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




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BMC Public Health

, 12:148

First Online: 28 February 2012Received: 30 September 2011Accepted: 28 February 2012DOI: 10.1186-1471-2458-12-148

Cite this article as: Støver, M., Pape, K., Johnsen, R. et al. BMC Public Health 2012 12: 148. doi:10.1186-1471-2458-12-148

Abstract

BackgroundThis 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.

MethodsA 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.

ResultsIn 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%.

ConclusionsBecoming 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.

KeywordsDisability benefit Disability pension Unemployment Work disability Multilevel modelling Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-12-148 contains supplementary material, which is available to authorized users.

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Author: Morten Støver - Kristine Pape - Roar Johnsen - Nils Fleten - Erik R Sund - Bjørgulf Claussen - Johan H Bjørngaard

Source: https://link.springer.com/







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