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Erschienen in: European Journal of Epidemiology 8/2007

01.08.2007 | Original Paper

Life course determinants for early disability pension: a follow-up of Norwegian men and women born 1967–1976

verfasst von: Hans Magne Gravseth, Tor Bjerkedal, Lorentz M. Irgens, Odd O. Aalen, Randi Selmer, Petter Kristensen

Erschienen in: European Journal of Epidemiology | Ausgabe 8/2007

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Abstract

Background

Most studies on disability pension (DP) have focused on work conditions, socio-economic status and other contemporary factors. We wanted to study possible determinants of an early DP with a life course perspective within a large register-based cohort, with a main focus on the biological and social factors from childhood.

Methods

We established a longitudinal, population-based cohort of all persons liveborn in Norway between 1967 and 1976. Through linkage between several national registers we obtained personal data on biological/health related as well as social background factors. After excluding persons who died, emigrated or were granted a DP before age 20 years (at which age follow-up started) and persons who did not become gainfully employed during the study period, the study population consisted of 595,393 persons. They were categorized into four strata according to gender and educational attainment. Adjusted hazard ratios (HR) for granting a DP until the end of 2003 and the corresponding population attributable risks (PAR) were computed.

Results

A total of 9,649 persons (1.6%) were granted a DP during follow-up. The disability risk was slightly higher among women than among men (1.7% vs. 1,5%). The following PARs were found: birth weight below the mean 5.7%, chronic childhood disease 6.8%, maternal marital status 4.4% and parental disability 8.8%. Low educational achievement was highly associated with DP, with a PAR more than twice as high as the overall PAR for the childhood factors.

Conclusions

Early DP is associated with several biological and social background factors from childhood. It also shows a strong dependency on educational achievement.
Literatur
1.
Zurück zum Zitat Zeitzer IR. Recent European trends in disability and related programs. Soc Secur Bull 1994;57:21–6.PubMed Zeitzer IR. Recent European trends in disability and related programs. Soc Secur Bull 1994;57:21–6.PubMed
2.
Zurück zum Zitat Moncrieff J, Pomerleau J. Trends in sickness benefits in Great Britain and the contribution of mental disorders. J Public Health Med 2000;22:59–67.PubMedCrossRef Moncrieff J, Pomerleau J. Trends in sickness benefits in Great Britain and the contribution of mental disorders. J Public Health Med 2000;22:59–67.PubMedCrossRef
3.
Zurück zum Zitat Gjesdal S, Lie RT, Maeland JG. Variations in the risk of disability pension in Norway 1970–99. A gender-specific age-period-cohort analysis. Scand J Public Health 2004;32:340–8.PubMedCrossRef Gjesdal S, Lie RT, Maeland JG. Variations in the risk of disability pension in Norway 1970–99. A gender-specific age-period-cohort analysis. Scand J Public Health 2004;32:340–8.PubMedCrossRef
4.
Zurück zum Zitat Trygdestatistisk årbok 2005 (Annals of the National Insurance Administration 2005) [Report]. Oslo: Rikstrygdeverket, utredningsavdelingen, 2005. Trygdestatistisk årbok 2005 (Annals of the National Insurance Administration 2005) [Report]. Oslo: Rikstrygdeverket, utredningsavdelingen, 2005.
5.
Zurück zum Zitat http://www.oecd.org/dataoecd/4/12/36892986.pdf#search=%22%22inclusive%20workplace%22%22. http://www.oecd.org/dataoecd/4/12/36892986.pdf#search=%22%22inclusive%20workplace%22%22.
6.
Zurück zum Zitat Ben-Shlomo Y, Kuh D. A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. Int J Epidemiol 2002;31:285–93.PubMedCrossRef Ben-Shlomo Y, Kuh D. A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. Int J Epidemiol 2002;31:285–93.PubMedCrossRef
7.
Zurück zum Zitat Kuh D, Ben-Shlomo Y, Lynch J, Hallqvist J, Power C. Life course epidemiology. J Epidemiol Community Health 2003;57:778–83.PubMedCrossRef Kuh D, Ben-Shlomo Y, Lynch J, Hallqvist J, Power C. Life course epidemiology. J Epidemiol Community Health 2003;57:778–83.PubMedCrossRef
8.
Zurück zum Zitat Power C, Kuh D. Life course development of unequal health. In: Siegrist J, Marmot M, editors. Social inequalities in health. New evidence and policy implications. Oxford: Oxford University Press; 2006. p. 27–53. Power C, Kuh D. Life course development of unequal health. In: Siegrist J, Marmot M, editors. Social inequalities in health. New evidence and policy implications. Oxford: Oxford University Press; 2006. p. 27–53.
9.
Zurück zum Zitat Krause N, Lynch J, Kaplan GA, Cohen RD, Goldberg DE, Salonen JT. Predictors of disability retirement. Scand J Work Environ Health 1997;23:403–13.PubMed Krause N, Lynch J, Kaplan GA, Cohen RD, Goldberg DE, Salonen JT. Predictors of disability retirement. Scand J Work Environ Health 1997;23:403–13.PubMed
10.
Zurück zum Zitat Holte HH, Tambs K, Bjerkedal T. Manual work as predictor for disability pensioning with osteoarthritis among the employed in Norway 1971–1990. Int J Epidemiol 2000;29:487–94.PubMedCrossRef Holte HH, Tambs K, Bjerkedal T. Manual work as predictor for disability pensioning with osteoarthritis among the employed in Norway 1971–1990. Int J Epidemiol 2000;29:487–94.PubMedCrossRef
11.
Zurück zum Zitat Holte HH, Tambs K, Bjerkedal T. Physically demanding situations as predictors of disability pensioning with soft tissue rheumatism among persons 30–39 years old in Norway, 1981–90. J Rheumatol 2002;29:1760–6.PubMed Holte HH, Tambs K, Bjerkedal T. Physically demanding situations as predictors of disability pensioning with soft tissue rheumatism among persons 30–39 years old in Norway, 1981–90. J Rheumatol 2002;29:1760–6.PubMed
12.
Zurück zum Zitat Hayward MD, Grady WR, Hardy MA, Sommers D. Occupational influences on retirement, disability, and death. Demography 1989;26:393–409.PubMedCrossRef Hayward MD, Grady WR, Hardy MA, Sommers D. Occupational influences on retirement, disability, and death. Demography 1989;26:393–409.PubMedCrossRef
13.
Zurück zum Zitat Hasle H, Jeune B. The significance of working conditions with regard to disability pensions. A case-controlled study among unskilled workers. Ugeskr Laeger 1989;151:1929–31.PubMed Hasle H, Jeune B. The significance of working conditions with regard to disability pensions. A case-controlled study among unskilled workers. Ugeskr Laeger 1989;151:1929–31.PubMed
14.
Zurück zum Zitat Upmark M, Lundberg I, Sadigh J, Bigert C. Conditions during childhood and adolescence as explanations of social class differences in disability pension among young men. Scand J Public Health 2001;29:96–103.PubMedCrossRef Upmark M, Lundberg I, Sadigh J, Bigert C. Conditions during childhood and adolescence as explanations of social class differences in disability pension among young men. Scand J Public Health 2001;29:96–103.PubMedCrossRef
15.
Zurück zum Zitat 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;31:1183–91.PubMedCrossRef 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;31:1183–91.PubMedCrossRef
16.
Zurück zum Zitat Rognerud MA, Kruger O, Gjertsen F, Thelle DS. Strong regional links between socio-economic background factors and disability and mortality in Oslo, Norway. Eur J Epidemiol 1998;14:457–63.PubMedCrossRef Rognerud MA, Kruger O, Gjertsen F, Thelle DS. Strong regional links between socio-economic background factors and disability and mortality in Oslo, Norway. Eur J Epidemiol 1998;14:457–63.PubMedCrossRef
17.
Zurück zum Zitat Hagen KB, Holte HH, Tambs K, Bjerkedal T. Socioeconomic factors and disability retirement from back pain: a 1983–1993 population-based prospective study in Norway. Spine 2000;25:2480–7.PubMedCrossRef Hagen KB, Holte HH, Tambs K, Bjerkedal T. Socioeconomic factors and disability retirement from back pain: a 1983–1993 population-based prospective study in Norway. Spine 2000;25:2480–7.PubMedCrossRef
18.
Zurück zum Zitat 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;58:1837–48.PubMedCrossRef 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;58:1837–48.PubMedCrossRef
19.
Zurück zum Zitat Mansson NO, Rastam L, Eriksson KF, Israelsson B. Socioeconomic inequalities and disability pension in middle-aged men. Int J Epidemiol 1998;27:1019–25.PubMedCrossRef Mansson NO, Rastam L, Eriksson KF, Israelsson B. Socioeconomic inequalities and disability pension in middle-aged men. Int J Epidemiol 1998;27:1019–25.PubMedCrossRef
20.
Zurück zum Zitat Guberan E, Usel M. Permanent work incapacity, mortality and survival without work incapacity among occupations and social classes: a cohort study of ageing men in Geneva. Int J Epidemiol 1998;27:1026–32.PubMedCrossRef Guberan E, Usel M. Permanent work incapacity, mortality and survival without work incapacity among occupations and social classes: a cohort study of ageing men in Geneva. Int J Epidemiol 1998;27:1026–32.PubMedCrossRef
21.
Zurück zum Zitat Mansson NO, Merlo J. The relation between self-rated health, socioeconomic status, body mass index and disability pension among middle-aged men. Eur J Epidemiol 2001;17:65–9.PubMedCrossRef Mansson NO, Merlo J. The relation between self-rated health, socioeconomic status, body mass index and disability pension among middle-aged men. Eur J Epidemiol 2001;17:65–9.PubMedCrossRef
22.
Zurück zum Zitat Hasle H, Jeune B. [The significance of childhood conditions with regard to disability pensions. A case-controlled study among unskilled workers]. Ugeskr Laeger 1989;151:1926–8.PubMed Hasle H, Jeune B. [The significance of childhood conditions with regard to disability pensions. A case-controlled study among unskilled workers]. Ugeskr Laeger 1989;151:1926–8.PubMed
23.
Zurück zum Zitat Gjesdal S, Bratberg E. The role of gender in long-term sickness absence and transition to permanent disability benefits. Results from a multiregister based, prospective study in Norway 1990–1995. Eur J Public Health 2002;12:180–6.PubMedCrossRef Gjesdal S, Bratberg E. The role of gender in long-term sickness absence and transition to permanent disability benefits. Results from a multiregister based, prospective study in Norway 1990–1995. Eur J Public Health 2002;12:180–6.PubMedCrossRef
24.
Zurück zum Zitat Allebeck P, Mastekaasa A. Swedish Council on Technology Assessment in Health Care (SBU). Chapter 5. Risk factors for sick leave—general studies. Scand J Public Health Suppl 2004;63:49–108.PubMedCrossRef Allebeck P, Mastekaasa A. Swedish Council on Technology Assessment in Health Care (SBU). Chapter 5. Risk factors for sick leave—general studies. Scand J Public Health Suppl 2004;63:49–108.PubMedCrossRef
25.
Zurück zum Zitat Upmark M, Lundberg I, Sadigh J, Allebeck P, Bigert C. Psychosocial characteristics in young men as predictors of early disability pension with a psychiatric diagnosis. Soc Psychiatry Psychiatr Epidemiol 1999;34:533–40.PubMedCrossRef Upmark M, Lundberg I, Sadigh J, Allebeck P, Bigert C. Psychosocial characteristics in young men as predictors of early disability pension with a psychiatric diagnosis. Soc Psychiatry Psychiatr Epidemiol 1999;34:533–40.PubMedCrossRef
26.
Zurück zum Zitat Upmark M, Thundal KL. An explorative, population-based study of female disability pensioners: the role of childhood conditions and alcohol abuse/dependence. Scand J Public Health 2002;30:191–9.PubMedCrossRef Upmark M, Thundal KL. An explorative, population-based study of female disability pensioners: the role of childhood conditions and alcohol abuse/dependence. Scand J Public Health 2002;30:191–9.PubMedCrossRef
27.
Zurück zum Zitat Kuh DJ, Wadsworth ME, Yusuf EJ. Burden of disability in a post war birth cohort in the UK. J Epidemiol Community Health 1994;48:262–9.PubMedCrossRef Kuh DJ, Wadsworth ME, Yusuf EJ. Burden of disability in a post war birth cohort in the UK. J Epidemiol Community Health 1994;48:262–9.PubMedCrossRef
28.
Zurück zum Zitat Wadsworth ME, Butterworth SL, Hardy RJ, et al. The life course prospective design: an example of benefits and problems associated with study longevity. Soc Sci Med 2003;57:2193–205.PubMedCrossRef Wadsworth ME, Butterworth SL, Hardy RJ, et al. The life course prospective design: an example of benefits and problems associated with study longevity. Soc Sci Med 2003;57:2193–205.PubMedCrossRef
29.
Zurück zum Zitat Irgens LM. The Medical Birth Registry of Norway. Epidemiological research and surveillance throughout 30 years. Acta Obstet Gynecol Scand 2000;79:435–9.PubMedCrossRef Irgens LM. The Medical Birth Registry of Norway. Epidemiological research and surveillance throughout 30 years. Acta Obstet Gynecol Scand 2000;79:435–9.PubMedCrossRef
30.
Zurück zum Zitat Bjerkedal T, Thune O. Basic and attendance benefits to children–extent and medical causes. Tidsskr Nor Laegeforen 1994;114:1941–5.PubMed Bjerkedal T, Thune O. Basic and attendance benefits to children–extent and medical causes. Tidsskr Nor Laegeforen 1994;114:1941–5.PubMed
31.
Zurück zum Zitat Norwegian standard classification of education. Revised 2000 [Report]. Oslo-Kongsvinger: Statistics Norway, 2003. Norwegian standard classification of education. Revised 2000 [Report]. Oslo-Kongsvinger: Statistics Norway, 2003.
32.
Zurück zum Zitat Greenland S, Drescher K. Maximum likelihood estimation of the attributable fraction from logistic models. Biometrics 1993;49:865–72.PubMedCrossRef Greenland S, Drescher K. Maximum likelihood estimation of the attributable fraction from logistic models. Biometrics 1993;49:865–72.PubMedCrossRef
33.
Zurück zum Zitat Hansen BM, Dinesen J, Hoff B, Greisen G. Intelligence in preterm children at four years of age as a predictor of school function: a longitudinal controlled study. Dev Med Child Neurol 2002;44:517–21.PubMedCrossRef Hansen BM, Dinesen J, Hoff B, Greisen G. Intelligence in preterm children at four years of age as a predictor of school function: a longitudinal controlled study. Dev Med Child Neurol 2002;44:517–21.PubMedCrossRef
34.
Zurück zum Zitat Kristensen P, Bjerkedal T, Irgens LM, Gravseth HM, Brevik JI. Impact of life course determinants on work participation among young Norwegian men. Norwegian Journal of Epidemiology 2005;15:65–74. http://www.ub.ntnu.no/journals/norepid/2005–1/051_13_Kristensen.pdf. Kristensen P, Bjerkedal T, Irgens LM, Gravseth HM, Brevik JI. Impact of life course determinants on work participation among young Norwegian men. Norwegian Journal of Epidemiology 2005;15:65–74. http://​www.​ub.​ntnu.​no/​journals/​norepid/​2005–1/051_13_Kristensen.pdf.
35.
Zurück zum Zitat Bjerkedal T, Thune O, Irgens LM. Early identification of children with increased risk of permanent occupational disability. Tidsskr Nor Laegeforen 1999;119:652–6.PubMed Bjerkedal T, Thune O, Irgens LM. Early identification of children with increased risk of permanent occupational disability. Tidsskr Nor Laegeforen 1999;119:652–6.PubMed
36.
Zurück zum Zitat Markestad T. Young disabled. Tidsskr Nor Laegeforen 1998;118:2304.PubMed Markestad T. Young disabled. Tidsskr Nor Laegeforen 1998;118:2304.PubMed
37.
Zurück zum Zitat Kristensen P, Bjerkedal T, Brevik JI. Long term effects of parental disability: a register based life course follow-up of Norwegians born in 1967–1976. Norwegian Journal of Epidemiology 2004;14:97–105. http://www.ub.ntnu.no/journals/norepid/2004-1/2004(1)_19-Kristensen.pdf. Kristensen P, Bjerkedal T, Brevik JI. Long term effects of parental disability: a register based life course follow-up of Norwegians born in 1967–1976. Norwegian Journal of Epidemiology 2004;14:97–105. http://​www.​ub.​ntnu.​no/​journals/​norepid/​2004-1/​2004(1)_19-Kristensen.pdf.
38.
Zurück zum Zitat Glendinning A, Love JG, Hendry LB, Shucksmith J. Adolescence and health inequalities: extensions to Macintyre and West. Soc Sci Med 1992;35:679–87.PubMedCrossRef Glendinning A, Love JG, Hendry LB, Shucksmith J. Adolescence and health inequalities: extensions to Macintyre and West. Soc Sci Med 1992;35:679–87.PubMedCrossRef
39.
Zurück zum Zitat Aro S, Aro H, Keskimaki I. Socio-economic mobility among patients with schizophrenia or major affective disorder. A 17-year retrospective follow-up. Br J Psychiatry 1995;166:759–67.PubMed Aro S, Aro H, Keskimaki I. Socio-economic mobility among patients with schizophrenia or major affective disorder. A 17-year retrospective follow-up. Br J Psychiatry 1995;166:759–67.PubMed
40.
41.
Zurück zum Zitat Gjesdal S, Bratberg E. Diagnosis and duration of sickness absence as predictors for disability pension: results from a three-year, multi-register based* and prospective study. Scand J Public Health 2003;31:246–54.PubMedCrossRef Gjesdal S, Bratberg E. Diagnosis and duration of sickness absence as predictors for disability pension: results from a three-year, multi-register based* and prospective study. Scand J Public Health 2003;31:246–54.PubMedCrossRef
42.
Zurück zum Zitat Barker DJ. Maternal nutrition, fetal nutrition, and disease in later life. Nutrition 1997;13:807–13.PubMedCrossRef Barker DJ. Maternal nutrition, fetal nutrition, and disease in later life. Nutrition 1997;13:807–13.PubMedCrossRef
Metadaten
Titel
Life course determinants for early disability pension: a follow-up of Norwegian men and women born 1967–1976
verfasst von
Hans Magne Gravseth
Tor Bjerkedal
Lorentz M. Irgens
Odd O. Aalen
Randi Selmer
Petter Kristensen
Publikationsdatum
01.08.2007
Verlag
Springer Netherlands
Erschienen in
European Journal of Epidemiology / Ausgabe 8/2007
Print ISSN: 0393-2990
Elektronische ISSN: 1573-7284
DOI
https://doi.org/10.1007/s10654-007-9139-9

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