Physical health-related quality of life predicts disability pension due to musculoskeletal disorders: seven years follow-up of the Hordaland Health Study Cohort

BMC Public Health

Grethe S Tell²  Trond Riise²  Erlend H Farbu²  Inger Haukenes¹ 

[1] Department of Public Mental Health, Division of Mental Health, Norwegian Institute of Public Health, Bergen, Norway;Department of Global Public Health and Primary Care, University of Bergen, Kalfarveien 31, Bergen NO-5018, Norway

关键词: Self-reported health;    Quality of life;    Mental health;    Musculoskeletal disorders;    Physical health;    Disability pension;    Cohort study;   

Others  :  1145308
DOI  :  10.1186/1471-2458-14-167

 received in 2013-08-28, accepted in 2014-02-12,  发布年份 2014

【 摘 要 】

Background

Musculoskeletal diseases are characterized by a high degree of comorbidity with common mental disorders and are a major cause of health-related exclusion from working life. Using a prospective design we aimed to examine the relative importance of physical and mental health-related quality of life as predictors of disability pension due to musculoskeletal diseases.

Methods

A subsample (N = 18581) born 1953–1957, participated in the The Hordaland Health Study (HUSK) during 1997–1999, and was followed through December 31^st 2004. Baseline measures of health-related quality of life were estimated using the Physical (PCS) and Mental Component Summary (MCS) of the Short Form-12 (SF-12). Further information on education, occupation, smoking, physical activity, number of musculoskeletal pain sites and BMI were provided by questionnaires and health examination. The association between self-perceived physical and mental health and subsequent disability pension, obtained from the national database of health and social benefits was estimated using Cox regression analyses.

Results

Participants reporting poor physical health (quartile 1) had a marked increased risk for disability pension due to musculoskeletal diseases (age and gender-adjusted hazard ratio = 22.1, 95% CI = 12.5–39.0) compared with those reporting good/somewhat good physical health (quartiles 4 and 3 combined). Adjustment for socioeconomic status and lifestyle factors slightly attenuated the association (hazard ratio = 16.7), and adding number of reported pain sites weakened the association even more (hazard ratio = 7.1, 95% CI = 3.8–12.8). Also, participants reporting poor mental health had a higher risk for disability pension due to musculoskeletal diseases (age and gender adjusted hazard ratio = 1.8, 95% CI = 1.3–2.6); however, in the final model the risk was not statistically significant.

Conclusions

The physical component in health-related quality of life (SF-12) was a strong predictor of disability pension due to musculoskeletal diseases, whereas the mental component played a less prominent role.

【 授权许可】

   
2014 Haukenes et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Woolf AD, Pfleger B: Burden of major musculoskeletal conditions. Bull World Health Organ 2003, 81:646-656.
• [2]Halford C, Wallman T, Welin L, Rosengren A, Bardel A, Johansson S, Eriksson H, Palmer E, Wilhelmsen L, Svardsudd K: Effects of self-rated health on sick leave, disability pension, hospital admissions and mortality. A population-based longitudinal study of nearly 15,000 observations among Swedish women and men. BMC Public Health 2012, 12:1103. BioMed Central Full Text
• [3]Peterson U, Bergstrom G, Demerouti E, Gustavsson P, Asberg M, Nygren A: Burnout levels and self-rated health prospectively predict future long-term sickness absence: a study among female health professionals. J Occup Environ Med 2011, 53:788-793.
• [4]Desalvo KB, Muntner P: Discordance between physician and patient self-rated health and all-cause mortality. Ochsner J 2011, 11:232-240.
• [5]Pietilainen O, Laaksonen M, Rahkonen O, Lahelma E: Self-rated health as a predictor of disability retirement–the contribution of ill-health and working conditions. PLoS One 2011, 6:e25004.
• [6]Ware J Jr, Kosinski M, Keller SD: A 12-Item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996, 34:220-233.
• [7]Chamberlain AM, McNallan SM, Dunlay SM, Spertus JA, Redfield MM, Moser DK, Kane RL, Weston SA, Roger VL: Physical health status measures predict all-cause mortality in patients with heart failure. Circ Heart Fail 2013, 6:669-675.
• [8]Myint PK, Luben RN, Surtees PG, Wainwright NW, Welch AA, Bingham SA, Day NE, Wareham NJ, Khaw KT: Relation between self-reported physical functional health and chronic disease mortality in men and women in the European Prospective Investigation into Cancer (EPIC-Norfolk): a prospective population study. Ann Epidemiol 2006, 16:492-500.
• [9]Laaksonen M, Kaaria SM, Leino-Arjas P, Lahelma E: Different domains of health functioning as predictors of sickness absence–a prospective cohort study. Scand J Work Environ Health 2011, 37:213-218.
• [10]OECD: Key trends and outcomes in sickness and disability, in sickness, disability and work: breaking the barrieres: a synthesis of findings across OECD countries. OECD Publishing 2010. http://dx.doi.org/10.1787/9789264088856-4-en webcite
• [11]Bair MJ, Robinson RL, Katon W, Kroenke K: Depression and pain comorbidity: a literature review. Arch Intern Med 2003, 163:2433-2445.
• [12]Overland S, Harvey SB, Knudsen AK, Mykletun A, Hotopf M: Widespread pain and medically certified disablilty pension in the Hordaland Helath Study. Eur J Pain 2011, 16:611-20.
• [13]Knudsen AK, Overland S, Aakvaag HF, Harvey SB, Hotopf M, Mykletun A: Common mental disorders and disability pension award: seven year follow-up of the HUSK study. J Psychosom Res 2010, 69:59-67.
• [14]Mykletun A, Overland S, Dahl AA, Krokstad S, Bjerkeset O, Glozier N, Aaro LE, Prince M: A population-based cohort study of the effect of common mental disorders on disability pension awards. Am J Psychiatry 2006, 163:1412-1418.
• [15]Erikson R, Goldthorpe JH, Portocarero L: Intergenerational Class Mobility in Three Western European Societies: England, France and Sweden. Br J Sociol 1979, 30:415-441.
• [16]Ganzeboom HBG, Treiman DJ: Internationally comparable measures of occupational status for the 1988 international standard classification of occupations. Soc Sci Res 1996, 25:201-239.
• [17]Haukenes I, Mykletun A, Knudsen AK, Hansen HT, Maeland JG: Disability pension by occupational class - the impact of work-related factors: the Hordaland health study cohort. BMC Public Health 2011, 11:406. BioMed Central Full Text
• [18]Fine JP, Gray RJ: A Proportional Hazards Model for the Subdistribution of a Competing Risk. J Am Stat Assoc 1999, 94:496-509.
• [19]Laine S, Gimeno D, Virtanen M, Oksanen T, Vahtera J, Elovainio M, Koskinen A, Pentti J, Kivimaki M: Job strain as a predictor of disability pension: the finnish public sector study. J Epidemiol Community Health 2009, 63:24-30.
• [20]Mansson NO, Rastam L: Self-rated health as a predictor of disability pension and death–a prospective study of middle-aged men. Scand J Public Health 2001, 29:151-158.
• [21]Hagen KB, Tambs K, Bjerkedal T: A prospective cohort study of risk factors for disability retirement because of back pain in the general working population. Spine (Phila Pa 1976) 2002, 27:1790-1796.
• [22]Vahtera J, Westerlund H, Ferrie JE, Head J, Melchior M, Singh-Manoux A, Zins M, Goldberg M, Alexanderson K, Kivimaki M: All-cause and diagnosis-specific sickness absence as a predictor of sustained suboptimal health: a 14-year follow-up in the GAZEL cohort. J Epidemiol Community Health 2010, 64:311-317.
• [23]Bergman S, Jacobsson LT, Herrstrom P, Petersson IF: Health status as measured by SF-36 reflects changes and predicts outcome in chronic musculoskeletal pain: a 3-year follow up study in the general population. Pain 2004, 108:115-123.
• [24]Nicholl BI, Macfarlane GJ, Davies KA, Morriss R, Dickens C, McBeth J: Premorbid psychosocial factors are associated with poor health-related quality of life in subjects with new onset of chronic widespread pain - results from the EPIFUND study. Pain 2009, 141:119-126.
• [25]Rainville J, Smeets RJ, Bendix T, Tveito TH, Poiraudeau S, Indahl AJ: Fear-avoidance beliefs and pain avoidance in low back pain–translating research into clinical practice. Spine J 2011, 11:895-903.
• [26]Singh-Manoux A, Martikainen P, Ferrie J, Zins M, Marmot M, Goldberg M: What does self rated health measure? Results from the British Whitehall II and French Gazel cohort studies. J Epidemiol Community Health 2006, 60:364-372.
• [27]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, 31:1183-1191.
• [28]Macfarlane GJ, Norrie G, Atherton K, Power C, Jones GT: The influence of socioeconomic status on the reporting of regional and widespread musculoskeletal pain: results from the 1958 British Birth Cohort Study. Ann Rheum Dis 2009, 68:1591-1595.
• [29]Lahelma E, Laaksonen M, Martikainen P, Rahkonen O, Sarlio-Lahteenkorva S: Multiple measures of socioeconomic circumstances and common mental disorders. Soc Sci Med 2006, 63:1383-1399.
• [30]Lahelma E, Laaksonen M, Lallukka T, Martikainen P, Pietilainen O, Saastamoinen P, Gould R, Rahkonen O: Working conditions as risk factors for disability retirement: a longitudinal register linkage study. BMC Public Health 2012, 12:309. BioMed Central Full Text
• [31]Ropponen A, Narusyte J, Alexanderson K, Svedberg P: Stability and change in health behaviours as predictors for disability pension: a prospective cohort study of Swedish twins. BMC Public Health 2011, 11:678. BioMed Central Full Text
• [32]Riise T, Moen BE, Nortvedt MW: Occupation, lifestyle factors and health-related quality of life: the Hordaland Health Study. J Occup Environ Med 2003, 45:324-332.
• [33]Overland S, Glozier N, Henderson M, Maeland JG, Hotopf M, Mykletun A: Health status before, during and after disability pension award: the Hordaland Health Study (HUSK). Occup Environ Med 2008, 65:769-773.
• [34]Knudsen AK, Hotopf M, Skogen JC, Overland S, Mykletun A: The health status of nonparticipants in a population-based health study: the Hordaland Health Study. Am J Epidemiol 2010, 172:1306-1314.
• [35]Gjesdal S, Bratberg E, Mæland JG: Gender differences in disability after sickness absence with musculoskeletal disorders: five-year prospective study of 37,942 women and 26,307 men. BMC Musculoskelet Disord 2011, 12:37. BioMed Central Full Text
• [36]Haukenes I, Gjesdal S, Rortveit G, Riise T, Maeland JG: Women’s higher likelihood of disability pension: the role of health, family and work. A 5–7 years follow-up of the Hordaland Health Study. BMC Public Health 2012, 12:720. BioMed Central Full Text