1. Trajectories of sickness absence and disability pension days among people with multiple sclerosis by type of occupation
- Author
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Cécile R. L. Boot, Chantelle Murley, F. G. Schaafsma, Alejandra Machado, Jan Hillert, Jenny Aspling, Emilie Friberg, A. R. Bosma, Johannes R. Anema, Kristina Alexanderson, APH - Societal Participation & Health, Public and occupational health, and APH - Aging & Later Life
- Subjects
Gerontology ,Sweden ,Sickness absence ,Working life ,Multiple Sclerosis ,business.industry ,Multiple sclerosis ,Disability pension ,medicine.disease ,Cohort Studies ,Pensions ,Neurology ,Risk Factors ,Sick leave ,medicine ,Humans ,Disabled Persons ,Neurology (clinical) ,Occupations ,Sick Leave ,business ,Work, Health and Performance - Abstract
Background: Multiple sclerosis (MS) can impact working life, sickness absence (SA) and disability pension (DP). Different types of occupations involve different demands, which may be associated with trajectories of SA/DP among people with MS (PwMS). Objectives: To explore, among PwMS and references, if SA/DP differ according to type of occupation. Furthermore, to examine how trajectories of SA/DP days are associated with type of occupation among PwMS. Methods: A longitudinal nationwide Swedish register-based cohort study was conducted, including 6100 individuals with prevalent MS and 38,641 matched references from the population. Trajectories of SA/DP were identified with group-based trajectory modelling. Multinomial logistic regressions were estimated for associations between identified trajectories and occupations. Results: Increase of SA/DP over time was observed in all occupational groups, in both PwMS and references, with higher levels of SA/DP among PwMS. The lowest levels of SA/DP were observed among managers. Three trajectory groups of SA/DP were identified: Persistently Low (55.2%), Moderate Increasing (31.9%) and High Increasing (12.8%). Managers and those working in Science & Technology, and Economics, Social & Cultural were more likely to belong to the Persistently Low group. Conclusion: Results suggest that type of occupation plays a role in the level and course of SA/DP.
- Published
- 2022