Educational differences in disability pension among Swedish middle-aged men: role of factors in late adolescence and work characteristics in adulthood
Educational differences in disability pension among Swedish middle-aged men: role of factors in late adolescence and work characteristics in adulthood
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DOI：
10.1136/jech-2011-200317
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发表时间：
2012-10-01
影响因子：
6.3
通讯作者：
Hemmingsson, Tomas
中科院分区：
文献类型：
--
作者：
Johansson, Elin;Leijon, Ola;Hemmingsson, Tomas
背景 教育水平与残疾养老金（DP）之间的关联是众所周知的。早期的研究调查了早期生活因素和工作特征的重要性，但没有将其结合起来。本研究的目的是调查瑞典中年工人的教育水平与 DP 之间的关联，以及这种关联在多大程度上可以通过青春期后期测量的因素和成年期的工作特征来解释。 方法 从 1969 年征兵队列中获得有关 IQ、健康相关生活方式因素、精神和肌肉骨骼诊断的信息，该队列由 49 321 名瑞典男性组成。受试者 18-20 岁时收集的数据与基于国家登记的关于教育水平、工作控制和成年期身体压力的信息以及 1991 年至 2002 年间 DP 的信息相结合。结果 教育水平和 DP 之间存在很强的分级关联。受教育程度最低的人患DP的概率是受教育程度最高的人的四倍。在多变量分析中，青春期后期测量的因素，尤其是智商，比成年后与工作相关的特征更能减弱这种关联。 结论 作者发现，瑞典中年工人的教育水平与 DP 之间存在关联。这种关联的很大一部分是通过青春期后期测量的因素（特别是智商）来解释的，而在某种程度上是通过成年期测量的工作特征来解释的。全面调整后，教育水平仍然是中年 DP 的重要预测因素。
Background The association between level of education and disability pension (DP) is well known. Earlier studies have investigated the importance of early life factors and work characteristics but not in combination. The aim of this study was to investigate the association between level of education and DP among Swedish middle-aged working men and to what extent such an association can be explained by factors measured in late adolescence and work characteristics in adulthood.Methods Information about IQ, health-related lifestyle factors, psychiatric and musculoskeletal diagnoses was obtained from the 1969 conscription cohort, consisting of 49 321 Swedish men. Data collected when subjects were 18-20 years of age were combined with national register-based information about level of education, job control and physical strain at work in adulthood, and information about DP between 1991 and 2002.Results There was a strong graded association between level of education and DP. Those with the lowest level of education had a four times greater probability of having DP as compared with those with the highest level. In multivariable analyses, factors measured in late adolescence, IQ in particular, attenuated the association more than work-related characteristics in adulthood.Conclusions The authors found an association between level of education and DP among Swedish middle-aged working men. A large part of the association was explained by factors measured in late adolescence, IQ in particular, and somewhat less by work characteristics measured in adulthood. Level of education remained as a significant predictor of DP in middle age after full adjustment.