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Document ID (ISN)112407
CIS number 12-0165
ISSN - Serial title 0355-3140 - Scandinavian Journal of Work, Environment and Health
Year 2011
Convention or series no.
Author(s) Leinonen T., Pietilńinen O., Laaksonen M., Rahkonen O., Lahelma E., Martikainen P.
Title Occupational social class and disability retirement among municipal employees - The contribution of health behaviors and working conditions
Bibliographic information Nov. 2011, Vol.37, No.6, p.464-472. 42 ref.
Internet access Occupational_social_class_[BUY_THIS_ARTICLE] [in English]
ILO_LABORDOC_[INTRANET_ACCESS] [in English]
Abstract This study examined, on the one hand, the associations between occupational social class and disability retirement due to all causes, musculoskeletal diseases, and mental disorders and, on the other hand, the contribution of health behaviors and working conditions to these associations. A total of 6516 middle-aged municipal employees from the Helsinki Health Study cohort baseline surveys in 2000-2002 were followed up until the end of 2010 for disability retirement. Social class was categorized into managers and professionals, semi-professionals, routine non-manual employees and manual workers. Cox regression analysis was used to calculate hazard ratios and their 95% confidence intervals. The risk of disability retirement was generally higher among those in lower social classes with a strong gradient for all causes, an even stronger gradient for musculoskeletal diseases, and a weaker non-linear association for mental disorders. These associations were largely mediated through physical workload among both women and men and hazardous exposures particularly among men. In mental disorders, job control also mediated the association. Strenuous desktop work and job demands widened the social class differences particularly among men and in mental disorders. The contribution of health behaviors was modest. Implications of these findings are discussed.
Descriptors (primary) sickness absenteeism; musculoskeletal diseases; mental health; work aptitude; retired workers; risk factors; social aspects
Descriptors (secondary) Finland; cohort study; statistical evaluation; sex-linked differences
Document type D - Periodical articles
Subject(s) Occupational pathology
Broad subject area(s) Occupational medicine, epidemiology
Stress, psychosocial factors
Browse category(ies) Diseases of the musculoskeletal system
Mental health
Older workers