Working conditions as risk factors for disability retirement: a longitudinal register linkage study

BMC Public Health

Research Article

Pekka Martikainen¹  Raija Gould²  Olli Pietiläinen³  Ossi Rahkonen³  Tea Lallukka³  Peppiina Saastamoinen³  Eero Lahelma³  Mikko Laaksonen⁴ 

[1] Department of Social Research, Population Research Unit, University of Helsinki, Helsinki, Finland;Finnish Centre for Pensions, Helsinki, Finland;Hjelt Institute, Department of Public Health, University of Helsinki, Helsinki, Finland;Hjelt Institute, Department of Public Health, University of Helsinki, Helsinki, Finland;Finnish Centre for Pensions, Helsinki, Finland;

关键词: Shift Work;    Work Ability;    Socioeconomic Position;    Musculoskeletal Disease;    Occupational Class;   

DOI  :  10.1186/1471-2458-12-309

 received in 2011-12-05, accepted in 2012-04-26,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundEarly retirement due to disability is a public health and work environment problem that shortens working careers. Transition to disability retirement is based on ill-health, but working conditions are also of relevance. We examined the contributions of work arrangements, physical working conditions and psychosocial working conditions to subsequent disability retirement.MethodsThe data were derived from the Helsinki Health Study cohort on employees of the City of Helsinki, Finland. Information on working conditions was obtained from the baseline surveys conducted in 2000, 2001 and 2002. These data were linked with register data on disability retirement and their main diagnoses obtained from the Finnish Centre for Pensions. Follow up by the end of 2008 yielded 525 disability retirement events. The analysed data included 6525 participants and 525 disability retirement events. Hazard ratios (HR) and 95% confidence intervals (95% CI) were calculated from Cox regression analysis.ResultsSeveral working conditions showed own associations with disability retirement before adjustment. After adjustment for all working conditions, the primary risk factors for all-cause disability retirement were physical workload among women (HR 2.02, 95% CI 1.57-2.59) and men (HR 2.00, 95% CI 1.18-3.38), and low job control among women (HR 1.60, 95% CI 1.29-1.99). In addition, for disability retirement due to musculoskeletal causes, the risk factors were physical workload and low job control. For disability retirement due to mental causes the risk factors were computer work and low job control. Furthermore, occupational class was a risk factor for disability retirement due to all causes and musculoskeletal diseases.ConclusionsAmong various working conditions, those that are physically demanding and those that imply low job control are potential risk factors for disability retirement. Improving the physical working environment and enhancing control over one’s job is likely to help prevent early retirement due to disability.

【 授权许可】

CC BY   
© Lahelma et al.; licensee BioMed Central Ltd. 2012