295 research outputs found
Organisational downsizing and musculoskeletal problems in employees: a prospective study
Objectives: To study the association between organisational downsizing and subsequent musculoskeletal problems in employees and to determine the association with changes in psychosocial and behavioural risk factors. Methods: Participants were 764 municipal employees working in Raisio, Finland before and after an organisational downsizing carried out between 1991 and 1993. The outcome measures were self reports of severity and sites of musculoskeletal pain at the end of 1993 and medically certified musculoskeletal sickness absence for 1993-5. The contribution of changes in psychosocial work characteristics and health related behaviour between the 1990 and 1993 surveys was assessed by adjustment. Results: After adjustment for age, sex, and income, the odds ratio (OR) for severe musculoskeletal pain between major and minor downsizing and the corresponding rate ratios for musculoskeletal sickness absence were 2.59 (95% confidence interval (95% CI) 1.5 to 4.5) and 5.50 (3.6 to 7.6), respectively. Differences between the mean number of sites of pain after major and minor downsizing was 0.99 (0.4 to 1.6). The largest contribution from changes in work characteristics and health related behaviour to the association between downsizing and musculoskeletal problems was from increases in physical demands, particularly in women and low income employees. Additional contributory factors were reduction of skill discretion (relative to musculoskeletal pain) and job insecurity. The results were little different when analyses were confined to initially healthy participants. Conclusions: Downsizing is a risk factor for musculoskeletal problems among those who remain in employment. Much of this risk is attributable to increased physical demands, but adverse changes in other psychosocial factors may also play a part
Job strain and ischaemic disease: does the inclusion of older employees in the cohort dilute the association? The WOLF Stockholm Study
Allocation of rehabilitation measures provided by the Social Insurance Institution in Finland: A register linkage study
Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees
Effects of multidisciplinary inpatient rehabilitation for chronic back or neck pain: a register-linkage study of sickness absences and analgesic purchases in an occupational cohort
Proof firm downsizing and diagnosis-specific disability pensioning in Norway
<br>Background: We wanted to investigate if firm downsizing is related to an increased rate of disability pensions among the former employed, especially for those with musculoskeletal and psychiatric diagnoses, and for those having to leave the firm.</br>
<br>Methods: Statistics Norway provided a linked file with demographic information and all social security grants from the National Insurance Administration for 1992–2004 for all inhabitants in Norway. Our sample was aged 30–55 years in 1995, being alive, employed and not having a disability pension at the end of 2000. Downsizing was defined as percent change in number of employed per firm from 1995 to end 2000. Employment data were missing for 25.6% of the sample.</br>
<br>Results: Disability pension rates in the next four years were 25% higher for those experiencing a 30-59% downsizing than for those not experiencing a reduction of the workforce. 1-29% and 60-100% downsizing did not have this effect. Stayers following down-sizing had higher disability pension rates than leavers. What we have called complex musculoskeletal and psychiatric diagnoses were relatively most common.</br>
<br>Conclusion: Moderate downsizing is followed by a significant increase in disability pension rates in the following four years, often with complex musculoskeletal and psychiatric diagnoses.</br>
Allocation of rehabilitation measures provided by the Social Insurance Institution in Finland: a register linkage study
Diet quality as a predictor of cardiometabolic disease-free life expectancy: the Whitehall II cohort study
Background: Poor diet quality has been linked to increased risk of
many chronic diseases and premature mortality. Less research has
considered dietary habits in relation to disease-free life expectancy.
Objectives: Our objective was to investigate the association of diet
quality with cardiometabolic disease–free life expectancy between
ages 50 and 85 y.
Methods: Diet quality of 8041 participants of the Whitehall II
cohort study was assessed with the Alternative Healthy Eating Index
2010 (AHEI-2010) in 1991–1994, 1997–1999, and 2002–2004. The
measurement of diet quality closest to age 50 for each participant
was used. We utilized repeat measures of cardiometabolic disease
(coronary heart disease, stroke, and type 2 diabetes) from the first
observation when participants were aged ≥50 y. Multistate life table
models with covariates age, gender, occupational position, smoking,
physical activity, and alcohol consumption were used to estimate
total and sex-specific cardiometabolic disease–free life expectancy
from age 50 to 85 y for each AHEI-2010 quintile, where the lowest
quintile represents unhealthiest dietary habits and the highest quintile
the healthiest habits.
Results: The number of cardiometabolic disease–free life-years after
age 50 was 23.9 y (95% CI: 23.0, 24.9 y) for participants with
the healthiest diet, that is, a higher score on the AHEI-2010, and
21.4 y (95% CI: 20.6, 22.3 y) for participants with the unhealthiest
diet. The association between diet quality and cardiometabolic
disease–free life expectancy followed a dose–response pattern and
was observed in subgroups of participants of different occupational
position, BMI, physical activity level, and smoking habit, as well as
when participants without cardiometabolic disease at baseline were
excluded from analyses.
Conclusions: Healthier dietary habits are associated with cardiometabolic disease–free life expectancy between ages 50 and 85
Trends in self-reported sleep duration and insomnia-related symptoms in Finland from 1972 to 2005: a comparative review and re-analysis of Finnish population samples
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