TY - JOUR T1 - The contribution of major diagnostic causes to socioeconomic differences in disability retirement JO - Scandinavian Journal of Work, Environment & Health PY - 2014/7VL - 40 IS - 4 SP - 353 EP - 360 AU - Polvinen, Anu AU - Laaksonen, Mikko AU - Gould, Raija AU - Lahelma, Eero AU - Martikainen, Pekka M3 - doi: 10.5271/sjweh.3411 UR - https://www.sjweh.fi/show_abstract.php?abstract_id=3411 KW - depression KW - diagnosis KW - disability pension KW - disability retirement KW - excess disability retirement KW - mental disorder KW - mental illness KW - musculoskeletal disease KW - musculoskeletal disorder KW - socioeconomic difference KW - socioeconomic status N2 - '

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OBJECTIVES ': 'The aim of this study was twofold: to investigate socioeconomic differences in disability retirement (DR) due to major diseases and find out which diseases contribute most to the overall socioeconomic differences in DR.

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METHODS ': 'The data were longitudinal register-based (10% sample of Finns) from Statistics Finland. These data included 258 428 participants aged 35–64 years during the follow-up. The participants were employed or unemployed before the follow-up period 1997–2010. Of all participants, 14 303 men and 13 188 women ended up in DR during the follow-up. Socioeconomic status was categorized into upper- and lower-class non-manual employees, manual workers, and self-employed persons. Cox models were used to estimate hazard ratios for DR due to different diseases.

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RESULTS ': 'Compared to upper-class non-manual employees, DR was especially high for manual workers whose retirement diagnoses included psychoactive substance use, musculoskeletal diseases (MSD), or cardiovascular diseases. Socioeconomic differences in DR were stronger for younger age groups and men versus women. For females and males, the largest part of the excess DR among manual workers compared to upper-class non-manual employees was due to MSD. In the age group 54–64 years, the contribution of MSD to the total excess was >50% among male manual workers and 75% among female manual workers. Excess DR due to mental disorders concerned only 35–54-year-old manual workers (among 23% men and 26% women).

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CONCLUSION ': 'The contribution of MSD to the total excess DR among lower socioeconomic groups was large. Prevention of MSD among manual workers would likely reduce socioeconomic differences in DR.

SN - 0355-3140 ER -