A prospective cohort study of disability pension due to mental diagnoses: the importance of health factors and behaviors

BMC Public Health

Pia Svedberg¹  Kristina Alexanderson¹  Annina Ropponen²  Åsa Samuelsson¹ 

[1] Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm SE-171 77, Sweden;Finnish Institute of Occupational Health, Helsinki, Finland

关键词: Twins;    Life-style;    Self-rated health;    Mental disorders;    Disability pension;    Sick leave;   

Others  :  1162061
DOI  :  10.1186/1471-2458-13-621

 received in 2013-03-13, accepted in 2013-06-27,  发布年份 2013

【 摘 要 】

Background

Previous studies have found associations between various health factors and behaviors and mental disorders. However, knowledge of such associations with disability pension (DP) due to mental diagnoses is scarce. Moreover, the influence of familial factors (genetics and family background) on the associations are mainly unknown. The aim of the study was to investigate associations between health factors and behaviors and future DP due to mental diagnoses in a twin cohort, accounting for familial confounding.

Methods

A prospective cohort study of Swedish twins (N=28 613), including survey data and national register data on DP and other background factors was conducted. Cox proportional hazards regression models were used to calculate hazard ratios (HR) with 95% confidence intervals (CI) for the whole twin cohort, and for discordant twin pairs.

Results

During follow-up 1998–2008 (median 10 years), 2.2% of the cohort was granted a DP with a mental diagnosis. In the fully adjusted analyses of the whole cohort, the associations of poor or moderate self-rated health (SRH), under- or overweight, former or current tobacco use, or being an abstainer from alcohol were significantly associated with risk of DP due to mental diagnoses. Analyses of discordant twin pairs confirmed all these associations, except for current tobacco use, being independent from familial confounding. Exclusion of individuals with current or previous depression or anxiety at baseline did not influence the associations found.

Conclusions

Poor or moderate SRH, under- or overweight, former tobacco use or being an abstainer from alcohol seem to be strong direct predictors of DP due to mental diagnoses, independently of several confounders of this study, including familial factors.

【 授权许可】

   
2013 Samuelsson et al.; licensee BioMed Central Ltd.

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