a prospective propensity score stratified cohort study (the Young-HUNT study). BMC Public Health. 2013;13:941.PubMedCentralCrossRefPubMed
13.
Krokstad S, Westin S. Disability in society—medical and non-medical determinants for disability pension in a Norwegian total county population study. Soc Sci Med. 2004;58(10):1837–48.CrossRefPubMed
14.
Krokstad S, Johnsen R, Westin S. Social determinants of disability pension: a 10-year follow-up of 62 000 people in a Norwegian county population. Int J Epidemiol. 2002;31(6):1183–91.CrossRefPubMed
15.
Albertsen K, Lund T, Christensen KB, Kristensen TS, Villadsen E. Predictors of disability pension over a 10-year period for men and women. Scand J Public Health. 2007;35(1):78–85.CrossRefPubMed
16.
Stover M, Pape K, Johnsen R, Fleten N, Sund ER, Claussen B, et al. Unemployment and disability pension-an 18-year follow-up study of a 40-year-old population in a Norwegian county. BMC Public Health. 2012;12:148.PubMedCentralCrossRefPubMed
17.
Ropponen A, Alexanderson K, Svedberg P. Part-time work or social benefits as predictors for disability pension: a prospective study of Swedish twins. Int J Behav Med. 2014;21(2):329–36.
18.
Brage S, Thune O. Medisinske årsaker til uførhet i alderen 25-39 år. Oslo: The Norwegian Labour and Welfare Administration: 2009.
19.
Mykletun A, Overland S, Dahl AA, Krokstad S, Bjerkeset O, Glozier N, et al. A Population-Based Cohort Study of the Effect of Common Mental Disorders on Disability Pension Awards. Am J Psychiatry. 2006;163(8):1412–8.CrossRefPubMed
20.
21.
Olausson PO, Haglund B, Weitoft GR, Cnattingius S. Teenage childbearing and long-term socioeconomic consequences: a case study in Sweden. Fam Plann Perspect. 2001;33(2):70–4.CrossRefPubMed
22.
Mansson NO, Merlo J, Ostergren PO. The use of analgesics and hypnotics in relation to self-rated health and disability pension—a prospective study of middle-aged men. Scand J Public Health. 2001;29(2):133–9.CrossRefPubMed
23.
Rose G. The strategy of preventive medicine. Oxford: Oxford Unversity; 1992.
24.
Lillefjell M, Haugan T, Martinussen P, Halvorsen T. Treatment Outcomes Among Individuals in a Musculoskeletal Pain Rehabilitation Program Related to the Prevalence and Trends in the Dispensing of Prescribed Medications. J Musculoskelet Pain. 2013;21(4):311–9.CrossRef
25.
Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129–36.CrossRefPubMed
26.
Lillefjell M, Jakobsen K. Sense of coherence as a predictor of work reentry following multidisciplinary rehabilitation for individuals with chronic musculoskeletal pain. J Occup Health Psychol. 2007;12(3):222–31.CrossRefPubMed
27.
Lillefjell M, Krokstad S, Espnes GA. Prediction of function in daily life following multidisciplinary rehabilitation for individuals with chronic musculoskeletal pain; a prospective study. BMC Musculoskelet Disord. 2007;8:65.PubMedCentralCrossRefPubMed
28.
Akselsen A, Lien S, Siverstøl Ø. FD-Trygd, List of variables. Oslo: Statistics Norway/Department of Social Statistics/Division for Social Welfare Statistics; 2007.
29.
Hauser R, Warren J, Haung M, Carter W. Social stratification across three generations. In: Arrow K, Bowles S, Durlauf S, editors. Meritocracy and inequality. Princeton, NJ: Princeton University Press; 2000. p. 179–229.
30.
Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70.CrossRefPubMed
31.
Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002;52(2):69–77.CrossRefPubMed
32.
Mykletun A, Stordal E, Dahl AA. Hospital Anxiety and Depression (HAD) Scale: factor structure, item analyses and internal consistency in a large population. Br J Psychiatry. 2001;179:540–4.CrossRefPubMed
33.
34.
McDowell I, Newell C. Measuring health—a guide to rating scales and questionaires. New York: Oxford University Press; 1997.
35.
36.
37.
Nilsen SM, Bjorngaard JH, Ernstsen L, Krokstad S, Westin S. Education-based health inequalities in 18,000 Norwegian couples: the Nord-Trondelag Health Study (HUNT). BMC Public Health. 2012;12:998.PubMedCentralCrossRefPubMed
38.
Caspi A, Wright BRE, Moffitt TE, Silva PA. Early failure in the labor market: childhood and adolescent predictors of unemployment in the transition to adulthood. Am Sociol Rev. 1998;63(3):424–51.CrossRef
39.
Stordal E, Bjelland I, Dahl AA, Mykletun A. Anxiety and depression in individuals with somatic health problems. The Nord-Trondelag Health Study (HUNT). Scand J Prim Health Care. 2003;21(3):136–41.CrossRefPubMed
Metadaten
Titel
Disability Pensions Among Young Adults in Vocational Rehabilitation
verfasst von
Arnhild Myhr
Tommy Haugan
Geir A. Espnes
Monica Lillefjell
Publikationsdatum
01.03.2016
Verlag
Springer US
Erschienen in
Journal of Occupational Rehabilitation / Ausgabe 1/2016
Print ISSN: 1053-0487
Elektronische ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-015-9590-5

Weitere Artikel der Ausgabe 1/2016

Journal of Occupational Rehabilitation 1/2016 Zur Ausgabe

OriginalPaper

Psychosocial Adaptation to Chronic Illness and Disability: A Virtue Based Model

OriginalPaper

Measuring the Virtues and Character Traits of Rehabilitation Clients: The Adapted Inventory of Virtues and Strengths

Editorial

Foreword to Special Topic Section on the Interface of Positive Psychology with Rehabilitation Research and Practice

OriginalPaper

Psychosocial Adaptation to Disability Within the Context of Positive Psychology: Philosophical Aspects and Historical Roots

OriginalPaper

Theoretical Applications of Positive Psychology to Vocational Rehabilitation After Traumatic Brain Injury

OriginalPaper

Functional Capacity Evaluation Research: Report from the Second International Functional Capacity Evaluation Research Meeting