Influence of physical, mental and intellectual development on disability in young Norwegian men
Influence of physical, mental and intellectual development on disability in young Norwegian men
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DOI：
10.1093/eurpub/ckn055
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发表时间：
2008-12-01
影响因子：
4.4
通讯作者：
Kristensen, Petter
中科院分区：
文献类型：
--
作者：
Gravseth, Hans Magne;Bjerkedal, Tor;Kristensen, Petter
背景资料：很少有研究探讨了教育水平，智力表现，心理功能，身体质量指数和身高的影响，以及它们之间的相互关系，对残疾养老金（DP）的风险，考虑到其他生命过程的因素。研究方法：我们将几个国家登记册连接起来，包括医疗出生登记册、中央人口登记册、教育登记册、挪威劳动和福利组织以及挪威武装部队人员数据库，提供从儿童到青年成人年龄的生物和社会变量的个人数据。参与者均为196776年期间出生的男性，随访至2003年。男性被排除谁死亡，移民或被授予DP直到23岁（当后续开始）和人谁没有成为有报酬的就业在研究期间。因此，研究人群包括302330名男性，研究结果是23岁后获得DP。结果：3651名男性（1.2）获得DP。DP率与教育水平和智力表现呈负相关。这两个变量的调整后人群归因风险（PAR）值分别为47和35。其他变量的影响不大。超重、体重不足和身材矮小与DP相关，但在调整智力表现后，这种影响大大降低。精神功能受损似乎有独立的影响。总结：接受早期DP取决于生活不同阶段的几个因素，首先是教育水平和智力表现。高等教育可以改变智力低下的一些影响。
Background: Few studies have examined the effects of educational level, intellectual performance, mental function, body mass index and height as well as their interrelationship on the risk of disability pension (DP), taking other life course factors into account. Methods: We linked several national registers, comprising the Medical Birth Registry, the Central Population Register, the Education Register, the Norwegian Labour and Welfare Organisation and the Norwegian Armed Forces Personnel Data Base, providing personal data on biological and social variables from childhood to young adult age. Participants were all males live born during the period 196776, followed up through 2003. Men were excluded who died, emigrated or were granted a DP until age 23 years (when follow-up started) and persons who did not become gainfully employed during the study period. Thus, the study population comprised 302 330 men, and the study outcome was being granted a DP after age 23 years. Results: 3651 men (1.2) were granted a DP. The DP rate was inversely associated with both educational level and intellectual performance. The adjusted population attributable risks (PAR) values for these two variables were 47 and 35, respectively. The effect of the other variables was modest. Over- and underweight and short stature were associated with DP, but the effect was largely reduced after adjusting for intellectual performance. Impaired mental function seemed to have an independent effect. Conclusion: Receiving an early DP is dependent on several factors acting at different stages of life, above all educational level and intellectual performance. High education can modify some of the effects of low intellectual performance.