Change search
ReferencesLink to record
Permanent link

Direct link
Long-term physical workload in middle age and disability pension in men and women: a follow-up study of Swedish cohorts
Show others and affiliations
Number of Authors: 5
2016 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 89, no 8, 1239-1250 p.Article in journal (Refereed) Published
Abstract [en]

The study investigates the association between level of long-term physical workload in middle age and disability pension (DP) before 61 years of age with adjustments made for early life factors, level of education, and psychosocial working conditions. Associations with DP overall, DP due to musculoskeletal disorders and DP due to psychiatric disorders were examined.

The study is based on cohorts of 21,809 Swedish men and women born in 1948 and 1953, with data on physical workload estimated with a job exposure matrix based on occupational titles in 1985 and 1990 and follow-up data on diagnosis-specific DP in the years 1991-2009. Data on paternal education and intelligence were collected in primary school. Data on level of education were taken from administrative records. Data on psychosocial working conditions were estimated with a job exposure matrix based on occupational titles in 1990.

Long-term exposure to high physical workload measured 5 years apart at around age 40 was strongly associated with DP due to musculoskeletal disorders up to the age of 61 among both men (HR 5.44, 95 % CI 3.35-8.84) and women (HR 3.82, CI 95 % 2.88-5.08). For women, the association between high physical load and overall DP was also significantly increased (HR 2.33, CI 95 % 1.92-2.82). The increased risks remained but were clearly attenuated after adjustments for fathers' education, IQ in childhood, achieved education and level of control at work.

Exposure to high physical workload is associated with long-term risk of DP due to musculoskeletal disorders, even though adjustments for early life factors, level of education and psychosocial working conditions clearly attenuated the risks.

Place, publisher, year, edition, pages
2016. Vol. 89, no 8, 1239-1250 p.
Keyword [en]
Cohort study, Education, IQ, Job control, Job exposure matrix, Musculoskeletal disorder
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:su:diva-136037DOI: 10.1007/s00420-016-1156-0ISI: 000385249600008PubMedID: 27476023OAI: oai:DiVA.org:su-136037DiVA: diva2:1061853
Available from: 2017-01-03 Created: 2016-11-29 Last updated: 2017-01-03Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Hemmingsson, Tomas
By organisation
Centre for Social Research on Alcohol and Drugs (SoRAD)
In the same journal
International Archives of Occupational and Environmental Health
Environmental Health and Occupational Health

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

ReferencesLink to record
Permanent link

Direct link