Abstract
Purpose
The incidence of disability pension (DP), especially due to mental diagnoses, has increased in many countries, but knowledge
of socio-demographic risk factors for DP is limited. Further, the influences of genetics and early-life factors (jointly called
familial factors) on these associations remain to be studied. The aims were to study incidence of DP (due to all and mental
diagnoses) and associations with socio-demographic factors, and also to establish whether associations differ with DP diagnosis
and sex, and are influenced by familial factors.
of socio-demographic risk factors for DP is limited. Further, the influences of genetics and early-life factors (jointly called
familial factors) on these associations remain to be studied. The aims were to study incidence of DP (due to all and mental
diagnoses) and associations with socio-demographic factors, and also to establish whether associations differ with DP diagnosis
and sex, and are influenced by familial factors.
Results
The cumulative incidence of DP was 17 %. Of all the DP diagnoses 20 % were mental. Higher age (≥45 years), being a woman or
unmarried, and/or living in a semi-urban area were risk factors for DP. Low education, being a blue-collar worker or being
self-employed predicted either higher (all diagnoses) or lower (mental diagnoses) risk of DP. Rural areas were associated
with DP due to mental diagnoses. The estimates varied for men and women. After adjustment for familial factors the associations
of DP with education and marital status were attenuated and no longer significant. Similar results were apparent for DP due
to mental diagnoses and socioeconomic status.
unmarried, and/or living in a semi-urban area were risk factors for DP. Low education, being a blue-collar worker or being
self-employed predicted either higher (all diagnoses) or lower (mental diagnoses) risk of DP. Rural areas were associated
with DP due to mental diagnoses. The estimates varied for men and women. After adjustment for familial factors the associations
of DP with education and marital status were attenuated and no longer significant. Similar results were apparent for DP due
to mental diagnoses and socioeconomic status.
- Content Type Journal Article
- Category Original Paper
- Pages 1-11
- DOI 10.1007/s00127-012-0498-5
- Authors
- Åsa Samuelsson, Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Berzeliusväg 3, 171 77 Stockholm, Sweden
- K. Alexanderson, Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Berzeliusväg 3, 171 77 Stockholm, Sweden
- A. Ropponen, Ergonomics, Institute of Biomedicine, University of Eastern Finland, Kuopio, Finland
- P. Lichtenstein, Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
- P. Svedberg, Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Berzeliusväg 3, 171 77 Stockholm, Sweden
- Journal Social Psychiatry and Psychiatric Epidemiology
- Online ISSN 1433-9285
- Print ISSN 0933-7954