Mental disorders and long-term labour market outcomes: nationwide cohort study of 2 055 720 individuals

C. Hakulinen, M. Elovainio, M. Arffman, S. Lumme, S. Pirkola, Ilmo Keskimäki, K. Manderbacka, P. Böckerman

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

Sammanfattning

Objective
To examine the associations between an onset of serious mental disorders before the age of 25 with subsequent employment, income and education outcomes.
Methods
Nationwide cohort study including individuals (n = 2 055 720) living in Finland between 1988–2015, who were alive at the end of the year they turned 25. Mental disorder diagnosis between ages 15 and 25 was used as the exposure. The level of education, employment status, annual wage or self‐employment earnings, and annual total income between ages 25 and 52 (measurement years 1988–2015) were used as the outcomes.
Results
All serious mental disorders were associated with increased risk of not being employed and not having any secondary or higher education between ages 25 and 52. The earnings for individuals with serious mental disorders were considerably low, and the annual median total income remained rather stable between ages 25 and 52 for most of the mental disorder groups.
Conclusions
Serious mental disorders are associated with low employment rates and poor educational outcomes, leading to a substantial loss of total earnings over the life course.
Originalspråkengelska
TidskriftActa Psychiatrica Scandinavica
Volym140
Utgåva4
Sidor (från-till)371-381
Antal sidor11
ISSN0001-690X
DOI
StatusPublicerad - okt 2019
MoE-publikationstypA1 Tidskriftsartikel-refererad

Vetenskapsgrenar

  • 515 Psykologi
  • 5144 Socialpsykologi

Citera det här

Hakulinen, C. ; Elovainio, M. ; Arffman, M. ; Lumme, S. ; Pirkola, S. ; Keskimäki, Ilmo ; Manderbacka, K. ; Böckerman, P. / Mental disorders and long-term labour market outcomes : nationwide cohort study of 2 055 720 individuals. I: Acta Psychiatrica Scandinavica. 2019 ; Vol. 140, Nr. 4. s. 371-381.
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abstract = "ObjectiveTo examine the associations between an onset of serious mental disorders before the age of 25 with subsequent employment, income and education outcomes.MethodsNationwide cohort study including individuals (n = 2 055 720) living in Finland between 1988–2015, who were alive at the end of the year they turned 25. Mental disorder diagnosis between ages 15 and 25 was used as the exposure. The level of education, employment status, annual wage or self‐employment earnings, and annual total income between ages 25 and 52 (measurement years 1988–2015) were used as the outcomes.ResultsAll serious mental disorders were associated with increased risk of not being employed and not having any secondary or higher education between ages 25 and 52. The earnings for individuals with serious mental disorders were considerably low, and the annual median total income remained rather stable between ages 25 and 52 for most of the mental disorder groups.ConclusionsSerious mental disorders are associated with low employment rates and poor educational outcomes, leading to a substantial loss of total earnings over the life course.",
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author = "C. Hakulinen and M. Elovainio and M. Arffman and S. Lumme and S. Pirkola and Ilmo Keskim{\"a}ki and K. Manderbacka and P. B{\"o}ckerman",
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Mental disorders and long-term labour market outcomes : nationwide cohort study of 2 055 720 individuals. / Hakulinen, C.; Elovainio, M.; Arffman, M.; Lumme, S.; Pirkola, S.; Keskimäki, Ilmo; Manderbacka, K.; Böckerman, P.

I: Acta Psychiatrica Scandinavica, Vol. 140, Nr. 4, 10.2019, s. 371-381.

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

TY - JOUR

T1 - Mental disorders and long-term labour market outcomes

T2 - nationwide cohort study of 2 055 720 individuals

AU - Hakulinen, C.

AU - Elovainio, M.

AU - Arffman, M.

AU - Lumme, S.

AU - Pirkola, S.

AU - Keskimäki, Ilmo

AU - Manderbacka, K.

AU - Böckerman, P.

PY - 2019/10

Y1 - 2019/10

N2 - ObjectiveTo examine the associations between an onset of serious mental disorders before the age of 25 with subsequent employment, income and education outcomes.MethodsNationwide cohort study including individuals (n = 2 055 720) living in Finland between 1988–2015, who were alive at the end of the year they turned 25. Mental disorder diagnosis between ages 15 and 25 was used as the exposure. The level of education, employment status, annual wage or self‐employment earnings, and annual total income between ages 25 and 52 (measurement years 1988–2015) were used as the outcomes.ResultsAll serious mental disorders were associated with increased risk of not being employed and not having any secondary or higher education between ages 25 and 52. The earnings for individuals with serious mental disorders were considerably low, and the annual median total income remained rather stable between ages 25 and 52 for most of the mental disorder groups.ConclusionsSerious mental disorders are associated with low employment rates and poor educational outcomes, leading to a substantial loss of total earnings over the life course.

AB - ObjectiveTo examine the associations between an onset of serious mental disorders before the age of 25 with subsequent employment, income and education outcomes.MethodsNationwide cohort study including individuals (n = 2 055 720) living in Finland between 1988–2015, who were alive at the end of the year they turned 25. Mental disorder diagnosis between ages 15 and 25 was used as the exposure. The level of education, employment status, annual wage or self‐employment earnings, and annual total income between ages 25 and 52 (measurement years 1988–2015) were used as the outcomes.ResultsAll serious mental disorders were associated with increased risk of not being employed and not having any secondary or higher education between ages 25 and 52. The earnings for individuals with serious mental disorders were considerably low, and the annual median total income remained rather stable between ages 25 and 52 for most of the mental disorder groups.ConclusionsSerious mental disorders are associated with low employment rates and poor educational outcomes, leading to a substantial loss of total earnings over the life course.

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