%0 Journal Article %T Contribution of comorbid conditions to the association between diabetes and disability pensions: a population-based nationwide cohort study %A Ervasti, Jenni %A Virtanen­, Marianna %A Lallukka, Tea %A Pentti, Jaana %A Kjeldgård, Linnea %A Mittendorfer-Rutz, Ellenor %A Tinghög, Petter %A Alexanderson, Kristina %J Scandinavian Journal of Work, Environment & Health %D 2016 %8 May 42 %N 3 %@ 0355-3140 %F Ervasti2016 %X '

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OBJECTIVES ': 'Using Swedish population-based register data, we examined the extent to which comorbid conditions contribute to the risk of disability pension among people with diabetes.

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METHODS ': 'We carried out Cox proportional hazard analyses with comorbid conditions as time-dependent covariates among 14 198 people with newly diagnosed diabetes in 2006, and 39 204 people free from diabetes during the follow-up from 2007–2010. The average follow-up times were 46 and 48 months for those with and without diabetes, respectively.

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RESULTS ': 'For those with diabetes only, the incidence of all-cause disability pension was 9.5 per 1000 person-years. The highest incidence of disability pension were for those with: diabetes and depression (23.6); diabetes and musculoskeletal disorder (30.6), and those with diabetes and more than one comorbid condition (36.5). The incidence rate was 5.8 for those without diabetes. Diabetes was associated with a 2.30 times [95% confidence interval (95% CI) 2.09–2.54] higher risk of disability pension (adjusted for sociodemographic factors). This association attenuated by 41% after further adjustment for comorbid chronic conditions. While diabetes was a risk factor for disability pension due to musculoskeletal disorders and diseases of the circulatory system, even after accounting for the above-mentioned conditions, the association between disability pension due to mental disorders and diabetes was diluted after adjustment for mental disorders.

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CONCLUSIONS ': 'Although diabetes is an independent risk factor for disability pension, comorbid conditions contribute to this risk to a large degree.

%K cardiovascular disease %K cohort study %K comorbid condition %K diabetes %K disability %K disability pension %K early retirement %K hypertension %K ill health %K mental disorder %K musculoskeletal disorder %K prospective study %K register data %K Sweden %R 10.5271/sjweh.3556 %U https://www.sjweh.fi/show_abstract.php?abstract_id=3556 %U https://doi.org/10.5271/sjweh.3556 %P 209-216