170 results on '"Helgesson, Magnus"'
Search Results
2. Sustainable labour market participation among working young adults with diagnosed attention deficit/hyperactivity disorder (ADHD)
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Helgesson, Magnus, Kjeldgård, Linnea, Björkenstam, Emma, Rahman, Syed, Gustafsson, Klas, Taipale, Heidi, Tanskanen, Antti, Ekselius, Lisa, and Mittendorfer-Rutz, Ellenor
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- 2023
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3. Sickness absence due to common mental disorders in young employees in Sweden: are there differences in occupational class and employment sector?
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Björkenstam, Emma, Helgesson, Magnus, Gustafsson, Klas, Virtanen, Marianna, Hanson, Linda L. Magnusson, and Mittendorfer-Rutz, Ellenor
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- 2022
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4. Work environment risk factors for the duration of all cause and diagnose-specific sickness absence among healthcare workers in Sweden : a prospective study
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Leineweber, Constanze, Marklund, Staffan, Gustafsson, Klas, and Helgesson, Magnus
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- 2020
5. The changing nature of work – Job strain, job support and sickness absence among care workers and in other occupations in Sweden 1991–2013
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Aronsson, Gunnar, Marklund, Staffan, Leineweber, Constanze, and Helgesson, Magnus
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- 2021
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6. Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders
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Di Thiene, D., Helgesson, Magnus, Rahman, S., Alexanderson, K., Tiihonen, J., La Torre, G., and Mittendorfer-Rutz, E.
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- 2021
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7. Initiation of antidepressant use among refugee and Swedish-born youth after diagnosis of a common mental disorder: findings from the REMAIN study
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Taipale, Heidi, Niederkrotenthaler, Thomas, Helgesson, Magnus, Sijbrandij, Marit, Berg, Lisa, Tanskanen, Antti, and Mittendorfer-Rutz, Ellenor
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- 2021
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8. Healthcare use before and after suicide attempt in refugees and Swedish-born individuals
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Amin, Ridwanul, Rahman, Syed, Tinghög, Petter, Helgesson, Magnus, Runeson, Bo, Björkenstam, Emma, Qin, Ping, Mehlum, Lars, Holmes, Emily A., and Mittendorfer-Rutz, Ellenor
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- 2021
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9. Childhood adversity and common mental disorders in young employees in Sweden: is the association affected by early adulthood occupational class?
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Björkenstam, Emma, Helgesson, Magnus, and Mittendorfer-Rutz, Ellenor
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- 2021
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10. COVID-19: incidence and mortality in Sweden comparing all foreign-born to all Swedish-born individuals in different occupations in an unvaccinated cohort of year 2020.
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Tondel, Martin, Nordquist, Tobias, Helgesson, Magnus, and Svartengren, Magnus
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- 2024
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11. Trajectories of antidepressant use before and after a suicide attempt among refugees and Swedish-born individuals: a cohort study
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Amin, Ridwanul, Rahman, Syed, Helgesson, Magnus, Björkenstam, Emma, Runeson, Bo, Tinghög, Petter, Mehlum, Lars, Qin, Ping, and Mittendorfer-Rutz, Ellenor
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- 2021
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12. Common mental disorders among young refugees in Sweden: The role of education and duration of residency
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Björkenstam, Emma, Helgesson, Magnus, Norredam, Marie, Sijbrandij, Marit, de Montgomery, Christopher Jamil, and Mittendorfer-Rutz, Ellenor
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- 2020
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13. Mental disorders and suicidal behavior in refugees and Swedish-born individuals: is the association affected by work disability?
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Björkenstam, Emma, Helgesson, Magnus, Amin, Ridwanul, Lange, Theis, and Mittendorfer-Rutz, Ellenor
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- 2020
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14. Labour market marginalisation among refugees from different countries of birth : a prospective cohort study on refugees to Sweden
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Helgesson, Magnus, Wang, Mo, Niederkrotenthaler, Thomas, Saboonchi, Fredrik, and Mittendorfer-Rutz, Ellenor
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- 2019
15. Determinants of work disability following lumbar spine decompression surgery
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WANG, MO, MITTENDORFER-RUTZ, ELLENOR, DORNER, THOMAS E., PAZARLIS, KONSTANTINOS A., ROPPONEN, ANNINA, SVEDBERG, PIA, and HELGESSON, MAGNUS
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- 2019
16. The role of refugee status and mental disorders regarding subsequent labour market marginalisation: a register study from Sweden
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Niederkrotenthaler, Thomas, Mittendorfer-Rutz, Ellenor, Saboonchi, Fredrik, and Helgesson, Magnus
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- 2020
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17. Labour market integration among young adults diagnosed with attention-deficit/hyperactivity disorder (ADHD) at working age.
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Chen, Lingjing, Mittendorfer-Rutz, Ellenor, Björkenstam, Emma, Rahman, Syed, Gustafsson, Klas, Kjeldgård, Linnea, Ekselius, Lisa, Taipale, Heidi, Tanskanen, Antti, and Helgesson, Magnus
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ATTENTION-deficit hyperactivity disorder ,RESEARCH funding ,CAUSAL models ,WORK environment ,DESCRIPTIVE statistics ,SOCIAL integration ,SOCIODEMOGRAPHIC factors ,CONFIDENCE intervals ,COMORBIDITY ,ADULTS - Abstract
The aims were to investigate patterns of labour market integration following an adult diagnosis of attention-deficit/hyperactivity disorder (ADHD) and its relation to sociodemographic factors and comorbid disorders. Methods: Multiple Swedish nationwide registers were used to identify 8045 individuals, aged 20–29, with an incident diagnosis of ADHD 2006–2011. Labour market integration was conceptualized according to the core-peripheral model as a continuum from a strong (core) to a weak (peripheral) connection to the labour market. Sequence analyses categorized clusters of labour market integration, from 1 year before to 5 years after their ADHD diagnosis for individuals diagnosed with ADHD and a matched control group without ADHD. Multinomial logistic regression computed odds ratios (ORs) with 95% confidence intervals (CIs) between sociodemographic factors and comorbid disorders and the identified clusters. Results: About one-fourth of the young adults diagnosed with ADHD belonged to clusters characterized by a transition to a mainly peripheral labour market position, which was approximately four-times higher compared to controls without ADHD. Foremost, those living in small cities/villages (OR 1.9; CI 1.5–2.2), those having comorbid autism-spectrum disorder (OR 13.7; CI 6.8–27.5) or schizophrenia/psychoses (OR 7.8; CI 3.8–15.9) were associated with a transition towards a peripheral labour market position throughout the study period. Those with a high educational level (OR 0.1; CI 0.1–0.1), and men (OR 0.7; CI 0.6–0.8) were less likely to have a peripheral labour market position. Conclusions: Young adults diagnosed with ADHD are four-times more likely to be in the peripheral labour market position compared to those without ADHD. To increase labour market participation, special attention is warranted to those with low educational level, those living outside big cities and those with comorbid mental disorders. [ABSTRACT FROM AUTHOR]
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- 2024
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18. Risk factors for common mental disorders in young refugees from Iran, Somalia and Syria to Sweden.
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Yang, Lijun, Mittendorfer-Rutz, Ellenor, Amin, Ridwanul, and Helgesson, Magnus
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MENTAL illness risk factors ,CONFIDENCE intervals ,PSYCHOLOGY of refugees ,EMIGRATION & immigration ,RISK assessment ,DESCRIPTIVE statistics ,RESEARCH funding ,DATA analysis software ,PROPORTIONAL hazards models - Abstract
Background Our primary aim was to determine sociodemographic and health-related risk factors for diagnosed common mental disorders (CMDs) among young refugees in Sweden. Methods All young adult refugees from Iran, Somalia and Syria (n = 7192), who were residents in Sweden in 2009, were followed from 2010 to 2013 regarding diagnosed CMDs. Cox regression models were used to compute hazard ratios (HRs) of CMDs with 95% confidence intervals (CIs). Results Those arriving as unaccompanied refugee minors had a lower risk of being diagnosed with CMDs (HR: 0.7; 95%CI: 0.6–0.9) than those arriving as accompanied refugee minors. A higher risk of being diagnosed with CMDs was also found in female refugees (HR: 1.3; 95%CI: 1.1–1.5) compared with male refugees. In addition, individuals with a low (HR: 1.7; 95%CI: 1.3–2.3) or a medium (HR: 1.4; 95%CI: 1.1–1.8) educational level were found to have a higher risk of being diagnosed with CMDs compared with individuals with a high educational level. Refugees from Iran (HR: 2.3; 95%CI: 1.8–2.9) had a higher risk of a diagnosis of a CMD than refugees from Somalia. Moreover, refugees with a diagnosis of a mental disorder other than a CMD (HR: 4.2; 95%CI: 2.8–6.1), digestive (HR: 1.5; 95%CI: 1.0–2.2) or musculoskeletal diseases (HR: 1.5; 95%CI: 1.0–2.2) had a higher risk of being diagnosed with subsequent CMDs, compared with those with no such disorders. Conclusions Pre-existing diagnoses of mental disorders other than CMDs, and digestive and musculoskeletal disorders should be carefully considered in clinical assessments to initiate early interventions to prevent CMDs. [ABSTRACT FROM AUTHOR]
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- 2023
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19. The role of sociodemographic and clinical factors in the initiation and discontinuation of attention deficit hyperactivity disorder medication among young adults in Sweden.
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Gémes, Katalin, Taipale, Heidi, Björkenstam, Emma, Rahman, Syed, Gustafsson, Klas, Tanskanen, Antti, Ekselius, Lisa, Mittendorfer-Rutz, Ellenor, and Helgesson, Magnus
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ATTENTION-deficit hyperactivity disorder ,YOUNG adults ,SOCIODEMOGRAPHIC factors ,AUTISM spectrum disorders ,DRUGS ,ASPERGER'S syndrome - Abstract
Introduction: Long-term medication use is a recommended treatment for attention-deficit/hyperactivity disorder (ADHD), however, discontinuation is common. Non-medical factors which might influence initiation and discontinuation are understudied. Therefore, we investigated how different sociodemographic factors and comorbidities were associated with the initiation and discontinuation of ADHD medication use among young adults. Methods and results: We conducted a population-based prospective cohort study using individually linked administrative register data, in which we included all individuals residing in Sweden, between the age of 19 and 29 who were first diagnosed with ADHD between January 2006 and December 2016 (n = 59224). ADHD medication initiation was defined as the first prescription of ADHD medication in the period from 3 months before to 6 months after the cohort entry date. Those who initiated ADHD medication were followed up for medication use until discontinuation, death/emigration, or until 2019. Logistic and Cox regression models were used to investigate the associations between sociodemographics, health-related predictors and initiation, as well as discontinuation. Overall, 48.7% of the 41399 individuals initiated ADHD medication, most often methylphenidate (87%). Among the initiators, 15462 (77%) discontinued medication use during the follow-up (median time: 150 days). After mutually adjusting all other predictors, initiation was positively associated with older age, male sex, higher level of education, and negatively associated with living at home with parents, immigrant status, being unemployed during the year before inclusion, being on disability pension, having autism, substance use, schizophrenia-spectrum disorders, other mental disability/developmental disorders, cardiovascular diseases or previous accidents. Discontinuation was positively associated with being born abroad, living in big cities, being unemployed during the year before inclusion, having cancer, and negatively associated with a higher educational level, having depression, anxiety or stress-related disorder, autism spectrum disorder or diabetes. Conclusion: Besides medical factors, sociodemographics, such as educational attainment and immigrant status might also play a role in the initiation and discontinuation of ADHD medication use among young adults newly diagnosed with ADHD. [ABSTRACT FROM AUTHOR]
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- 2023
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20. Course and characteristics of work disability 3 years before and after lumbar spine decompression surgery– a national population-based study
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Dorner, Thomas E., Helgesson, Magnus, Nilsson, Kerstin, Pazarlis, Konstantinos A., Ropponen, Annina, Svedberg, Pia, and Mittendorfer-Rutz, Ellenor
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- 2018
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21. Childhood adversity and risk of later labor market marginalization in young employees in Sweden.
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Björkenstam, Emma, Helgesson, Magnus, and Mittendorfer-Rutz, Ellenor
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ADVERSE childhood experiences , *SICK leave , *UNEMPLOYMENT , *CONFIDENCE intervals , *PARENT-child separation , *REGRESSION analysis , *RISK assessment , *EMPLOYEES , *EMPLOYMENT , *CHILDREN of people with mental illness , *DESCRIPTIVE statistics , *RESEARCH funding , *LABOR market , *PUBLIC welfare , *LONGITUDINAL method , *PARENTAL death , *PROPORTIONAL hazards models - Abstract
Background The present study examined the independent and combined effects of childhood adversity (CA) and occupational class on the risk of future labor market marginalization (LMM) in young employees in Sweden. Occupational class (non-manual/manual workers) was also explored as a potential mediator. Methods This population-based longitudinal cohort study included 556 793 employees, 19–29 years, residing in Sweden in 2009. CAs included parental death, parental mental and somatic disorders, parental separation, household public assistance, single-parent household and residential instability. Measures of LMM included long-term unemployment (LTU), long-term sickness absence (LTSA) and disability pension. Estimates of risk of each LMM measure, between 2010 and 2016 were calculated as hazard ratios (HRs) with 95% confidence intervals (CIs), using a Cox regression analysis. Results Those exposed to CA had an elevated risk for all measures of LMM. Manual workers with a history of household public assistance had the highest risk estimates compared to non-manual workers with no CAs [adjusted HR spanning from 1.59 (LTSA) to 2.50 (LTU)]. Regardless of occupational class, the risk of LMM grew higher with increasing number of CAs (e.g. adjusted HR of LMM in manual workers with 3+ CAs: 1.87, 95% CI: 1.81–1.94). These patterns persisted after adjustments for a range of confounders, including psychiatric and somatic morbidity. Last, we found a small but significant mediating effect of occupational class in the association between CA and LMM. Conclusions Information on CAs are important determinants of LMM in young adults, and especially in manual workers. [ABSTRACT FROM AUTHOR]
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- 2023
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22. Time period effects in work disability due to common mental disorders among young employees in Sweden—a register-based cohort study across occupational classes and employment sectors.
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Amin, Ridwanul, Mittendorfer-Rutz, Ellenor, Björkenstam, Emma, Virtanen, Marianna, Helgesson, Magnus, Gustafsson, Niklas, and Rahman, Syed
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SICK leave ,CONFIDENCE intervals ,TIME ,WHITE collar workers ,FUNCTIONAL status ,MULTIVARIATE analysis ,BLUE collar workers ,PRIVATE sector ,RISK assessment ,OCCUPATIONS ,PSYCHOSOCIAL factors ,PENSIONS ,PUBLIC sector ,DESCRIPTIVE statistics ,PEOPLE with disabilities ,MENTAL illness ,LONGITUDINAL method ,ADULTS - Abstract
Background We aimed to investigate time period effects in the risk of work disability, defined as long-term sickness absence (LTSA) and disability pension (DP) due to common mental disorders (CMDs), among young employees according to employment sector (private/public) and occupational class (non-manual/manual). Methods Three cohorts, including all employed individuals with complete information on employment sector and occupational class, aged 19–29 years and resident in Sweden on 31 December 2004, 2009 and 2014 (n = 573 516, 665 138 and 600 889, respectively) were followed for 4 years. Multivariate-adjusted hazard ratios (aHRs) with 95% confidence intervals (CIs) were estimated to examine the risk of LTSA and DP due to CMDs using Cox regression analyses. Results In all cohorts, public sector employees had higher aHRs for LTSA due to CMDs than private sector employees, irrespective of occupational class, e.g. aHR, 95% CI: 1.24, 1.16–1.33 and 1.15, 1.08–1.23 among non-manual and manual workers in cohort 2004. The rates of DP due to CMDs were much lower in cohorts 2009 and 2014 than 2004 leading to uncertain risk estimates in the later cohorts. Still, public sector manual workers had a higher risk for DP due to CMDs than manual workers in the private sector in cohort 2014 than in 2004 (aHR, 95% CI: 1.54, 1.34–1.76 and 3.64, 2.14–6.18, respectively). Conclusions Manual workers in the public sector seem to have a higher risk of work disability due to CMDs than their counterparts in the private sector calling for the need for early intervention strategies to prevent long-term work disability. [ABSTRACT FROM AUTHOR]
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- 2023
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23. Labour market marginalisation in young adults diagnosed with attention-deficit hyperactivity disorder (ADHD): a population-based longitudinal cohort study in Sweden.
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Helgesson, Magnus, Björkenstam, Emma, Rahman, Syed, Gustafsson, Klas, Taipale, Heidi, Tanskanen, Antti, Ekselius, Lisa, and Mittendorfer-Rutz, Ellenor
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SICK leave , *CONFIDENCE intervals , *UNEMPLOYMENT , *ATTENTION-deficit hyperactivity disorder , *DESCRIPTIVE statistics , *RESEARCH funding , *PENSIONS , *MENTAL depression , *LABOR market , *ANXIETY , *ADULTS - Abstract
Background: The objective of this population-based register study was (1) to investigate the association between young adults diagnosed with attention-deficit/hyperactivity disorder (ADHD) and subsequent labour market marginalisation (LMM) in two comparison groups, i.e. matched young adults from the general population without ADHD and unaffected siblings to persons with ADHD and (2) to assess the role of comorbid disorders. Methods: This study included all young adults in Sweden, aged 19–29 years, with an incident diagnosis of ADHD 2006–2011 (n = 9718). Crude and multivariate sex-stratified hazard ratios (HRs) with 95% confidence intervals (CIs) were measured 5 years after the diagnosis of ADHD for the risk of disability pension, long-term sickness absence (SA) (>90 days), long-term unemployment (>180 days) and a combined measure of all three in young adults with ADHD compared to their siblings without ADHD and a matched comparison group. Results: In the adjusted analyses young adults with ADHD had a 10-fold higher risk of disability pension (HR = 10.2; CI 9.3–11.2), a nearly three-fold higher risk of long-term SA (HR = 2.7; CI 2.5–2.8) and a 70% higher risk of long-term unemployment (HR = 1.7; CI 1.6–1.8) compared to the matched comparison group. The risk estimates were lower compared to siblings for disability pension (HR = 9.0; CI 6.6–12.3) and long-term SA (HR = 2.5; CI 2.1–3.1) but higher in the long-term unemployed (HR = 1.9; CI 1.6–2.1). Comorbid disorders explained about one-third of the association between ADHD and disability pension, but less regarding SA and long-term unemployment. Conclusions: Young adults with ADHD have a high risk for different measures of LMM and comorbidities explain only a small proportion of this relationship. [ABSTRACT FROM AUTHOR]
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- 2023
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24. Period effects in the risk of labour market marginalization among refugees in Sweden: a register-based cohort study.
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Kirchner, Stefanie, Amin, Ridwanul, Niederkrotenthaler, Thomas, Cullen, Alexis E, Gémes, Katalin, Helgesson, Magnus, and Mittendorfer-Rutz, Ellenor
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UNEMPLOYMENT ,CONFIDENCE intervals ,DISEASES ,REFUGEES ,PENSIONS ,LABOR market ,HEALTH equity ,PEOPLE with disabilities ,SOCIODEMOGRAPHIC factors ,RESIDENTIAL patterns ,INSURANCE ,LONGITUDINAL method ,PROPORTIONAL hazards models - Abstract
Background Changes in Swedish national insurance policies over time and/or migration-related health inequalities may influence the risk for labour market marginalization (LMM) in refugees as compared to the Swedish-born host population. This study aimed to investigate potential period effects in the association between refugee status and the risk of LMM and explore any differences by country of birth, age and duration of residence. Methods Using national registers, three cohorts including all Swedish residents during 1999, 2004 and 2009 were followed for 4 years (cohort 2000, 2005 and 2010). Cox regression models were used to examine associations between refugee status and LMM defined as long-term unemployment (>180 days annually) and disability pension. The analyses were adjusted for socio-demographic factors, morbidities and labour market-related factors. Stratified analyses were run for age, country of birth and duration of residence. Results Across the cohorts, hazard ratios (HRs) were higher for long-term unemployment [2000: HR = 1.98; 95% confidence interval (CI): 1.96–2.01; 2005: HR = 2.30; 95% CI: 2.27–2.33; 2010: HR = 2.78; 95% CI: 2.75–2.81] for refugees compared to Swedish-born but not for disability pension. HRs for long-term unemployment were highest among refugees aged 25–34 and 35–44 years, from Somalia, Afghanistan and Iraq and refugees with a shorter duration of residence. Conclusions The risk of long-term unemployment appears to have increased for refugees over time. Particularly some refugee subgroups experienced more difficulties. These findings highlight ongoing disparities for refugees and implicate on a broader scale that changes in policies such as stricter regulations in the insurance or healthcare system might adversely affect them. [ABSTRACT FROM AUTHOR]
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- 2023
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25. Sustainable Earnings among Immigrants, and the Role of Health Status for Self-Sufficiency: A 10-Year Follow-Up Study of Labour Immigrants and Refugees to Sweden 2000–2006.
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Helgesson, Magnus, Brendler-Lindqvist, Maria, Johansson, Bo, Nordquist, Tobias, Tondel, Martin, and Svartengren, Magnus
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- 2023
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26. Differences in all-cause and cause-specific mortality due to external causes and suicide between young adult refugees, non-refugee immigrants and Swedish-born young adults: The role of education and migration-related factors.
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Stratmann, Marlene, Björkenstam, Emma, Dorner, Thomas E., Chen, Lingjing, Helgesson, Magnus, Cullen, Alexis E., and Mittendorfer-Rutz, Ellenor
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YOUNG adults ,MORTALITY ,ADULT education ,REFUGEES ,EMIGRATION & immigration - Abstract
Background: International migration has increased during the past years and little is known about the mortality of young adult immigrants and refugees that came to Sweden as children. This study aimed to investigate 1) the risk of all-cause and cause-specific mortality in young accompanied and unaccompanied refugees and non-refugee immigrants compared to Swedish born individuals; and 2) to determine the role of educational level and migrations-related factors in these associations. Methods: This register linkage study is based on 682,358 individuals (633,167 Swedish-born, 2,163 unaccompanied and 25,658 accompanied refugees and 21,370 non-refugee immigrants) 19–25 years old, who resided in Sweden 31.12.2004. Outcomes were all-cause mortality and mortality due to suicide and external causes. Hazard ratios (HR) and 95% confidence intervals (CI) were calculated using Cox regression models with a maximum follow-up to 2016. Results: After adjusting for covariates, all-cause mortality was significantly lower in non-refugee immigrants (aHR 0.70, 95% CI 0.59–0.84) and refugees (aHR 0.76, 95% CI 0.65–0.88) compared to Swedish-born individuals. The same direction of association was observed for mortality due to suicide and external causes. No differences between accompanied and unaccompanied refugees were found. Risk estimates for all migrant groups varied with educational level, duration of residency, age at arrival and country of birth. Further, the mortality risk of migrants arriving in Sweden before the age of 6 years did not significantly differ from the risk of their Swedish-born peers. Low education was a considerable risk factor. Conclusion: In general, young adult refugees and non-refugee immigrants have a lower risk of all-cause and cause-specific mortality than Swedish-born individuals. The identified migrant groups with higher mortality risk need specific attention. [ABSTRACT FROM AUTHOR]
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- 2022
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27. Overqualification at work and risk of hospitalization for psychiatric and somatic diseases among immigrants in Sweden - a prospective register-based study.
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Brendler-Lindqvist, Maria, Tondel, Martin, Helgesson, Magnus, Nordqvist, Tobias, and Svartengren, Magnus
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PSYCHIATRIC hospital care ,MENTAL illness ,LONGITUDINAL method ,IMMIGRANTS ,MUSCULOSKELETAL system diseases ,CHILDREN of immigrants - Abstract
Objectives This study aimed to (i) describe the prevalence of overqualification at work among immigrants in Sweden and (ii) analyze any association between overqualification and the risk of hospitalization for somatic and psychiatric disease among refugees and labor immigrants. Methods We performed a prospective register study in a cohort of 120 339 adults who immigrated to Sweden in 1991-2005 and were employed in 2006. Education-occupation status was defined as the combination of an individual's highest level of education and their occupation skill level. Individuals were followed from 2007 to 2016 with regard to hospitalization for a psychiatric, cardiovascular, respiratory or musculoskeletal disease or diabetes. Hazard ratios (HR) with 95% confidence intervals (CI) were calculated in a multivariate Cox regression analysis adjusted for age, gender, reason for residence and duration of residence. Results The overall prevalence of overqualification among immigrants with an academic education was 39%. Overqualified individuals had an increased risk of hospitalization for any disease (HR 1.33, 95% CI 1.21-1.46) compared to "job-matched with an academic education". However, the risk estimates were lower than that of "job-matched with no academic education" (HR 1.56, 1.46-1.68). The increased risk of hospitalization for a psychiatric disease of overqualified individuals did not differ from that of job-matched with no academic education. Conclusion Our study showed that being overqualified was associated with poorer health outcomes than jobmatched individuals with an academic education. Considering the high prevalence of overqualification in immigrants, this constitutes a concern, for both society and individuals. [ABSTRACT FROM AUTHOR]
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- 2022
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28. Clustering of social disadvantage with attention‐deficit/hyperactivity disorder in young adults: A register‐based study in Sweden.
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Virtanen, Marianna, Lallukka, Tea, Alexanderson, Kristina, Helgesson, Magnus, Heikkilä, Katriina, Ervasti, Jenni, Pentti, Jaana, Vahtera, Jussi, Kivimäki, Mika, and Mittendorfer‐Rutz, Ellenor
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RISK factors of attention-deficit hyperactivity disorder ,UNEMPLOYMENT ,CONFIDENCE intervals ,FUNCTIONAL status ,SOCIOECONOMIC factors ,RISK assessment ,SEX distribution ,DESCRIPTIVE statistics ,ODDS ratio ,EDUCATIONAL attainment ,ADULTS - Abstract
The clustering of social disadvantage with attention‐deficit/hyperactivity disorder (ADHD) in young adulthood is not well understood. We examined the clustering of ADHD with low educational attainment and unemployment in young adulthood; whether such clustering is stronger when unemployment is prolonged; and whether further clustering of disability pensioning, low education and unemployment occurs among those with ADHD. Data were obtained from Swedish health, demographic and social security registers from which 8,990 individuals with recorded ADHD diagnoses at the age of 10–35 and their 44,387 matched referents without mental disorders. Social disadvantage was measured using data on educational attainment, unemployment and disability pension from the diagnosis year or age 19 if diagnosed at younger age. Clustering was examined by comparing observed and expected occurrence (O/E ratio) of all possible combinations of ADHD, low education and unemployment, and, among those with ADHD, additional combinations with new‐onset disability pension. The likelihood of having neither ADHD, low education nor unemployment was increased (O/E ratio = 1.20, 95% confidence interval 1.19–1.20 at baseline; 1.18, 1.17–1.18 at follow‐up), as well as having all three characteristics (O/E ratio = 3.99, 3.89–4.10 at baseline; 5.68, 5.47–5.89 at follow‐up). This clustering was stronger among women than men and when unemployment was prolonged. The results suggest that low education and unemployment appear to cluster remarkably with ADHD among young adults, more so among women and when unemployment is prolonged. [ABSTRACT FROM AUTHOR]
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- 2022
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29. Sickness absence at a young age and later sickness absence, disability pension, death, unemployment and income in native Swedes and immigrants
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Helgesson, Magnus, Johansson, Bo, Nordqvist, Tobias, Lundberg, Ingvar, and Vingård, Eva
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- 2015
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30. Occupational Branch and Labor Market Marginalization among Young Employees with Adult Onset of Attention Deficit Hyperactivity Disorder—A Population-Based Matched Cohort Study.
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Gémes, Katalin, Björkenstam, Emma, Rahman, Syed, Gustafsson, Klas, Taipale, Heidi, Tanskanen, Antti, Ekselius, Lisa, Mittendorfer-Rutz, Ellenor, and Helgesson, Magnus
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- 2022
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31. Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth.
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Björkenstam, Emma, Helgesson, Magnus, Norredam, Marie, Sijbrandij, Marit, de Montgomery, Christopher Jamil, and Mittendorfer-Rutz, Ellenor
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NOMADS , *CONFIDENCE intervals , *MEDICAL care use , *REFUGEES , *DESCRIPTIVE statistics , *RESIDENTIAL patterns , *PSYCHIATRIC treatment , *LONGITUDINAL method , *PROPORTIONAL hazards models , *MENTAL illness - Abstract
Background: The study aimed to examine differences in, and characteristics of psychiatric care utilization in young refugees who came to Sweden as unaccompanied or accompanied minors, compared with that of their non-refugee immigrant and Swedish-born peers. Methods: This register-linkage cohort study included 746 688 individuals between 19 and 25 years of age in 2009, whereof 32 481 were refugees (2896 unaccompanied and 29 585 accompanied) and 32 151 non-refugee immigrants. Crude and multivariate Cox regression models yielding hazard ratios (HR) and 95% confidence intervals (CI) were conducted to investigate subsequent psychiatric care utilization for specific disorders, duration of residence and age at migration. Results: The adjusted HRs for psychiatric care utilization due to any mental disorder was significantly lower in both non-refugee and refugee immigrants when compared to Swedish-born [aHR: 0.78 (95% CI 0.76–0.81) and 0.75 (95% CI 0.72–0.77, respectively)]. Within the refugee group, unaccompanied had slightly lower adjusted risk estimates than accompanied. This pattern was similar for all specific mental disorders except for higher rates in schizophrenia, reaction to severe stress/adjustment disorders and post-traumatic stress disorder. Psychiatric health care utilization was also higher in immigrants with more than 10 years of residency in Sweden entering the country being younger than 6 years of age. Conclusions: For most mental disorders, psychiatric health care utilization in young refugees and non-refugee immigrants was lower than in their Swedish-born peers; exceptions are schizophrenia and stress-related disorders. Arrival in Sweden before the age of 6 years was associated with higher rates of overall psychiatric care utilization. [ABSTRACT FROM AUTHOR]
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- 2022
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32. Risk Factors for Disability Pension among Young Adults Diagnosed with Attention-deficit Hyperactivity Disorder (ADHD) in Adulthood.
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Chen, Lingjing, Mittendorfer-Rutz, Ellenor, Björkenstam, Emma, Rahman, Syed, Gustafsson, Klas, Taipale, Heidi, Tanskanen, Antti, Ekselius, Lisa, and Helgesson, Magnus
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DISABILITY retirement ,YOUNG adults ,ATTENTION-deficit hyperactivity disorder ,ADULTS ,VOCATIONAL rehabilitation - Abstract
Objective: To investigate risk factors of disability pension (DP) in young adults diagnosed with ADHD in Sweden. Method: In total, 9718 individuals diagnosed with incident ADHD in young adult age (19–29 years) 2006 to 2011, were identified through national registers. They were followed for 5 years and Cox regression models were applied to analyze the DP risk (overall and by sex), associated with socio-demographics, work-related factors, and comorbid disorders. Results: Twenty-one percent of all received DP. Being younger at diagnosis (hazard ratio [HR] = 1.54; 95%confidence interval [CI] 1.39–1.71); low educational level (HR = 1.97; 95%CI 1.60–2.43 for <10 years); work-related factors at baseline (no income from work [HR = 2.64; 95%CI 2.35–2.98] and sickness absence >90 days [HR = 2.48; 95%CI2.17–2.83]); and schizophrenia/psychoses (HR = 2.16; 95%CI 1.66–2.80), autism (HR = 1.87; 95%CI 1.42–2.46), anxiety (HR = 1.34; 95%CI 1.22–1.49) were significantly associated with an increased risk of DP. Similar risk patterns were found in men and women. Conclusion: Work-related factors and comorbid mental disorders need to be highlighted in early vocational rehabilitation for individuals with ADHD. [ABSTRACT FROM AUTHOR]
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- 2022
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33. Unemployment at a young age and later sickness absence, disability pension and death in native Swedes and immigrants
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Helgesson, Magnus, Johansson, Bo, Nordqvist, Tobias, Lundberg, Ingvar, and Vingård, Eva
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- 2013
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34. Attention-Deficit/Hyperactivity Disorder Medications and Work Disability and Mental Health Outcomes.
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Taipale, Heidi, Bergström, Jakob, Gèmes, Katalin, Tanskanen, Antti, Ekselius, Lisa, Mittendorfer-Rutz, Ellenor, and Helgesson, Magnus
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- 2024
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35. Occupational class and employment sector differences in common mental disorders: a longitudinal Swedish cohort study.
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Björkenstam, Emma, Helgesson, Magnus, Gustafsson, Klas, Virtanen, Marianna, Hanson, Linda L M, and Mittendorfer-Rutz, Ellenor
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EMPLOYEE psychology , *MENTAL illness risk factors , *CONFIDENCE intervals , *MULTIPLE regression analysis , *PRIVATE sector , *RISK assessment , *COMPARATIVE studies , *EMPLOYMENT , *PUBLIC sector , *SOCIAL classes , *LONGITUDINAL method , *PROPORTIONAL hazards models - Abstract
Background Recent increases in common mental disorders (CMDs) among young adults are of great concern although studies of CMDs in young employees are sparse. This study investigated the independent and interacting effects of sector of employment, occupational class and CMDs. Additionally, associations between type of employment branch and CMDs within each sector were examined. Methods This population-based longitudinal cohort study included 665 138 employees, 19–29 years, residing in Sweden in 2009. Employment sector (i.e. private/public) and occupational class (non-manual/manual workers) were measured in 2009. Risk estimates of CMDs, measured as new prescription of antidepressants and/or psychiatric care with a diagnosis of CMDs, between 2010 and 2016, were calculated as hazard ratios (HRs) with 95% confidence intervals (CIs), using Cox multivariable regression analysis. Results Public sector employees (whereof 60% manual workers) had an elevated risk for CMDs compared to private sector employees [adjusted HR: 1.14 (95% CI 1.12–1.16)]. Within each sector, manual workers were at increased risk of CMDs compared to non-manual workers. There was an interaction between sector of employment and occupational class; manual workers in the public sector had the highest CMD risk [adjusted synergy index: 1.51 (95% CI 1.29–1.76)]. The most elevated risk for CMDs was observed in those employed in health and social services and the lowest risk among construction workers. Conclusion Sector of employment and occupational class play a role in CMDs in young employees. These findings should be taken into account in the attempts to reduce CMDs in the young working population. [ABSTRACT FROM AUTHOR]
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- 2021
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36. Disability pension and mortality in individuals with specific somatic and mental disorders: examining differences between refugees and Swedish-born individuals.
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Helgesson, Magnus, Rahman, Syed, Saboonchi, Fredrik, and Mittendorfer Rutz, Ellenor
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MUSCULOSKELETAL system diseases ,CONFIDENCE intervals ,PSYCHOLOGY of refugees ,DIABETES ,PSYCHOLOGY of People with disabilities ,SOCIOECONOMIC factors ,PENSIONS ,MENTAL depression ,POPULATION health ,TUMORS ,MENTAL illness ,LONGITUDINAL method ,PROPORTIONAL hazards models - Published
- 2021
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37. Sickness Absence and Sickness Presence Among Health and Care Employees in Sweden-Health Complaints, Health Behavior, and Future Long-Term Sickness Absence.
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Helgesson, Magnus, Gustafsson, Klas, Marklund, Stafan, Aronsson, Gunnar, and Leineweber, Constanze
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WORK environment , *SICK leave , *PRESENTEEISM (Labor) , *REGRESSION analysis , *RISK assessment , *HEALTH behavior , *HOSPITAL nursing staff , *DESCRIPTIVE statistics , *INDUSTRIAL hygiene , *ALLIED health personnel - Abstract
Objective: To describe if health complaints relate to health behavior in terms of sickness absence (SA) and sickness presence (SP) and to examine how complaints and health behavior predicts the risk for future long-term sickness absence (LTSA), Methods: Data originates from work environment surveys 2001 to 2013 and SA registers 2002 to 2016 of 1838 nurses, 7430 care assistants, and 40,515 individuals in all other occupations. Descriptive and regression analyses were conducted. Results: Physical complaints and high SA in combination with high SP increased the risk of LTSA among nurses and care assistants. Nurses' high SP and care assistants' high SA elevated the LTSA risk. Conclusions: Strategies to reduce the reasons behind physical health complaints among health care workers are warranted. SP among nurses and SA among care assistants should be considered in the organization of their job demands. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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38. Work and health among immigrants and native Swedes 1990–2008: a register-based study on hospitalization for common potentially work-related disorders, disability pension and mortality
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Johansson Bo, Helgesson Magnus, Lundberg Ingvar, Nordquist Tobias, Leijon Ola, Lindberg Per, and Vingård Eva
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Immigrant ,Migration ,Health ,Hospitalization ,Disability pension ,Mortality ,Labor market ,Employment ,Unemployment ,Sweden ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background There are many immigrants in the Swedish workforce, but knowledge of their general and work-related health is limited. The aim of this register-based study was to explore whether documented migrant residents in Sweden have a different health status regarding receipt of a disability pension, mortality and hospitalization for lung, heart, psychiatric, and musculoskeletal disorders compared with the native population, and if there were variations in relation to sex, geographical origin, position on the labor market, and time since first immigration. Methods This study included migrants to Sweden since 1960 who were 28–47 years old in 1990, and included 243 860 individuals. The comparison group comprised a random sample of 859 653 native Swedes. These cohorts were followed from 1991 to 2008 in national registers. The immigrants were divided into four groups based on geographic origin. Hazard ratios for men and women from different geographic origins and with different employment status were analyzed separately for the six outcomes, with adjustment for age, education level, and income. The influence of length of residence in Sweden was analyzed separately. Results Nordic immigrants had increased risks for all investigated outcomes while most other groups had equal or lower risks for those outcomes than the Swedes. The lowest HRs were found in the EU 15+ group (from western Europe, North America, Australia and New Zealand). All groups, except Nordic immigrants, had lower risk of mortality, but all had higher risk of disability pension receipt compared with native Swedes. Unemployed non-Nordic men displayed equal or lower HRs for most outcomes, except disability pension receipt, compared with unemployed Swedish men. A longer time since first immigration improved the health status of men, while women showed opposite results. Conclusions Employment status and length of residence are important factors for health. The contradictory results of low mortality and high disability pension risks need more attention. There is great potential to increase the knowledge in this field in Sweden, because of the high quality registers.
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- 2012
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39. Suicide attempt and suicide in refugees in Sweden – a nationwide population-based cohort study.
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Amin, Ridwanul, Helgesson, Magnus, Runeson, Bo, Tinghög, Petter, Mehlum, Lars, Qin, Ping, Holmes, Emily A., and Mittendorfer-Rutz, Ellenor
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SUICIDE risk factors , *BIRTHPLACES , *CONFIDENCE intervals , *PSYCHOLOGY of refugees , *MULTIVARIATE analysis , *DISEASES , *RISK assessment , *DESCRIPTIVE statistics , *LONGITUDINAL method - Abstract
Background: Despite a reported high rate of mental disorders in refugees, scientific knowledge on their risk of suicide attempt and suicide is scarce. We aimed to investigate (1) the risk of suicide attempt and suicide in refugees in Sweden, according to their country of birth, compared with Swedish-born individuals and (2) to what extent time period effects, socio-demographics, labour market marginalisation (LMM) and morbidity explain these associations. Methods: Three cohorts comprising the entire population of Sweden, 16–64 years at 31 December 1999, 2004 and 2009 (around 5 million each, of which 3.3–5.0% refugees), were followed for 4 years each through register linkage. Additionally, the 2004 cohort was followed for 9 years, to allow analyses by refugees' country of birth. Crude and multivariate hazard ratios (HRs) with 95% confidence intervals (CIs) were computed. The multivariate models were adjusted for socio-demographic, LMM and morbidity factors. Results: In multivariate analyses, HRs regarding suicide attempt and suicide in refugees, compared with Swedish-born, ranged from 0.38–1.25 and 0.16–1.20 according to country of birth, respectively. Results were either non-significant or showed lower risks for refugees. Exceptions were refugees from Iran (HR 1.25; 95% CI 1.14–1.41) for suicide attempt. The risk for suicide attempt in refugees compared with the Swedish-born diminished slightly across time periods. Conclusions: Refugees seem to be protected from suicide attempt and suicide relative to Swedish-born, which calls for more studies to disentangle underlying risk and protective factors. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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40. Country of birth, time period of resettlement and subsequent treated common mental disorders in young refugees in Sweden.
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Amin, Ridwanul, Rahman, Syed, Dorner, Thomas E, Björkenstam, Emma, Helgesson, Magnus, Norredam, Marie L, Sijbrandij, Marit, Sever, Cansu Alozkan, and Mittendorfer-Rutz, Ellenor
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MENTAL illness treatment ,ANTIDEPRESSANTS ,BIRTHPLACES ,CONFIDENCE intervals ,REFUGEES ,PROPORTIONAL hazards models ,ADOLESCENCE - Abstract
Background Little is known regarding treatment for common mental disorders (CMDs) in young refugees. We aimed to identify (i) if the risk of treatment for CMDs in young refugees varies by their country of birth, compared with the Swedish-born population and (ii) if time period of resettlement influences these possible associations. Methods All Swedish-born individuals and people who were granted refugee status, aged 16–25 years, living in Sweden on 31 December 1999, 2004 or 2009 (around 1 million people with 3–4% refugees in each cohort), were followed for 4 years for treated CMDs by linking register data. To facilitate stratified analyses by refugees' country of birth, the 2009 cohort was followed for 7 years with regard to specialized healthcare and antidepressant prescription due to CMDs. Hazard ratios with 95% confidence intervals were computed in crude and adjusted models. Results Refugees in the 2009 cohort with 7-year follow-up had a 25% lower risk for treated CMDs, compared with the Swedish-born. Stratified analysis by country of birth showed a similarly lower risk regarding treated CMDs among refugees from all countries but Iran [hazard ratios (95% confidence intervals): 1.15 (1.05–1.26)] than their Swedish-born peers. No substantial effect of time period of resettlement was observed in the risk for treated CMDs in refugees. Conclusions Treatment for CMDs is lower in young refugees than in the majority population in Sweden, is stable across time, but varies with country of birth. Strategies to improve access to mental healthcare for young refugees are warranted. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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41. Mental disorders, suicide attempt and suicide: differences in the association in refugees compared with Swedish-born individuals.
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Björkenstam, Emma, Helgesson, Magnus, Amin, Ridwanul, and Mittendorfer-Rutz, Ellenor
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ATTEMPTED suicide ,SUICIDE risk factors ,MENTAL illness ,MENTAL health services ,PERSONALITY disorders ,REFUGEES ,PSYCHIATRIC epidemiology ,PSYCHOSES ,SUICIDAL behavior ,LONGITUDINAL method - Abstract
Background: Mental disorders are associated with an elevated risk for suicide attempt and suicide. Whether the strength of the associations also holds for refugees is unclear.Aims: To examine the relationship between specific mental disorders and suicide attempt and suicide in refugees and Swedish-born individuals.Method: This longitudinal cohort study included 5 083 447 individuals aged 16-64 years, residing in Sweden in 2004, where 196 757 were refugees. Mental disorders were defined as having a diagnosis in psychiatric care during 2000-2004. Estimates of risk of suicide attempt and suicide were calculated as hazard ratios with 95% confidence intervals. Adjustments were made for important confounding factors, including history of attempt. The reference group comprised Swedish-born individuals without mental disorders.Results: Rates for suicide attempt in individuals with a mental disorder were lower in refugees compared with Swedish-born individuals (480 v. 850 per 100 000 person-years, respectively). This pattern was true for most specific disorders: compared with the reference group, among refugees, multivariable-adjusted hazard ratios for suicide attempt ranged from 3.0 (anxiety) to 7.4 (substance misuse), and among Swedish-born individuals, from 4.9 (stress-related disorder) to 9.3 (substance misuse). For schizophrenia, bipolar disorder and personality disorder, estimates for suicide attempt were comparable between refugees and Swedish-born individuals. Similar patterns were seen for suicide.Conclusions: For most mental disorders, refugees were less likely to be admitted to hospital for suicide attempt or die by suicide compared with Swedish-born individuals. Further research on risk and protective factors for suicide attempt and suicide among refugees with mental disorders is warranted.Declaration Of Interest: None. [ABSTRACT FROM AUTHOR]- Published
- 2020
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42. Sociodemographic, labour market marginalisation and medical characteristics as risk factors for reinfarction and mortality within 1 year after a first acute myocardial infarction: a register-based cohort study of a working age population in Sweden.
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Mo Wang, Vaez, Marjan, Dorner, Thomas Ernst, Rahman, Syed Ghulam, Helgesson, Magnus, Ivert, Torbjörn, and Mittendorfer-Rutz, Ellenor
- Abstract
Objectives Research covering a wide range of risk factors related to the prognosis during the first year after an acute myocardial infarction (AMI) is insufficient. This study aimed to investigate whether sociodemographic, labour market marginalisation and medical characteristics before/at AMI were associated with subsequent reinfarction and all-cause mortality. Design Population-based cohort study. Participants The cohort included 15 069 individuals aged 25–64 years who had a first AMI during 2008–2010. Primary and secondary outcome measures The outcome measures consisted of reinfarction and all-cause mortality within 1 year following an AMI, which were estimated by univariate and multivariable HRs and 95% CIs by Cox regression. Results Sociodemographic characteristics such as lower education showed a 1.1-fold and 1.3-fold higher risk for reinfarction and mortality, respectively. Older age was associated with a higher risk of mortality while being born in non-European countries showed a lower risk of mortality. Labour market marginalisation such as previous long-term work disability was associated with a twofold higher risk of mortality. Regarding medical characteristics, ST-elevation myocardial infarction was predictive for reinfarction (HR: 1.14, 95% CI: 1.07 to 1.21) and all-cause mortality (HR: 3.80, 95% CI: 3.08 to 4.68). Moreover, diabetes mellitus, renal insufficiency, stroke, cancer and mental disorders were associated with a higher risk of mortality (range of HRs: 1.24–2.59). Conclusions Sociodemographic and medical risk factors were identified as risk factors for mortality and reinfarction after AMI, including older age, immigration status, somatic and mental comorbidities. Previous long-term work disability and infarction type provide useful information for predicting adverse outcomes after AMI during the first year, particularly for mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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43. Working conditions and compensated sickness absence among nurses and care assistants in Sweden during two decades: a cross-sectional biennial survey study.
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Marklund, Staffan, Gustafsson, Klas, Aronsson, Gunnar, Leineweber, Constanze, and Helgesson, Magnus
- Abstract
Objectives The aims of the study were to trace the patterns of work environment factors and compensated sickness absence (SA) among nurses and care assistants compared with other occupations and to compare SA among exposed and non-exposed nurses and care assistants. Design A cross-sectional survey on work environment factors based on the biennial Swedish Work Environment Surveys 1991–2013, linked to longitudinal register data on SA 1993–2014. Participants The study included 98 249 individuals, stratified into nurses and care assistants (n=16 179) and a reference population including all other occupations (n=82 070). Outcome measure Annual days of compensated SA (>14 days) 3 years after exposure years. Results Nurses and care assistants had higher SA in 1993–2014 compared with all other occupations, and differences in background factors only partly explained this relationship. For both groups, exposure to physical work factors remained steady, but the number of exposed were 10%–30% higher among nurses and care assistants. Those exposed to heavy physical work and strenuous working postures had in most years significantly higher SA when compared with non-exposed (rate ratio range: 1.4–1.9). Exposure to high job demands increased 10%–25% in 1991–1999 among nurses and care assistants but became more stable in 2001–2013 and high proportions of high job demands coincided with the increase in SA in 1995–1999. Nurses and care assistants exposed to high job demands had for most years significantly higher SA than non-exposed (rate ratio range: 1.5–2.1). Low job control and low support from supervisors elevated SA significantly only for a few years. Conclusions Exposure to negative work factors among nurses and care assistants was weakly associated with variations in SA, but may be related to their higher level of SA when compared with other occupations. Improved physical and psychosocial working conditions may reduce the elevated SA level in these occupations. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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44. Work-disability in low back pain patients with or without surgery, and the role of social insurance regulation changes in Sweden.
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Rahman, Syed, Mittendorfer-Rutz, Ellenor, Dorner, Thomas E, Pazarlis, Konstantinos, Ropponen, Annina, Svedberg, Pia, Wang, Mo, and Helgesson, Magnus
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CONFIDENCE intervals ,PATIENTS ,PENSIONS ,REGRESSION analysis ,RISK assessment ,SICK leave ,SOCIAL security ,SURGERY ,VOCATIONAL rehabilitation ,SOCIAL services case management ,PROPORTIONAL hazards models ,SURGICAL decompression ,ODDS ratio ,LUMBAR pain ,DIAGNOSIS - Abstract
Background The aims were to study the differences in work-disability in patients with low back pain (LBP) in relation to (i) treatment provided (non-surgical or lumber spine surgery (decompression or fusion), and (ii) two time points, i.e. before and after the social insurance regulation changes in the in 2008. Methods All non-pensioned individuals, aged 19–60 years, living in Sweden, diagnosed with LBP in 2004–06 or 2008–10 were included (n = 153739). Hazard ratios (HRs) with 95% confidence intervals for long-term sickness absence (>90 days, LTSA) and disability pension (DP) for LBP-patients (non-surgical, decompression, fusion, both surgeries) were estimated by Cox regression compared with the matched references from the general population without LBP (n = 566008). Results LBP-patients had a higher risk of subsequent work-disability compared with the references before and after insurance regulation changes. LBP-patients receiving decompression surgery had similar risk for later work-disability as those treated non-surgically. However, following regulation changes, LBP-patients undergoing fusion surgery had higher risk estimates of both LTSA (HR: 3.3) and DP (HR: 4.8) than patients treated non-surgically (HR: LTSA 2.1; DP 2.5) or with decompression (HR: LTSA 2.6; DP 2.1). In the adjusted models, risk estimates mainly attenuated after controlling for previous sickness absence. Conclusion Risk for subsequent work-disability among LBP-patients was higher compared with people without LBP and lumbar spine surgery. Discrepancies in risk were explained by the treatment provided previous sickness absence and changes in the social insurance regulations, specifically LBP-patients treated with fusion surgery had an increased risk of subsequent work-disability after changes in regulations. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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45. Risk factors for subsequent work disability in patients with acute myocardial infarction.
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Wang, Mo, Vaez, Marjan, Dorner, Thomas Ernst, Rahman, Syed, Helgesson, Magnus, Ivert, Torbjörn, and Mittendorfer-Rutz, Ellenor
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MYOCARDIAL infarction complications ,MYOCARDIAL infarction-related mortality ,CONFIDENCE intervals ,CORONARY artery bypass ,DIABETES ,DISABILITY evaluation ,IMMIGRANTS ,LONGITUDINAL method ,MENTAL illness ,MULTIVARIATE analysis ,MUSCULOSKELETAL system diseases ,PENSIONS ,POPULATION geography ,RISK assessment ,SICK leave ,STATISTICS ,STROKE ,EDUCATIONAL attainment ,PROPORTIONAL hazards models ,ACUTE diseases ,ODDS ratio ,PERCUTANEOUS coronary intervention - Abstract
Background Scientific knowledge on risk factors for work disability in terms of long-term sickness absence (SA) and disability pension (DP) following acute myocardial infarction (AMI) is limited. The study aimed to investigate socio-demographic, work-related and medical characteristics as risk factors for long-term SA (>90 days) and DP in patients with a first AMI. Methods This is a population-based cohort study of 8199 individuals aged 19–60 years who had a first AMI during 2008–10 and were alive 30 days after AMI. Univariate and multivariable hazard ratios (HRs) and 95% confidence intervals (CIs) with regard to long-term SA and DP with a 3-year follow-up were estimated by Cox regression. Results We found a higher risk of long-term SA and DP after AMI in women, those with lower education and previous SA (range of HRs: 1.29–7.34). Older age and being born in non-European countries were associated with a 2- to 3-fold higher risk of DP. Moreover, ST-elevation myocardial infarction (STEMI), musculoskeletal and common mental disorders (CMDs) were risk factors for long-term SA and DP, while diabetes mellitus and stroke were associated with a higher risk of DP (range of HRs: 1.12–2.98). Coronary artery bypass grafting (CABG) compared with percutaneous coronary intervention was associated with a 2-fold higher risk of work disability. Conclusions Older women, those with lower education and non-European immigrants had a higher risk of work disability after AMI, particularly permanent work disability. STEMI, CABG, diabetes mellitus, stroke, musculoskeletal disorders and CMDs provide important clinical information for work disability after AMI. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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46. Labour market marginalisation in obsessive–compulsive disorder: a nationwide register-based sibling control study.
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Pérez-Vigil, Ana, Mittendorfer-Rutz, Ellenor, Helgesson, Magnus, Fernández de la Cruz, Lorena, and Mataix-Cols, David
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LONG-term unemployment ,DIAGNOSIS of obsessive-compulsive disorder ,SIBLINGS ,CONFIDENCE intervals ,HELP-seeking behavior ,DISABILITY insurance ,LABOR market ,MATHEMATICAL models ,MENTAL health services ,POLICY sciences ,PSYCHOLOGY ,SICK leave ,SOCIAL isolation ,VOCATIONAL rehabilitation ,COMORBIDITY ,PROPORTIONAL hazards models ,PSYCHOSOMATIC disorders ,CONFOUNDING variables ,ODDS ratio - Abstract
Background: The impact of obsessive–compulsive disorder (OCD) on objective indicators of labour market marginalisation has not been quantified. Methods: Linking various Swedish national registers, we estimated the risk of three labour market marginalisation outcomes (receipt of newly granted disability pension, long-term sickness absence and long-term unemployment) in individuals diagnosed with OCD between 2001 and 2013 who were between 16 and 64 years old at the date of the first OCD diagnosis (n = 16 267), compared with matched general population controls (n = 157 176). Hazard ratios (HR) with 95% confidence intervals (CI) were calculated using Cox regression models, adjusting for a number of covariates (e.g. somatic disorders) and stratifying by sex. To adjust for potential familial confounders, we further analysed data from 7905 families that included full siblings discordant for OCD. Results: Patients were more likely to receive at least one outcome of interest [adjusted HR = 3.63 (95% CI 3.53–3.74)], including disability pension [adjusted HR = 16.36 (95% CI 15.34–17.45)], being on long-term sickness absence [adjusted HR = 3.07 (95% CI 2.95–3.19)] and being on long-term unemployment [adjusted HR = 1.72 (95% CI 1.63–1.82)]. Results remained similar in the adjusted sibling comparison models. Exclusion of comorbid psychiatric disorders had a minimal impact on the results. Conclusions: Help-seeking individuals with OCD diagnosed in specialist care experience marked difficulties to participate in the labour market. The findings emphasise the need for cooperation between policy-makers, vocational rehabilitation and mental health services in order to design and implement specific strategies aimed at improving the patients' participation in the labour market. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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47. Healthy migrant effect in the Swedish context: a register-based, longitudinal cohort study.
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Helgesson, Magnus, Johansson, Bo, Nordquist, Tobias, Vingård, Eva, and Svartengren, Magnus
- Abstract
Objectives Studies have found a 'healthy-migrant effect' (HME) among arriving migrants, that is, a better health status compared with others in the home country, but also in comparison with the population in the host country. The aims were to investigate whether the HME hypothesis is applicable to the Swedish context, that is, if health outcomes differed between a group of mainly labour migrants (Western migrants) and a group of mainly refugee/family reunion migrants (non-Western migrants) compared with the native Swedish population, and if there were any correlations between labour market attachment (LMA) and these health outcomes. Design Register-based, longitudinal cohort study. Participants The cohort was defined on 31 December 1990 and consisted of all migrants aged 18-47 years who arrived in Sweden in 1985-1990 (n=74 954) and a reference population of native Swedes (n=1 405 047) in the same age span. They were followed for three consecutive 6-year periods (1991-1996, 1997-2002 and 2003-2008) and were assessed for five measures of health: hospitalisation for cardiovascular and psychiatric disorders, mortality, disability pension, and sick leave. Results Western migrants had, compared with native Swedes, lower or equal HRs for all health measures during all time periods, while non-Western migrants displayed higher or equal HRs for all health measures, except for mortality, during all time periods. Age, educational level, occupation and LMA explained part of the difference between migrants and native Swedes. High LMA was associated with higher HRs for cardiovascular disorders among Western migrants, higher HRs of psychiatric disorders among non-Western migrants and higher HRs of mortality among both migrant groups compared with native Swedes. Conclusions There were indications of a HME among Western migrants, while less proof of a HME among non-Western migrants. Stratification for LMA and different migrant categories showed some interesting differences, and measurements of the HME may be inconclusive if not stratified by migrant category or other relevant variables. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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48. Trajectories and characteristics of functional impairment before and after suicide attempt in young adults - a nationwide register-based cohort study.
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Mo Wang, Helgesson, Magnus, Rahman, Syed, Niederkrotenthaler, Thomas, and Mittendorfer-Rutz, Ellenor
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SUICIDE risk factors , *SUICIDAL behavior , *COHORT analysis , *SUICIDE prevention , *YOUNG adults - Abstract
Background: Despite high rates of youth suicide attempt, little is known about patterns of functional impairment in terms of sickness absence and disability pension (SA/DP) before and after an attempt. The aim was to identify SA/DP trajectories among young adults with or without suicide attempt and to describe associations of socio-demographic and clinical factors with such trajectories. Methods: This is a population-based cohort study of 5385 individuals aged 25-40 years with a first suicide attempt during 2007-2009. One control for each case without suicide attempt was matched by socio-demographic factors. Trajectories of annual SA/DP months over an eight-year period were analysed by group-based trajectory modelling. Associations between socio-demographic and clinical factors with trajectory groups were estimated by chi2-test and multinomial logistic regression. Results: Two groups of suicide attempters had low SA/DP levels over time (62%). One group had constantly high SA/ DP levels (16%). The remaining two groups had increased SA/DP initially, which then decreased at different time points. Socio-demographic and clinical factors were associated with different trajectories (R2 = 0.44). Suicide attempters with low levels of SA/DP were likely to be unemployed whereas a larger proportion of those with high levels of SA/DP had psychiatric health care before the suicide attempt, particularly due to schizophrenia and non-affective psychoses or personality disorders. Conclusions: Young suicide attempters even with no/low levels of SA/DP were likely to be marginalised at the labour market. Schizophrenia/non-affective psychoses and personality disorders were important clinical factors for differentiating the levels of SA/DP among young suicide attempters. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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49. Labour-market marginalisation after mental disorders among young natives and immigrants living in Sweden.
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Helgesson, Magnus, Tinghög, Petter, Niederkrotenthaler, Thomas, Saboonchi, Fredrik, and Mittendorfer-Rutz, Ellenor
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LABOR market , *MENTAL health , *MENTAL illness & physiology , *PATHOLOGICAL psychology , *HEALTH of immigrants , *PHYSIOLOGY , *ECONOMICS , *MENTAL illness , *COMPARATIVE studies , *ETHNIC groups , *IMMIGRANTS , *RESEARCH methodology , *MEDICAL cooperation , *PENSIONS , *PEOPLE with disabilities , *RESEARCH , *SICK leave , *UNEMPLOYMENT , *EVALUATION research , *PROPORTIONAL hazards models - Abstract
Background: The aim was to investigate the associations between mental disorders and three different measures of labour-market marginalisation, and differences between native Swedes and immigrants.Methods: The study comprised 1,753,544 individuals, aged 20-35 years, and resident in Sweden 2004. They were followed 2005-2011 with regard to disability pension, sickness absence (≥90 days) and unemployment (≥180 days). Immigrants were born in Western countries (Nordic countries, EU, Europe outside EU or North-America/Oceania), or in non-Western countries (Africa, Asia or South-America). Mental disorders were grouped into seven subgroups based on a record of in- or specialised outpatient health care 2001-2004. Hazard ratios (HRs) with 95% confidence intervals (CIs) were computed by Cox regression models with both fixed and time-dependent covariates and competing risks. We also performed stratified analyses with regard to labour-market attachment.Results: Individuals with mental disorders had a seven times higher risk of disability pension, a two times higher risk of sickness absence, and a 20% higher risk of unemployment than individuals without mental disorders. Individuals with personality disorders and schizophrenia/non-affective psychoses had highest risk estimates for having disability pension and long-term sickness absence, while the risk estimates of long-term unemployment were similar among all subgroups of mental disorders. Among persons with mental disorders, native Swedes had higher risk estimates for disability pension (HR:6.6; 95%CI:6.4-6.8) than Western immigrants (4.8; 4.4-5.2) and non-Western immigrants (4.8; 4.4-5.1), slightly higher risk estimates for sickness absence (2.1;2.1-2.2) than Western (1.9;1.8-2.1), and non-Western (1.9;1.7-2.0) immigrants but lower risk estimates for unemployment (1.4;1.3-1.4) than Western (1.8;1.7-1.9) and non-Western immigrants (2.0;1.9-2.1). There were similar risk estimates among sub-regions within both Western and non-Western countries. Stratification by labour-market attachment showed that the risk estimates for immigrants were lower the more distant individuals were from gainful employment.Conclusions: Mental disorders were associated with all three measures of labour-market marginalisation, strongest with subsequent disability pension. Native Swedes had higher risk estimates for both disability pension and sickness absence, but lower risk estimates for unemployment than immigrants. Previous labour-market attachment explained a great part of the association between immigrant status and subsequent labour-market marginalisation. [ABSTRACT FROM AUTHOR]- Published
- 2017
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50. Differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders.
- Author
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Werlen, Laura, Helgesson, Magnus, and Mittendorfer-Rutz, Ellenor
- Abstract
Objectives: Immigrants with common mental disorders (CMDs) are reported to have a higher risk of disability pension (DP) compared with native residents; however, the reasons for this are not fully understood. This study aimed to investigate (1) differences in morbidity (3 measures) and socioeconomic status in native Swedes, 'Western' and 'non-Western' immigrants with CMDs and (2) interactions between morbidity and socioeconomic status and immigrant status regarding subsequent DP. Design: The study was a prospective populationbased cohort study using national register data. Crude and multivariate HRs with 95% CIs were calculated using the Cox regression (2007-2010). Participants: All individuals aged 18-59 with an incident sick-leave spell due to CMDs during 2006 were included in the study (N=66 097). The study population was divided into 3 groups based on country of birth: (1) Sweden, (2) immigrants from 'Western' countries (EU25, Norway, Iceland, North America and Oceania) and (3) immigrants from 'non-Western' countries (east Europe, Africa, Asia and South America). Results: Particularly, immigrants born in non-Western countries had higher levels of morbidity and lower socioeconomic status than natives (p>0.001). No significant differences in the associations between specialised psychiatric and somatic care with regard to subsequent DP were found between immigrants and native Swedes. Being prescribed more than 1 type of psychiatric medication was associated with higher HRs for DP in immigrants from Western (HR 3.34; CI 2.3 to 4.9) and non-Western countries (3.6; 1.9 to 6.4) than in native Swedes (2.55; 2.3 to 2.8) (pinteraction=0.003). Low education was a marginally stronger predictor for DP in non-Western immigrants than in native Swedes and Western immigrants (pinteraction=0.03). Conclusions: Morbidity measured by medication, but not by specialised healthcare, was a stronger predictor for DP in immigrants than in native Swedes, warranting scrutiny of differences in care and treatment in immigrants and native Swedes with CMDs. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
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