Associations between childbirth, hospitalization and disability pension: a cohort study of female twins.

<h4>Background</h4>As the literature on long-term effects of childbirth on risk of morbidity or permanent work incapacity (DP) is limited, we aimed to study associations of childbirth with hospitalization and DP, adjusting for familial factors.<h4>Methods</h4>This cohort stud...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Emma Björkenstam, Jurgita Narusyte, Kristina Alexanderson, Annina Ropponen, Linnea Kjeldgård, Pia Svedberg
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/704b7b3b7b804f3c890808a0c0116280
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:704b7b3b7b804f3c890808a0c0116280
record_format	dspace
spelling	oai:doaj.org-article:704b7b3b7b804f3c890808a0c01162802021-11-25T06:09:37ZAssociations between childbirth, hospitalization and disability pension: a cohort study of female twins.1932-620310.1371/journal.pone.0101566https://doaj.org/article/704b7b3b7b804f3c890808a0c01162802014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24999632/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>As the literature on long-term effects of childbirth on risk of morbidity or permanent work incapacity (DP) is limited, we aimed to study associations of childbirth with hospitalization and DP, adjusting for familial factors.<h4>Methods</h4>This cohort study included female twins, i.e. women with twin sister, born 1959-1990 in Sweden (n = 5 118). At least one in the twin pair had their first childbirth 1994-2009. Women were followed regarding all-cause and cause-specific (mental or musculoskeletal diagnoses) DP during year 2-5 after first delivery or equivalent. Associations between childbirth, hospitalization and DP were calculated as hazard ratios (HR) with 95% confidence intervals (CI).<h4>Results</h4>Women who did not give birth had markedly higher number of DP days/year compared to those giving birth. Hospitalization after first childbirth was associated with a higher HR of DP. Those hospitalized at least once after their first childbirth had a three-fold DP risk (HR: 3.2; 95% CI 1.1-9.6), DP due to mental diagnoses (HR: 3.2; 1.2-8.8), and of DP due to musculoskeletal diagnoses (HR: 6.1; 1.6-22.9). Lower HRs in the discordant twin pair analyses indicated that familial factors may influence the studied associations.<h4>Conclusions</h4>Women who did not give birth had a much higher risk for DP than those who did. Among those who gave birth, the risk for DP was markedly higher among those with a previous hospitalization, and especially in women with repeated hospitalizations. The results indicate a health selection into giving birth as well as the importance of morbidity for DP.Emma BjörkenstamJurgita NarusyteKristina AlexandersonAnnina RopponenLinnea KjeldgårdPia SvedbergPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 7, p e101566 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Emma Björkenstam Jurgita Narusyte Kristina Alexanderson Annina Ropponen Linnea Kjeldgård Pia Svedberg Associations between childbirth, hospitalization and disability pension: a cohort study of female twins.
description	<h4>Background</h4>As the literature on long-term effects of childbirth on risk of morbidity or permanent work incapacity (DP) is limited, we aimed to study associations of childbirth with hospitalization and DP, adjusting for familial factors.<h4>Methods</h4>This cohort study included female twins, i.e. women with twin sister, born 1959-1990 in Sweden (n = 5 118). At least one in the twin pair had their first childbirth 1994-2009. Women were followed regarding all-cause and cause-specific (mental or musculoskeletal diagnoses) DP during year 2-5 after first delivery or equivalent. Associations between childbirth, hospitalization and DP were calculated as hazard ratios (HR) with 95% confidence intervals (CI).<h4>Results</h4>Women who did not give birth had markedly higher number of DP days/year compared to those giving birth. Hospitalization after first childbirth was associated with a higher HR of DP. Those hospitalized at least once after their first childbirth had a three-fold DP risk (HR: 3.2; 95% CI 1.1-9.6), DP due to mental diagnoses (HR: 3.2; 1.2-8.8), and of DP due to musculoskeletal diagnoses (HR: 6.1; 1.6-22.9). Lower HRs in the discordant twin pair analyses indicated that familial factors may influence the studied associations.<h4>Conclusions</h4>Women who did not give birth had a much higher risk for DP than those who did. Among those who gave birth, the risk for DP was markedly higher among those with a previous hospitalization, and especially in women with repeated hospitalizations. The results indicate a health selection into giving birth as well as the importance of morbidity for DP.
format	article
author	Emma Björkenstam Jurgita Narusyte Kristina Alexanderson Annina Ropponen Linnea Kjeldgård Pia Svedberg
author_facet	Emma Björkenstam Jurgita Narusyte Kristina Alexanderson Annina Ropponen Linnea Kjeldgård Pia Svedberg
author_sort	Emma Björkenstam
title	Associations between childbirth, hospitalization and disability pension: a cohort study of female twins.
title_short	Associations between childbirth, hospitalization and disability pension: a cohort study of female twins.
title_full	Associations between childbirth, hospitalization and disability pension: a cohort study of female twins.
title_fullStr	Associations between childbirth, hospitalization and disability pension: a cohort study of female twins.
title_full_unstemmed	Associations between childbirth, hospitalization and disability pension: a cohort study of female twins.
title_sort	associations between childbirth, hospitalization and disability pension: a cohort study of female twins.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/704b7b3b7b804f3c890808a0c0116280
work_keys_str_mv	AT emmabjorkenstam associationsbetweenchildbirthhospitalizationanddisabilitypensionacohortstudyoffemaletwins AT jurgitanarusyte associationsbetweenchildbirthhospitalizationanddisabilitypensionacohortstudyoffemaletwins AT kristinaalexanderson associationsbetweenchildbirthhospitalizationanddisabilitypensionacohortstudyoffemaletwins AT anninaropponen associationsbetweenchildbirthhospitalizationanddisabilitypensionacohortstudyoffemaletwins AT linneakjeldgard associationsbetweenchildbirthhospitalizationanddisabilitypensionacohortstudyoffemaletwins AT piasvedberg associationsbetweenchildbirthhospitalizationanddisabilitypensionacohortstudyoffemaletwins
_version_	1718414108114550784

Associations between childbirth, hospitalization and disability pension: a cohort study of female twins.

Ejemplares similares