Working conditions as risk factors for disability retirement: a longitudinal register linkage study.
Working conditions as risk factors for disability retirement: a longitudinal register linkage study.
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DOI：
10.1186/1471-2458-12-309
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发表时间：
2012-04-26
影响因子：
4.5
通讯作者：
Rahkonen O
中科院分区：
文献类型：
--
作者：
Lahelma E;Laaksonen M;Lallukka T;Martikainen P;Pietiläinen O;Saastamoinen P;Gould R;Rahkonen O
由于残疾而提前退休是一个公共卫生和工作环境问题，缩短了工作生涯。向残疾退休过渡是基于健康状况不佳，但工作条件也是相关因素。我们研究了工作安排的贡献，身体的工作条件和心理社会的工作条件，随后残疾退休。数据来自芬兰赫尔辛基市雇员的赫尔辛基健康研究队列。关于工作条件的资料来自2000年、2001年和2002年进行的基线调查。这些数据与从芬兰养恤金中心获得的残疾退休登记数据及其主要诊断相关联。截至2008年底，跟踪调查共发现525起残疾退休事件。分析的数据包括6525名参与者和525起残疾退休事件。根据考克斯回归分析计算风险比（HR）和95%置信区间（95%CI）。一些工作条件在调整前显示出与残疾退休的关联。在对所有工作条件进行调整后，全因残疾退休的主要风险因素是女性（HR 2.02，95% CI 1.57-2.59）和男性（HR 2.00，95% CI 1.18-3.38）的体力工作量，以及女性工作控制力低（HR 1.60，95% CI 1.29-1.99）。此外，对于因肌肉骨骼原因导致的残疾退休，风险因素是体力工作量和工作控制力低下。对于因精神原因而残疾退休的人来说，风险因素是电脑工作和工作控制力低。此外，职业类别是因各种原因和肌肉骨骼疾病导致残疾退休的一个风险因素。在各种工作条件中，体力要求高的工作条件和工作控制程度低的工作条件是残疾退休的潜在风险因素。改善物质工作环境和加强对工作的控制可能有助于防止因残疾而提前退休。
Early retirement due to disability is a public health and work environment problem that shortens working careers. Transition to disability retirement is based on ill-health, but working conditions are also of relevance. We examined the contributions of work arrangements, physical working conditions and psychosocial working conditions to subsequent disability retirement. The data were derived from the Helsinki Health Study cohort on employees of the City of Helsinki, Finland. Information on working conditions was obtained from the baseline surveys conducted in 2000, 2001 and 2002. These data were linked with register data on disability retirement and their main diagnoses obtained from the Finnish Centre for Pensions. Follow up by the end of 2008 yielded 525 disability retirement events. The analysed data included 6525 participants and 525 disability retirement events. Hazard ratios (HR) and 95% confidence intervals (95% CI) were calculated from Cox regression analysis. Several working conditions showed own associations with disability retirement before adjustment. After adjustment for all working conditions, the primary risk factors for all-cause disability retirement were physical workload among women (HR 2.02, 95% CI 1.57-2.59) and men (HR 2.00, 95% CI 1.18-3.38), and low job control among women (HR 1.60, 95% CI 1.29-1.99). In addition, for disability retirement due to musculoskeletal causes, the risk factors were physical workload and low job control. For disability retirement due to mental causes the risk factors were computer work and low job control. Furthermore, occupational class was a risk factor for disability retirement due to all causes and musculoskeletal diseases. Among various working conditions, those that are physically demanding and those that imply low job control are potential risk factors for disability retirement. Improving the physical working environment and enhancing control over one’s job is likely to help prevent early retirement due to disability.
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影响因子：
4.4
作者：
Christensen, Karl B.;Feveile, Helene;Lund, Thomas
通讯作者：
Lund, Thomas
影响因子：
3.4
作者：
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Lund, Thomas
影响因子：
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作者：
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影响因子：
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通讯作者：
Bjerkedal, T
影响因子：
2.6
作者：
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通讯作者：
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