Educational differences in disability retirement among young employees in Helsinki, Finland

Hilla Sumanen · Ossi Rahkonen · Olli P. H. Pietiläinen · Eero T. Lahelma · E Roos · Jouni Lahti

14 citations0/0 files storedEuropean Journal of Public Health

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Retirement, Disability, and Employment Medical Practices and Rehabilitation Workplace Health and Well-being

Abstract

BACKGROUND: Disability retirement (DR) among young employees is an increasing problem affecting work life and public health, given the potential major loss of working time. Little is known about educational differences in the risk of DR among young employees, despite the need for such knowledge in targeting preventive measures. We examined the association between education and DR due to any cause and to mental and non-mental causes among young employees. METHODS: Personnel register data of the City of Helsinki from the years 2002-2013 for 25-to-34-year-old employees (n= 41225) were linked to register data from the Finnish Centre for Pensions on DR (n= 381), and from Statistics Finland on education. Education was categorised into four hierarchical groups. The mean follow-up time was 5.7 years. Cox regression analysis was used. RESULTS: There were 381 DR events and of the events, over 70% were due to mental disorders and 72% were temporary. A consistent educational gradient was found. Those with a basic education were at the highest risk of DR due to any cause (HR 4.64, 95% CI 3.07, 7.02), and to mental (HR 4.79, 95% CI 2.89, 7.94) and non-mental causes (HR 4.32, 95% CI 2.10, 8.91). CONCLUSIONS: DR due to any cause, and to mental and non-mental causes, followed a clear educational gradient. Early intervention, treatment and rehabilitation with a view to maintaining work ability are needed among young employees, especially those with low education. Adapting working conditions to their health and work ability may also help to avoid premature exit from work.

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References

2003The Epidemiology of Major Depressive Disorder 2002Social determinants of disability pension: a 10-year follow-up of 62 000 people in a Norwegian county population 2009Mental health symptoms in relation to socio-economic conditions and lifestyle factors – a population-based study in Sweden 2010Understanding the Early Origins of the Education–Health Gradient 2008Risk factors for disability pension in a population-based cohort of men and women on long-term sick leave in Sweden 2007Organisational downsizing and increased use of psychotropic drugs among employees who remain in employment 2011Occupational social class and disability retirement among municipal employees – the contribution of health behaviors and working conditions 2014Prevalence and correlates of major depressive disorder and dysthymia in an eleven-year follow-up – Results from the Finnish Health 2011 Survey

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