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A Hammarstrom

B Bratsberg

BA Ydreborg

Bjørgulf Claussen

BK Jacobsen

C Bambra

CE Ross

D Sullivan

E Bratberg

ER Sund

Erik R Sund

F McKee-Ryan

I Reine

J Vahtera

Johan H Bjørngaard

KI Paul

Kristine Pape

L Andersson

M Bertrand

M Kivimäki

M Rege

M Salm

M Schuring

M Virtanen

Morten Støver

N Månsson

NE Karlsson

Nils Fleten

P Böckerman

RH Price

RL Jin

Roar Johnsen

S Krokstad

S Rabe-Hesketh

S Thorlacius

S Westin

Sickness, Disability and Work

T Bragstad

WT Gallo

BMC Public Health

English

PubMed

This study explored the association of unemployment and an increased risk of receiving disability pension, and the possibility that this risk is attributed to municipality-specific characteristics.
A cohort of 7,985 40-42 year olds was followed for 18 years in national registers, identifying new episodes of unemployment and cases of disability pension. The association between an unemployment period and disability pension in the subsequent year was estimated using discrete time multilevel logistic regressions and clustering individuals by municipality. The association between unemployment and disability pension was adjusted for age in the follow up-period, sex, baseline health status, health behaviour and education level. A conditional intra-class correlation coefficient (ICC) was estimated as a measure of inter-municipality variance.
In the follow-up period, 2784 (35%) of the participants were granted disability pension. The crude odds ratio for receiving disability pension after unemployment (adjusted for age in follow-up period and sex only) was 1.42 (95% CI 1.1-1.8). Adjusting for baseline health indicators reduced the odds ratio of unemployment to 1.33 (CI 1.1-1.7). A fully adjusted model, including education level, further reduced the odds ratio of unemployment to 1.25 (CI 1.00-1.6). The ICC of the municipality level was approximately 2%.
Becoming unemployed increased the risk of receiving subsequent disability pension. However, adjusting for baseline health status, health behaviour and education attenuated this impact considerably. The multilevel analysis indicated that a minor, yet statistically significant, proportion of the risk of disability pension can be attributed to the municipality of residence

Støver, Morten

Pape, Kristine

Johnsen, Roar

Fleten, Nils

Sund, Erik Reidar

Claussen, Bjørgulf

Bjørngaard, Johan Håkon

NORA - Norwegian Open Research Archives

Unemployment and disability pension-an 18-year follow-up study of a 40-year-old population in a Norwegian county

This study explored the association of unemployment and an increased risk of receiving disability pension, and the possibility that this risk is attributed to municipality-specific characteristics.
A cohort of 7,985 40-42 year olds was followed for 18 years in national registers, identifying new episodes of unemployment and cases of disability pension. The association between an unemployment period and disability pension in the subsequent year was estimated using discrete time multilevel logistic regressions and clustering individuals by municipality. The association between unemployment and disability pension was adjusted for age in the follow up-period, sex, baseline health status, health behaviour and education level. A conditional intra-class correlation coefficient (ICC) was estimated as a measure of inter-municipality variance.
In the follow-up period, 2784 (35%) of the participants were granted disability pension. The crude odds ratio for receiving disability pension after unemployment (adjusted for age in follow-up period and sex only) was 1.42 (95% CI 1.1-1.8). Adjusting for baseline health indicators reduced the odds ratio of unemployment to 1.33 (CI 1.1-1.7). A fully adjusted model, including education level, further reduced the odds ratio of unemployment to 1.25 (CI 1.00-1.6). The ICC of the municipality level was approximately 2%.
Becoming unemployed increased the risk of receiving subsequent disability pension. However, adjusting for baseline health status, health behaviour and education attenuated this impact considerably. The multilevel analysis indicated that a minor, yet statistically significant, proportion of the risk of disability pension can be attributed to the municipality of residence

Munin - Open Research Archive

Background: This study explored the association of unemployment and an increased risk of receiving disability
pension, and the possibility that this risk is attributed to municipality-specific characteristics.
Methods: A cohort of 7,985 40-42 year olds was followed for 18 years in national registers, identifying new
episodes of unemployment and cases of disability pension. The association between an unemployment period and
disability pension in the subsequent year was estimated using discrete time multilevel logistic regressions and
clustering individuals by municipality. The association between unemployment and disability pension was adjusted
for age in the follow up-period, sex, baseline health status, health behaviour and education level. A conditional
intra-class correlation coefficient (ICC) was estimated as a measure of inter-municipality variance.
Results: In the follow-up period, 2784 (35%) of the participants were granted disability pension. The crude odds
ratio for receiving disability pension after unemployment (adjusted for age in follow-up period and sex only) was
1.42 (95% CI 1.1-1.8). Adjusting for baseline health indicators reduced the odds ratio of unemployment to 1.33 (CI
1.1-1.7). A fully adjusted model, including education level, further reduced the odds ratio of unemployment to 1.25
(CI 1.00-1.6). The ICC of the municipality level was approximately 2%.
Conclusions: Becoming unemployed increased the risk of receiving subsequent disability pension. However,
adjusting for baseline health status, health behaviour and education attenuated this impact considerably. The
multilevel analysis indicated that a minor, yet statistically significant, proportion of the risk of disability pension can
be attributed to the municipality of residence

Abstract Background This study explored the association of unemployment and an increased risk of receiving disability pension, and the possibility that this risk is attributed to municipality-specific characteristics. Methods A cohort of 7,985 40-42 year olds was followed for 18 years in national registers, identifying new episodes of unemployment and cases of disability pension. The association between an unemployment period and disability pension in the subsequent year was estimated using discrete time multilevel logistic regressions and clustering individuals by municipality. The association between unemployment and disability pension was adjusted for age in the follow up-period, sex, baseline health status, health behaviour and education level. A conditional intra-class correlation coefficient (ICC) was estimated as a measure of inter-municipality variance. Results In the follow-up period, 2784 (35%) of the participants were granted disability pension. The crude odds ratio for receiving disability pension after unemployment (adjusted for age in follow-up period and sex only) was 1.42 (95% CI 1.1-1.8). Adjusting for baseline health indicators reduced the odds ratio of unemployment to 1.33 (CI 1.1-1.7). A fully adjusted model, including education level, further reduced the odds ratio of unemployment to 1.25 (CI 1.00-1.6). The ICC of the municipality level was approximately 2%. Conclusions Becoming unemployed increased the risk of receiving subsequent disability pension. However, adjusting for baseline health status, health behaviour and education attenuated this impact considerably. The multilevel analysis indicated that a minor, yet statistically significant, proportion of the risk of disability pension can be attributed to the municipality of residence.</p

Støver Morten

Pape Kristine

Johnsen Roar

Fleten Nils

Sund Erik R

Claussen Bjørgulf

Bjørngaard Johan H

Directory of Open Access Journals

Background
                This study explored the association of unemployment and an increased risk of receiving disability pension, and the possibility that this risk is attributed to municipality-specific characteristics.
              
              
                Methods
                A cohort of 7,985 40-42 year olds was followed for 18 years in national registers, identifying new episodes of unemployment and cases of disability pension. The association between an unemployment period and disability pension in the subsequent year was estimated using discrete time multilevel logistic regressions and clustering individuals by municipality. The association between unemployment and disability pension was adjusted for age in the follow up-period, sex, baseline health status, health behaviour and education level. A conditional intra-class correlation coefficient (ICC) was estimated as a measure of inter-municipality variance.
              
              
                Results
                In the follow-up period, 2784 (35%) of the participants were granted disability pension. The crude odds ratio for receiving disability pension after unemployment (adjusted for age in follow-up period and sex only) was 1.42 (95% CI 1.1-1.8). Adjusting for baseline health indicators reduced the odds ratio of unemployment to 1.33 (CI 1.1-1.7). A fully adjusted model, including education level, further reduced the odds ratio of unemployment to 1.25 (CI 1.00-1.6). The ICC of the municipality level was approximately 2%.
              
              
                Conclusions
                Becoming unemployed increased the risk of receiving subsequent disability pension. However, adjusting for baseline health status, health behaviour and education attenuated this impact considerably. The multilevel analysis indicated that a minor, yet statistically significant, proportion of the risk of disability pension can be attributed to the municipality of residence

Sund, Erik R

Bjørngaard, Johan H

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Unemployment and disability pension : An 18-year follow-up study of a 40-year-old population in a Norwegian county

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Unemployment and disability pension-an 18-year follow-up study of a 40-year-old population in a Norwegian county

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NORA - Norwegian Open Research Archives

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NORA - Norwegian Open Research Archives

Directory of Open Access Journals

NORA - Norwegian Open Research Archives

Crossref

Publikasjoner fra Norges teknisk-naturvitenskapelige universitet

Springer - Publisher Connector

Springer - Publisher Connector