Trajectories of sickness absence and disability pension days among people with multiple sclerosis by type of occupation.
Multiple sclerosis
disability pension
occupation
sick leave
Journal
Multiple sclerosis (Houndmills, Basingstoke, England)
ISSN: 1477-0970
Titre abrégé: Mult Scler
Pays: England
ID NLM: 9509185
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
pubmed:
7
10
2021
medline:
7
7
2022
entrez:
6
10
2021
Statut:
ppublish
Résumé
Multiple sclerosis (MS) can impact working life, sickness absence (SA) and disability pension (DP). Different types of occupations involve different demands, which may be associated with trajectories of SA/DP among people with MS (PwMS). To explore, among PwMS and references, if SA/DP differ according to type of occupation. Furthermore, to examine how trajectories of SA/DP days are associated with type of occupation among PwMS. A longitudinal nationwide Swedish register-based cohort study was conducted, including 6100 individuals with prevalent MS and 38,641 matched references from the population. Trajectories of SA/DP were identified with group-based trajectory modelling. Multinomial logistic regressions were estimated for associations between identified trajectories and occupations. Increase of SA/DP over time was observed in all occupational groups, in both PwMS and references, with higher levels of SA/DP among PwMS. The lowest levels of SA/DP were observed among managers. Three trajectory groups of SA/DP were identified: Persistently Low (55.2%), Moderate Increasing (31.9%) and High Increasing (12.8%). Managers and those working in Science & Technology, and Economics, Social & Cultural were more likely to belong to the Persistently Low group. Results suggest that type of occupation plays a role in the level and course of SA/DP.
Sections du résumé
BACKGROUND
Multiple sclerosis (MS) can impact working life, sickness absence (SA) and disability pension (DP). Different types of occupations involve different demands, which may be associated with trajectories of SA/DP among people with MS (PwMS).
OBJECTIVES
To explore, among PwMS and references, if SA/DP differ according to type of occupation. Furthermore, to examine how trajectories of SA/DP days are associated with type of occupation among PwMS.
METHODS
A longitudinal nationwide Swedish register-based cohort study was conducted, including 6100 individuals with prevalent MS and 38,641 matched references from the population. Trajectories of SA/DP were identified with group-based trajectory modelling. Multinomial logistic regressions were estimated for associations between identified trajectories and occupations.
RESULTS
Increase of SA/DP over time was observed in all occupational groups, in both PwMS and references, with higher levels of SA/DP among PwMS. The lowest levels of SA/DP were observed among managers. Three trajectory groups of SA/DP were identified: Persistently Low (55.2%), Moderate Increasing (31.9%) and High Increasing (12.8%). Managers and those working in Science & Technology, and Economics, Social & Cultural were more likely to belong to the Persistently Low group.
CONCLUSION
Results suggest that type of occupation plays a role in the level and course of SA/DP.
Identifiants
pubmed: 34612098
doi: 10.1177/13524585211048759
pmc: PMC9260482
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1402-1413Références
J Neurol Sci. 2016 Aug 15;367:319-25
pubmed: 27423611
Neurology. 2019 Jun 11;92(24):e2764-e2773
pubmed: 31092624
J Neurol Neurosurg Psychiatry. 2011 Jan;82(1):78-82
pubmed: 20802029
Mult Scler. 2016 Dec;22(14):1859-1866
pubmed: 27650517
Value Health. 2012 Dec;15(8):1029-35
pubmed: 23244804
Mult Scler. 2013 Oct;19(12):1647-54
pubmed: 23652213
J Neurol. 2010 Jun;257(6):926-36
pubmed: 20084515
Mult Scler Relat Disord. 2020 Jul;42:102077
pubmed: 32353754
Int J Rehabil Res. 1986;9(2):155-65
pubmed: 3771036
BMJ Open. 2020 Dec 29;10(12):e039228
pubmed: 33376161
Mult Scler. 2013 Dec;19(14):1923-30
pubmed: 23652218
Annu Rev Clin Psychol. 2010;6:109-38
pubmed: 20192788
Acta Neurol Scand. 2015;132(199):11-9
pubmed: 26046553
Disabil Rehabil. 2012;34(24):2031-8
pubmed: 22468710
Mult Scler J Exp Transl Clin. 2015 Jul 24;1:2055217315595638
pubmed: 28607698
J Med Econ. 2017 May;20(5):493-502
pubmed: 28035846
BMJ Open. 2016 Nov 17;6(11):e012731
pubmed: 27856477
Mult Scler. 2012 May;18(5):647-53
pubmed: 22183935
Mult Scler. 2020 Oct;26(12):1550-1559
pubmed: 33063620
BMJ Open. 2018 Apr 13;8(4):e021122
pubmed: 29654048
Int J MS Care. 2015 Sep-Oct;17(5):245-52
pubmed: 26472946
BMJ Open. 2019 Jul 11;9(7):e024836
pubmed: 31300492
Mult Scler. 2017 Jul;23(8):1123-1136
pubmed: 28273775