Disability pensions related to heavy physical workload: a cohort study of middle-aged and older workers in Sweden.
Cardiovascular
Job-exposure matrix
Musculoskeletal
Respiratory
Retirement
Work ability
Journal
International archives of occupational and environmental health
ISSN: 1432-1246
Titre abrégé: Int Arch Occup Environ Health
Pays: Germany
ID NLM: 7512134
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
08
12
2020
accepted:
13
03
2021
pubmed:
22
4
2021
medline:
15
12
2021
entrez:
21
4
2021
Statut:
ppublish
Résumé
The aim of the study was to examine the associations between heavy physical workload among middle-aged and older workers and disability pension due to any diagnosis, as well as musculoskeletal, psychiatric, cardiovascular or respiratory diagnoses. The population-based design made it possible to examine dose-response and potential gender differences in the associations. About 1.8 million men and women aged 44-63 years and registered as living in Sweden in 2005 were followed regarding disability pension during 2006-2016, until ages 55-65 years. Mean values of physical workload and job control, estimated through gender-specific job-exposure matrices (JEMs), were assigned to individuals through their occupational titles in 2005. Exposure values were ranked separately for women and men and divided into quintiles. Associations were analyzed with Cox proportional-hazards regression. The analyses showed robust, dose-response associations between physical workload and disability pension with a musculoskeletal diagnosis in both genders: the adjusted hazard ratio and 95% confidence interval for those with the heaviest exposure was 2.58 (2.37-2.81) in women and 3.34 (2.83-3.94) in men. Dose-response associations were also seen in relation to disability pension with a cardiovascular or a respiratory diagnosis, though the hazard ratios were smaller. Physical workload was not associated with disability pension with a psychiatric diagnosis after adjustment for job control. This study of the entire Swedish population of middle-aged and older workers suggests that higher degrees of physical workload may increase the risk of disability pension overall, and specifically with musculoskeletal, cardiovascular or respiratory diagnosis, in both women and men.
Identifiants
pubmed: 33880628
doi: 10.1007/s00420-021-01697-9
pii: 10.1007/s00420-021-01697-9
pmc: PMC8490214
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1851-1861Subventions
Organisme : Forskningsrådet om Hälsa, Arbetsliv och Välfärd
ID : 2016-07185
Informations de copyright
© 2021. The Author(s).
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