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

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Das Thema chronische Unterbauch- und Viszeralschmerzen wird im Live-Webinar am 7. Mai von 17.30 bis 19 Uhr aus internistischer, gynäkologischer und psychologisch-neurowissenschaftlicher Perspektive beleuchtet. Besprochen werden krankheitsbedingte Ursachen, Mechanismen der kognitiven Schmerzmodulation sowie mögliche Therapieoptionen. Die Fortbildung ist mit 2 CME-Punkten zertifiziert. Melden Sie sich jetzt an!
Erweiterte Suche
Anmelden
nach oben
International Archives of Occupational and Environmental Health
Erschienen in: International Archives of Occupational and Environmental Health 3/2013

01.04.2013 | Original Article

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

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

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 3/2013

Einloggen, um Zugang zu erhalten

Abstract

Objectives

The aim of this study was to investigate whether job strain, psychological demands, and decision latitude are independent determinants of disability pension rates over a 12-year follow-up period.

Methods

We studied 3,181 men and 3,359 women, all middle-aged and working at least 30 h per week, recruited from the general population of Malmö, Sweden, in 1992. The participation rate was 41 %. Baseline data include sociodemographics, the Job Content Questionnaire, lifestyle, and health-related variables. Disability pension information was obtained through record linkage from the National Health Insurance Register.

Results

Nearly 20 % of the women and 15 % of the men were granted a disability pension during the follow-up period. The highest quartile of psychological job demands and the lowest quartile of decision latitude were associated with disability pensions when controlling for age, socioeconomic position, and health risk behaviours. In the final model, with adjustment also for health indicators and stress from outside the workplace, the hazard ratios for high strain jobs (i.e. high psychological demands in combination with low decision latitude) were 1.5 in men (95 % CI, 1.04–2.0) and 1.7 in women (95 % CI, 1.3–2.2). Stratifying for health at baseline showed that high strain tended to affect healthy but not unhealthy men, while this pattern was reversed in women.

Conclusions

High psychological demands, low decision latitude, and job strain were all confirmed as independent risk factors for subsequent disability pensions. In order to increase chances of individuals remaining in the work force, interventions against these adverse psychosocial factors appear worthwhile.
Literatur
Alexanderson K, Norlund A (2004) Swedish Council on Technology Assessment in Health Care (SBU). Chapter 1. Aim, background, key concepts, regulations, and current statistics. Scand J Public Health Suppl 63:12–30CrossRef
Ali SM, Lindström M (2008) Psychosocial work conditions, unemployment and health locus of control: a population-based study. Scand J Public Health 36:429–435CrossRef
Allebeck P, Mastekaasa A (2004) Swedish Council on Technology Assessment in Health Care (SBU). Chapter 5. Risk factors for sick leave—general studies. Scand J Public Health Suppl 63:49–108CrossRef
Armor D, Polich J (1982) Measurement of alcohol consumption. In: Pattison EM, Kaufman E (eds) Encyclopedic handbook of alcoholism. Gardner Press, New York, pp 72–80
Belkic KL, Landsbergis PA, Schnall PL, Baker D (2004) Is job strain a major source of cardiovascular disease risk? Scand J Work Environ Health 30:85–128CrossRef
Bellingrath S, Weigl T, Kudielka BM (2009) Chronic work stress and exhaustion is associated with higher allostastic load in female school teachers. Stress 12:37–48CrossRef
Bonde JP (2008) Psychosocial factors at work and risk of depression: a systematic review of the epidemiological evidence. Occup Environ Med 65:438–445CrossRef
Bongers PM, de Winter CR, Kompier MA, Hildebrandt VH (1993) Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health 19:297–312CrossRef
Börsch-Supan A, Brugiavini A, Croda E (2009) The role of institutions and health in European patterns of work and retirement. J Eur Soc Policy 19:341–358CrossRef
Chandola T, Brunner E, Marmot M (2006) Chronic stress at work and the metabolic syndrome: prospective study. BMJ 332:521–525CrossRef
Chandola T, Heraclides A, Kumari M (2010) Psychophysiological biomarkers of workplace stressors. Neurosci Biobehav Rev 35:51–57CrossRef
Choi B, Ostergren PO, Canivet C, Moghadassi M, Lindeberg S, Karasek R et al (2011) Synergistic interaction effect between job control and social support at work on general psychological distress. Int Arch Occup Environ Health 84:77–89CrossRef
Christensen KB, Feveile H, Labriola M, Lund T (2008) The impact of psychosocial work environment factors on the risk of disability pension in Denmark. Eur J Public Health 18:235–237CrossRef
Claussen B (1998) Restricting the influx of disability beneficiaries by means of law: experiences in Norway. Scand J Soc Med 26:1–7
Claussen B, Dalgard OS (2009) Disability pensioning: the gender divide can be explained by occupation, income, mental distress and health. Scand J Public Health 37:590–597CrossRef
de Lange AH, Kompier MA, Taris TW, Geurts SA, Beckers DG, Houtman IL et al (2009) A hard day’s night: a longitudinal study on the relationships among job demands and job control, sleep quality and fatigue. J Sleep Res 18:374–383CrossRef
Emslie C, Ridge D, Ziebland S, Hunt K (2006) Men’s accounts of depression: reconstructing or resisting hegemonic masculinity? Soc Sci Med 62:2246–2257CrossRef
Friis K, Ekholm O, Hundrup YA (2008) The relationship between lifestyle, working environment, socio-demographic factors and expulsion from the labour market due to disability pension among nurses. Scand J Caring Sci 22:241–248CrossRef
Fukuoka Y, Dracup K, Takeshima M, Ishii N, Makaya M, Groah L et al (2009) Effect of job strain and depressive symptoms upon returning to work after acute coronary syndrome. Soc Sci Med 68:1875–1881CrossRef
Gallo LC, Jimenez JA, Shivpuri S, Espinosa de Los Monteros K, Mills PJ (2011) Domains of chronic stress, lifestyle factors, and allostatic load in middle-aged Mexican-American women. Ann Behav Med 41:21–31CrossRef
Geurts SA, Sonnentag S (2006) Recovery as an explanatory mechanism in the relation between acute stress reactions and chronic health impairment. Scand J Work Environ Health 32:482–492CrossRef
Gjesdal S, Ringdal PR, Haug K, Maeland JG (2004) Predictors of disability pension in long-term sickness absence: results from a population-based and prospective study in Norway 1994–1999. Eur J Public Health 14:398–405CrossRef
Gjesdal S, Haug K, Ringdal P, Maeland JG, Hagberg J, Roraas T et al (2009) Sickness absence with musculoskeletal or mental diagnoses, transition into disability pension and all-cause mortality: a 9-year prospective cohort study. Scand J Public Health 37:387–394CrossRef
Hult C, Stattin M, Janlert U, Järvholm B (2010) Timing of retirement and mortality—a cohort study of Swedish construction workers. Soc Sci Med 70:1480–1486CrossRef
Isacsson SO, Hanson BS, Janzon L, Lindell SE, Steen B (1987) Methods to assess alcohol consumption in 68-year-old men: results from the population study ‘Men born in 1914’ Malmo, Sweden. Br J Addict 82:1235–1244CrossRef
Kaplan GA, Camacho T (1983) Perceived health and mortality: a nine-year follow-up of the human population laboratory cohort. Am J Epidemiol 117:292–304
Karasek R (1979) Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 24:285–307CrossRef
Karasek R, Choi B, Östergren PO, Ferrario M, De Smet P (2007) Testing two methods to create comparable scale scores between the Job Content Questionnaire (JCQ) and JCQ-Like Questionnaires in the European JACE study. Int J Behav Med 14:189–201CrossRef
Kivimäki M, Virtanen M, Elovainio M, Kouvonen A, Vaananen A, Vahtera J (2006) Work stress in the etiology of coronary heart disease—a meta-analysis. Scand J Work Environ Health 32:431–442CrossRef
Krause N, Lynch J, Kaplan GA, Cohen RD, Goldberg DE, Salonen JT (1997) Predictors of disability retirement. Scand J Work Environ Health 23:403–413CrossRef
Krokstad S, Johnsen R, Westin S (2002) Social determinants of disability pension: a 10-year follow-up of 62,000 people in a Norwegian county population. Int J Epidemiol 31:1183–1191CrossRef
Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G et al (1987) Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18:233–237CrossRef
Laine S, Gimeno D, Virtanen M, Oksanen T, Vahtera J, Elovainio M et al (2009) Job strain as a predictor of disability pension: the Finnish public sector study. J Epidemiol Commun Health 63(1):24–30CrossRef
Manjer J, Carlsson S, Elmstahl S, Gullberg B, Janzon L, Lindström M et al (2001) The Malmo diet and cancer study: representativity, cancer incidence and mortality in participants and non-participants. Eur J Cancer Prev 10:489–499CrossRef
Melchior M, Caspi A, Milne BJ, Danese A, Poulton R, Moffitt TE (2007) Work stress precipitates depression and anxiety in young, working women and men. Psychol Med 37:1119–1129CrossRef
Östergren PO, Hanson BS, Balogh I, Ektor-Andersen J, Isacsson A, Orbaek P et al (2005) Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work? Results from a one year follow up of the Malmö shoulder and neck study cohort. J Epidemiol Commun Health 59:721–728CrossRef
Punnett L, Cherniack M, Henning R, Morse T, Faghri P, CPH-NEW Research Team (2009) A conceptual framework for integrating workplace health promotion and occupational ergonomics programs. Public Health Rep Suppl 1:16–25
Rai D, Kosidou K, Lundberg M, Araya R, Lewis G, Magnusson C (2011) Psychological distress and risk of long-term disability: population-based longitudinal study. J Epidemiol Commun Health. doi:10.​1136/​jech.​2010.​1196442011
Smith PM, Frank JW, Mustard CA, Bondy SJ (2008) Examining the relationships between job control and health status: a path analysis approach. J Epidemiol Commun Health 62:54–61CrossRef
Stansfeld S, Candy B (2006) Psychosocial work environment and mental health—a meta-analytic review. Scand J Work Environ Health 32:443–462CrossRef
Stattin M (2005) Retirement on grounds of ill health. Occup Environ Med 62:135–140CrossRef
Stattin M, Järvholm B (2005) Occupation, work environment, and disability pension: a prospective study of construction workers. Scand J Public Health 33:84–90CrossRef
Straface E, Lista P, Gambardella L, Franconi F, Malorni W (2010) Gender-specific features of plasmatic and circulating cell alterations as risk factors in cardiovascular disease. Fundam Clin Pharmacol 24:665–674CrossRef
Theorell T, Harms-Ringdahl K, Ahlberg-Hulten G, Westin B (1991) Psychosocial job factors and symptoms from the locomotor system—a multicausal analysis. Scand J Rehabil Med 23:165–173
Metadaten
Titel
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
verfasst von
Catarina Canivet
BongKyoo Choi
Robert Karasek
Mahnaz Moghaddassi
Carin Staland-Nyman
Per-Olof Östergren
Publikationsdatum
01.04.2013
Verlag
Springer-Verlag
Erschienen in
International Archives of Occupational and Environmental Health / Ausgabe 3/2013
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-012-0766-4

Weitere Artikel der Ausgabe 3/2013

International Archives of Occupational and Environmental Health 3/2013 Zur Ausgabe

Original Article

Distributed lag associations between respiratory illnesses and mortality with suspended particle concentration in Tula, a highly polluted industrial region in Central Mexico

Original Article

Is cultural activity at work related to mental health in employees?

Original Article

Occupational skin diseases in Czech healthcare workers from 1997 to 2009

Original Article

Physical job demands and related health complaints among surgeons

Erratum

Erratum to: Association between chronic morbidity and early retirement in Italy

Original Article

Prognostic occupational factors for persistent low back pain in primary care