Sense of coherence and disability pensions. A nationwide, register based prospective population study of 2196 adult Finns
Sense of coherence and disability pensions. A nationwide, register based prospective population study of 2196 adult Finns
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DOI：
10.1136/jech.2003.019414
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发表时间：
2005-06-01
影响因子：
6.3
通讯作者：
Koskenvuo, M
中科院分区：
文献类型：
--
作者：
Suominen, S;Gould, R;Koskenvuo, M
背景：在横断面和纵向研究中，强烈的凝聚感(SOC)被证明与良好的、自认为的健康有关。研究目的：了解SOC水平是否与残疾养老金的发生率有关。研究设计：基于1989年或1993年的一致性调查数据和1990-1996年的国家登记的残疾养老金数据进行的前瞻性队列研究。参与者：2,196名可识别的受试者，来自1989年具有代表性的样本(n=5,000)，年龄在15岁到之间的芬兰人。最初的健康是根据进入研究时报告的长期疾病的数量进行分类的(没有疾病；一种或几种疾病导致仅轻度或中度功能限制；一种或几种疾病导致严重或非常严重的功能限制)。主要结果：在个体间比较中，初始SOC得分下降1分与研究开始时年龄在50岁或以下的受试者领取伤残抚恤金显著相关(危险比1.56，95%可信区间1.15至2.12)。一旦考虑到最初的健康水平、职业训练水平、体育锻炼水平和饮酒，性别与结果无关。在进入研究时年龄超过50岁的人群中，没有发现类似的显著关联。结论：50岁或50岁以下人群的SOC较弱似乎增加了发放残疾养老金的可能性。
Background: Strong sense of coherence (SOC) has been shown to be associated with good, perceived health both in cross sectional and longitudinal studies.Study objective: To find out if level of SOC was associated to incidence of disability pension.Study design: A prospective cohort study based on survey data on sense of coherence in 1989 or 1993 and data on disability pensions in 1990 - 1996 from national registers.Participants: 2196 identifiable subjects derived from a representative sample ( n = 5000) in 1989 of male and female Finns between 15 and 64 years of age. Initial health was categorised on the basis of number of long term illnesses reported on entry into the study ( no illnesses; one illness or several illnesses resulting in only mild or moderate functional limitation; one illness or several illnesses resulting in severe or very severe functional limitation).Main results: In an interindividual comparison a decrease in initial SOC score by one point was significantly ( hazard ratio 1.56, 95% confidence intervals 1.15 to 2.12) associated with receipt of a disability pension by subjects who had been 50 years of age or less on entry into the study. Sex was not associated with outcome once initial level of health, level of occupational training, level of engagement in physical exercise, and alcohol consumption were taken into consideration. No similar significant association was seen in relation to people who had been more than 50 years of age on entry into the study.Conclusions: It seems probable that a weak SOC in people of 50 years or younger increases the likelihood of grant of a disability pension.