Disability pension due to musculoskeletal diagnoses: importance of work-related factors in a prospective cohort study of Finnish twins

Sanna Kärkkäinen, Janne Mikael Pitkäniemi, Karri Silventoinen, Pia Svedberg, Antti Huunan-Seppälä, Karoliina Koskenvuo, Markku Koskenvuo, Kristina Alexanderson, Jaakko Kaprio, Mari Annina Ropponen

Tutkimustuotos: ArtikkelijulkaisuArtikkeliTieteellinenvertaisarvioitu

Kuvaus

OBJECTIVES: The aim of this study was to investigate the impact of work-related risk factors for future disability pension (DP) due to musculoskeletal diagnoses and for a subgroup of these, namely, DP due to osteoarthritis.

METHODS: For this prospective study of 16 028 Finnish twins born in 1911-1957 and employed at baseline, a postal questionnaire collected information in 1975 on work-related factors; follow-up data on DP was gathered through register linkages up to 2004. A series of proportional hazards (Cox) regression models were used to analyze the associations between work-related factors and the incidence of DP.

RESULTS: During the 30-year follow-up, 1297 participants (8%) were granted DP due to musculoskeletal diagnoses, 376 of which were due to osteoarthritis. High stress of daily activities, monotonous work, physical workload (namely work including lifting and carrying or physically heavy work), several workplace changes, and unemployment displayed a strong association with DP due to musculoskeletal diagnoses that was not affected by familial factors, including genetics and shared environment. Additionally, standing work increased the risk for DP due to osteoarthritis.

CONCLUSIONS: Uninfluenced by family background or other confounding factors, several work-related factors were identified as being strong and direct risk factors for DP due to musculoskeletal diagnoses.

Alkuperäiskielienglanti
LehtiScandinavian Journal of Work, Environment & Health
Vuosikerta39
Numero4
Sivut343-350
Sivumäärä8
ISSN0355-3140
DOI - pysyväislinkit
TilaJulkaistu - heinäkuuta 2013
OKM-julkaisutyyppiA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä, vertaisarvioitu

Tieteenalat

  • 3142 Kansanterveystiede, ympäristö ja työterveys

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@article{b133eb393b654135af822634bdbef08b,
title = "Disability pension due to musculoskeletal diagnoses: importance of work-related factors in a prospective cohort study of Finnish twins",
abstract = "OBJECTIVES: The aim of this study was to investigate the impact of work-related risk factors for future disability pension (DP) due to musculoskeletal diagnoses and for a subgroup of these, namely, DP due to osteoarthritis. METHODS: For this prospective study of 16 028 Finnish twins born in 1911-1957 and employed at baseline, a postal questionnaire collected information in 1975 on work-related factors; follow-up data on DP was gathered through register linkages up to 2004. A series of proportional hazards (Cox) regression models were used to analyze the associations between work-related factors and the incidence of DP. RESULTS: During the 30-year follow-up, 1297 participants (8{\%}) were granted DP due to musculoskeletal diagnoses, 376 of which were due to osteoarthritis. High stress of daily activities, monotonous work, physical workload (namely work including lifting and carrying or physically heavy work), several workplace changes, and unemployment displayed a strong association with DP due to musculoskeletal diagnoses that was not affected by familial factors, including genetics and shared environment. Additionally, standing work increased the risk for DP due to osteoarthritis. CONCLUSIONS: Uninfluenced by family background or other confounding factors, several work-related factors were identified as being strong and direct risk factors for DP due to musculoskeletal diagnoses.",
keywords = "3142 Public health care science, environmental and occupational health, disability pensions, Finland, MSD, musculoskeletal diagnosis, musculoskeletal disorder, prospective sohort study, sick leave, sickness absence, twins, work, work-related factor",
author = "Sanna K{\"a}rkk{\"a}inen and Pitk{\"a}niemi, {Janne Mikael} and Karri Silventoinen and Pia Svedberg and Antti Huunan-Sepp{\"a}l{\"a} and Karoliina Koskenvuo and Markku Koskenvuo and Kristina Alexanderson and Jaakko Kaprio and Ropponen, {Mari Annina}",
year = "2013",
month = "7",
doi = "10.5271/sjweh.3345",
language = "English",
volume = "39",
pages = "343--350",
journal = "Scandinavian Journal of Work, Environment & Health",
issn = "0355-3140",
publisher = "SCANDINAVIAN JOURNAL WORK ENVIRONMENT & HEALTH",
number = "4",

}

Disability pension due to musculoskeletal diagnoses: importance of work-related factors in a prospective cohort study of Finnish twins. / Kärkkäinen, Sanna; Pitkäniemi, Janne Mikael; Silventoinen, Karri; Svedberg, Pia; Huunan-Seppälä, Antti; Koskenvuo, Karoliina; Koskenvuo, Markku; Alexanderson, Kristina; Kaprio, Jaakko; Ropponen, Mari Annina.

julkaisussa: Scandinavian Journal of Work, Environment & Health, Vuosikerta 39, Nro 4, 07.2013, s. 343-350.

Tutkimustuotos: ArtikkelijulkaisuArtikkeliTieteellinenvertaisarvioitu

TY - JOUR

T1 - Disability pension due to musculoskeletal diagnoses: importance of work-related factors in a prospective cohort study of Finnish twins

AU - Kärkkäinen, Sanna

AU - Pitkäniemi, Janne Mikael

AU - Silventoinen, Karri

AU - Svedberg, Pia

AU - Huunan-Seppälä, Antti

AU - Koskenvuo, Karoliina

AU - Koskenvuo, Markku

AU - Alexanderson, Kristina

AU - Kaprio, Jaakko

AU - Ropponen, Mari Annina

PY - 2013/7

Y1 - 2013/7

N2 - OBJECTIVES: The aim of this study was to investigate the impact of work-related risk factors for future disability pension (DP) due to musculoskeletal diagnoses and for a subgroup of these, namely, DP due to osteoarthritis. METHODS: For this prospective study of 16 028 Finnish twins born in 1911-1957 and employed at baseline, a postal questionnaire collected information in 1975 on work-related factors; follow-up data on DP was gathered through register linkages up to 2004. A series of proportional hazards (Cox) regression models were used to analyze the associations between work-related factors and the incidence of DP. RESULTS: During the 30-year follow-up, 1297 participants (8%) were granted DP due to musculoskeletal diagnoses, 376 of which were due to osteoarthritis. High stress of daily activities, monotonous work, physical workload (namely work including lifting and carrying or physically heavy work), several workplace changes, and unemployment displayed a strong association with DP due to musculoskeletal diagnoses that was not affected by familial factors, including genetics and shared environment. Additionally, standing work increased the risk for DP due to osteoarthritis. CONCLUSIONS: Uninfluenced by family background or other confounding factors, several work-related factors were identified as being strong and direct risk factors for DP due to musculoskeletal diagnoses.

AB - OBJECTIVES: The aim of this study was to investigate the impact of work-related risk factors for future disability pension (DP) due to musculoskeletal diagnoses and for a subgroup of these, namely, DP due to osteoarthritis. METHODS: For this prospective study of 16 028 Finnish twins born in 1911-1957 and employed at baseline, a postal questionnaire collected information in 1975 on work-related factors; follow-up data on DP was gathered through register linkages up to 2004. A series of proportional hazards (Cox) regression models were used to analyze the associations between work-related factors and the incidence of DP. RESULTS: During the 30-year follow-up, 1297 participants (8%) were granted DP due to musculoskeletal diagnoses, 376 of which were due to osteoarthritis. High stress of daily activities, monotonous work, physical workload (namely work including lifting and carrying or physically heavy work), several workplace changes, and unemployment displayed a strong association with DP due to musculoskeletal diagnoses that was not affected by familial factors, including genetics and shared environment. Additionally, standing work increased the risk for DP due to osteoarthritis. CONCLUSIONS: Uninfluenced by family background or other confounding factors, several work-related factors were identified as being strong and direct risk factors for DP due to musculoskeletal diagnoses.

KW - 3142 Public health care science, environmental and occupational health

KW - disability pensions

KW - Finland

KW - MSD

KW - musculoskeletal diagnosis

KW - musculoskeletal disorder

KW - prospective sohort study

KW - sick leave

KW - sickness absence

KW - twins

KW - work

KW - work-related factor

UR - http://www.sjweh.fi/show_abstract.php?abstract_id=3345

U2 - 10.5271/sjweh.3345

DO - 10.5271/sjweh.3345

M3 - Article

VL - 39

SP - 343

EP - 350

JO - Scandinavian Journal of Work, Environment & Health

JF - Scandinavian Journal of Work, Environment & Health

SN - 0355-3140

IS - 4

ER -