Is there an association between long-term sick leave and disability pension and unemployment beyond the effect of health status?--a cohort study.

<h4>Background</h4>Studies have shown that long-term sick leave is a strong predictor of disability pension. However, few have aimed to disentangle the effect of sick leave and of health status. The objective of this study was to investigate whether there is an association between long-t...

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Autores principales:	Hanna Hultin, Christina Lindholm, Jette Möller
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a5c6f85878974d9e87627a503150a079
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spelling	oai:doaj.org-article:a5c6f85878974d9e87627a503150a0792021-11-18T07:20:58ZIs there an association between long-term sick leave and disability pension and unemployment beyond the effect of health status?--a cohort study.1932-620310.1371/journal.pone.0035614https://doaj.org/article/a5c6f85878974d9e87627a503150a0792012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22558176/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Studies have shown that long-term sick leave is a strong predictor of disability pension. However, few have aimed to disentangle the effect of sick leave and of health status. The objective of this study was to investigate whether there is an association between long-term sick leave and disability pension and unemployment, when taking health status into account.<h4>Methods/principal findings</h4>The study was based on the Stockholm Public Health Cohort, restricted to 13,027 employed individuals (45.9% men) aged 18-59 in 2002 and followed until 2007. Hazard ratios (HR) with 95% Confidence Interval (CI) were estimated by Cox regression models adjusting for socio-demographic factors and five measures of health status. Having been on long-term sick leave increased the risk of disability pension (HR 4.01; 95% CI 3.19-5.05) and long-term unemployment (HR 1.45; 95% CI 1.05-2.00), after adjustment for health status. The analyses of long-term sick leave due to specific illness showed that the increased risk for long-term unemployment was confined to the group on sick leave due to musculoskeletal (HR 1.70 95% CI 1.00-2.89) and mental illness (HR 1.80 95% CI 1.13-2.88) and further that there was an increased risk for short-term unemployment in the group on sick leave due to mental illness (HR1.57 95%CI 1.09-2.26).<h4>Conclusions/significance</h4>Long-term sick leave increases the risks of both disability pension and unemployment even when taking health status into account. The results support the hypothesis that long-term sick leave may start a process of marginalization from the labor market.Hanna HultinChristina LindholmJette MöllerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 4, p e35614 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hanna Hultin Christina Lindholm Jette Möller Is there an association between long-term sick leave and disability pension and unemployment beyond the effect of health status?--a cohort study.
description	<h4>Background</h4>Studies have shown that long-term sick leave is a strong predictor of disability pension. However, few have aimed to disentangle the effect of sick leave and of health status. The objective of this study was to investigate whether there is an association between long-term sick leave and disability pension and unemployment, when taking health status into account.<h4>Methods/principal findings</h4>The study was based on the Stockholm Public Health Cohort, restricted to 13,027 employed individuals (45.9% men) aged 18-59 in 2002 and followed until 2007. Hazard ratios (HR) with 95% Confidence Interval (CI) were estimated by Cox regression models adjusting for socio-demographic factors and five measures of health status. Having been on long-term sick leave increased the risk of disability pension (HR 4.01; 95% CI 3.19-5.05) and long-term unemployment (HR 1.45; 95% CI 1.05-2.00), after adjustment for health status. The analyses of long-term sick leave due to specific illness showed that the increased risk for long-term unemployment was confined to the group on sick leave due to musculoskeletal (HR 1.70 95% CI 1.00-2.89) and mental illness (HR 1.80 95% CI 1.13-2.88) and further that there was an increased risk for short-term unemployment in the group on sick leave due to mental illness (HR1.57 95%CI 1.09-2.26).<h4>Conclusions/significance</h4>Long-term sick leave increases the risks of both disability pension and unemployment even when taking health status into account. The results support the hypothesis that long-term sick leave may start a process of marginalization from the labor market.
format	article
author	Hanna Hultin Christina Lindholm Jette Möller
author_facet	Hanna Hultin Christina Lindholm Jette Möller
author_sort	Hanna Hultin
title	Is there an association between long-term sick leave and disability pension and unemployment beyond the effect of health status?--a cohort study.
title_short	Is there an association between long-term sick leave and disability pension and unemployment beyond the effect of health status?--a cohort study.
title_full	Is there an association between long-term sick leave and disability pension and unemployment beyond the effect of health status?--a cohort study.
title_fullStr	Is there an association between long-term sick leave and disability pension and unemployment beyond the effect of health status?--a cohort study.
title_full_unstemmed	Is there an association between long-term sick leave and disability pension and unemployment beyond the effect of health status?--a cohort study.
title_sort	is there an association between long-term sick leave and disability pension and unemployment beyond the effect of health status?--a cohort study.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/a5c6f85878974d9e87627a503150a079
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Is there an association between long-term sick leave and disability pension and unemployment beyond the effect of health status?--a cohort study.

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