Article2012

Pain and disability retirement: A prospective cohort study

Peppiina Saastamoinen · Mikko Laaksonen · Sanna-Mari Kääriä · Tea M. Lallukka · Päivi Leino‐Arjas · Ossi Rahkonen +1 more

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Retirement, Disability, and Employment Musculoskeletal pain and rehabilitation Workplace Health and Well-being

Abstract

This study examined the association of pain with subsequent disability retirement due to all causes as well as musculoskeletal diseases, mental disorders, and a heterogeneous group of other diseases and to study whether pain has an effect of its own after taking into account long-standing illness, physician-diagnosed diseases, working conditions, and occupational class, which are the key factors affecting disability retirement. The data consisted of the Helsinki Health Study baseline survey linked to national pension register data (n=6258). Mean follow-up time was 8.1 years. The data included 594 disability retirement events. Pain (acute or chronic) was stratified by long-standing illness (yes/no). Cox regression analysis was performed. Chronic pain without and with co-occurring long-standing illness was strongly associated with all types of disability retirement outcomes, but the associations were particularly strong for disability retirement due to musculoskeletal diseases. The associations remained even when further adjusted for physician diagnosed chronic conditions and diseases, psychosocial and physical working conditions, and occupational class. Associations for acute pain were also found, but they were clearly weaker than those of chronic pain. Chronic pain contributes to disability retirement. Prevention and effective treatment of chronic pain may help prevent early retirement due to disability.

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References

1979Job Demands, Job Decision Latitude, and Mental Strain: Implications for Job Redesign 1987A Brief Measure of Social Support: Practical and Theoretical Implications 1997Predictors of disability retirement 2009Musculoskeletal pain at multiple sites and its effects on work ability in a general working population 2008Risk factors for disability pension in a population-based cohort of men and women on long-term sick leave in Sweden

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2015Sickness absence due to back pain or depressive episode and the risk of all‐cause and diagnosis‐specific disability pension: A Swedish cohort study of 4,823,069 individuals 2014Common mental disorders and cause-specific disability retirement 2014Common mental and musculoskeletal disorders as predictors of disability retirement among Finns 2013The joint contribution of pain and insomnia to sickness absence and disability retirement: A register–linkage study among N orwegian and F innish employees 2014Socio-Economic Inequalities in Bodily Pain Over the Life Cycle: Longitudinal Evidence from Australia, Britain and Germany 2019“I Would be More of a Liability than an Asset”: Navigating the Workplace as a Younger Person with Arthritis 2013

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