16 results on '"Helgesson, Magnus"'
Search Results
2. 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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3. 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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4. 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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5. 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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6. 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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Wang, Mo, Vaez, Marjan, Dorner, Thomas Ernst, Rahman, Syed Ghulam, Helgesson, Magnus, Ivert, Torbjörn, and Mittendorfer-Rutz, Ellenor
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Adult ,Male ,Sweden ,Time Factors ,Epidemiology ,Myocardial Infarction ,acute myocardial infarction ,sick leave ,insurance medicine ,Comorbidity ,Middle Aged ,mortality ,Cohort Studies ,Socioeconomic Factors ,Recurrence ,Risk Factors ,reinfarction ,Humans ,Female ,Registries ,disability pension ,Original Research - 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.
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- 2019
7. 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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8. 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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LUMBAR vertebrae surgery ,CONFIDENCE intervals ,IMMIGRANTS ,LONGITUDINAL method ,PENSIONS ,RISK assessment ,SEX distribution ,SICK leave ,WORK capacity evaluation ,EDUCATIONAL attainment ,SURGICAL decompression ,DESCRIPTIVE statistics - Abstract
Aims: Scientific knowledge about risk factors for work disability in terms of long-term sickness absence and disability pension following lumbar spine decompression surgery remains insufficient. This study aimed to investigate the associations between socio-demographic, work-related, and medical characteristics with subsequent long-term sickness absence (>90 days) and disability pension for individuals who underwent lumbar spine decompression surgery. Methods: A prospective cohort study of all individuals aged 19–60 years with diagnosed dorsopathies, who underwent lumbar spine decompression surgery 2008–10 in Sweden (n =7373) was performed. Univariate and multivariate hazard ratios with 95% confidence intervals regarding long-term sickness absence and disability pension with a 3-year follow-up period were estimated by Cox proportional regression. Results: Low educational level, being a non-European immigrant and preoperative sickness absence were risk factors for both long-term sickness absence and disability pension (hazard ratios: 1.2–3.8). Female sex was a risk factor for long-term sickness absence (hazard ratios: 1.3) whereas age >44 years and being a Nordic immigrant were risk factors for disability pension (hazard ratios: 1.9–2.6). Medical factors as common mental disorders, other mental disorders, prescribed psychiatric medication and somatic comorbidity were risk factors for both long-term sickness absence and disability pension (hazard ratios: 1.2–3.4). A simultaneous lumbar fusion surgery and high preoperative pain severity were risk factors for long-term sickness absence (hazard ratios 1.2–1.8). Conclusions: To prevent long-term work disability after lumbar spine decompression surgery, specific focus is required on older and female patients, those with mental or somatic comorbidities, high levels of preoperative pain or sickness absence, with a simultaneous lumbar fusion surgery, a low educational level or a non-European immigrant background. [ABSTRACT FROM AUTHOR]
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- 2019
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9. 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]
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- 2019
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10. Unemployment at a young age and sickness absence, disability pension, death and future unemployment - A register-based study of native Swedish and immigrant young adults
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Helgesson, Magnus
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Young Adult ,Arbetsmedicin och miljömedicin ,Unemployment ,Immigrants ,Disability Pension ,Occupational Health and Environmental Health ,Sick Leave - Abstract
Youth unemployment is an increasing burden on societies around the world. This prospective, register-based cohort study examined the relationship between unemployment and sickness absence, disability pension, death and future unemployment among youth in Sweden. A comparison was also made between immigrants and native Swedes. Another aim was to see if Active Labour Market Programs (ALMPs) and attained education moderated the outcomes. The baseline year was 1992, a year of severe economic downturn. The follow-up period was from 1993 to 2007, divided into three 5-year periods. The study group of 199,623 individuals comprised all immigrants born between 1968 and 1972 who immigrated before 1990 (25,607) and a random sample of native Swedes in the same age range (174,016). Individuals with unemployment benefit in 1990-1991, disability pension in 1990-1992 or severe disorders leading to hospitalization in 1990-1992 were excluded in order to minimize selection bias. Those who were unemployed in 1992 had elevated risk, measured as odds ratios, of ≥60 days of sickness absence, disability pension, ≥100 days of unemployment and all, except native Swedish women, had elevated risk of death during follow-up. The risk of future unemployment declined until the last follow-up period, while the elevated risk of future sickness absence was about the same in all three follow-up periods. Higher level of education at baseline decreased the risk of future unemployment. Individuals participating in ALMPs had an increased risk of future unemployment, and immigrant women had an increased risk of sickness absence, compared to non-participating individuals. Attained education between 1993 and 1997 decreased the risk of future unemployment and decreased the risk of sickness absence among immigrants. The risk of both future unemployment and future sickness absence increased with the length of unemployment in 1992. Immigrants had higher risk of unemployment both at baseline and follow-up compared with native Swedes, but followed the pattern of native Swedes when unemployed. The conclusion are that exposure to unemployment are associated with elevated risk of future unemployment, sickness absence, disability pension and death fifteen years after exposure. To a society this will mean substantial costs in the form of increased welfare payments and loss of productivity and tax income. Selection to unemployment by individuals already sick, may explain part of the association between unemployment and the studied outcomes.
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- 2014
11. 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]
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- 2017
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12. 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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13. Exposure to different lengths of sick leave and subsequent work absence among young adults.
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Helgesson, Magnus, Johansson, Bo, Wernroth, Lisa, and Vingård, Eva
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SICK leave , *HEALTH insurance , *WORK & education , *YOUNG adults , *COHORT analysis , *DISABILITY insurance statistics , *IMMIGRANTS - Abstract
Background: Sweden has a public and easily accessible sickness insurance. Research shows, however, downsides to taking sick leave. Both short and longer periods of sick leave have been seen to increase the risk for subsequent work absence. The aim of this study was to investigate whether there was an association between sick leave claimed in 1993 and work absence in the subsequent 15 years, i.e. up to 2008. A further aim was to explore differences in this relation with regard to gender, origin and educational level at baseline.Methods: Our cohort consisted of all immigrants aged 21-25 years in Sweden in 1993 and a control group of native Swedes in the same age group.Results: Subsequent work absence increased from 313 days among persons with no days of claimed sick leave in 1993 to 567 days among persons with 1-7 days of claimed sick leave in 1993. Thereafter there was a lower, but steady increase in days of future work absence, to 611 days among persons with 8-14 days of sick leave claimed in 1993. There was an interaction between sick leave and gender, education and origin respectively regarding later work absence.Conclusion: Periods of sick leave claimed were associated with subsequent work absence. Immigrants, women and persons with low education had the most risk of future work absence after a period of sick leave. [ABSTRACT FROM AUTHOR]- Published
- 2016
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14. Trajectories of work disability and unemployment among young adults with common mental disorders.
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Helgesson, Magnus, Tinghög, Petter, Wang, Mo, Rahman, Syed, Saboonchi, Fredrik, and Mittendorfer-Rutz, Ellenor
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OCCUPATIONAL diseases , *UNEMPLOYMENT , *CHILD psychopathology , *MENTAL illness , *DISEASES in young adults , *PSYCHIATRIC epidemiology , *PEOPLE with disabilities , *RESEARCH funding ,PSYCHOLOGY of People with disabilities - Abstract
Background: Labour-market marginalisation (LMM) and common mental disorders (CMDs) are serious societal problems. The aims were to describe trajectories of LMM (both work disability and unemployment) among young adults with and without CMDs, and to elucidate the characteristics associated with these trajectories.Methods: The study was based on Swedish registers and consisted of all individuals 19-30 years with an incident diagnosis of a CMD in year 2007 (n = 7245), and a matched comparison group of individuals without mental disorders during the years 2004-07 (n = 7245). Group-based trajectory models were used to describe patterns of LMM both before, and after the incident diagnosis of a CMD. Multinomial logistic regressions investigated the associations between sociodemographic and medical covariates and the identified trajectories.Results: Twenty-six percent (n = 1859) of young adults with CMDs followed trajectories of increasing or constant high levels of work disability, and 32 % (n = 2302) followed trajectories of increasing or constant high unemployment. In the comparison group, just 9 % (n = 665) followed increasing or constant high levels of work disability and 21 % (n = 1528) followed trajectories of increasing or constant high levels of unemployment. A lower share of young adults with CMDs followed trajectories of constant low levels of work disability (n = 4546, 63%) or unemployment (n = 2745, 38%), compared to the level of constant low work disability (n = 6158, 85%) and unemployment (n = 3385, 50%) in the comparison group. Remaining trajectories were fluctuating or decreasing. Around 50% of young adults with CMDs had persistent levels of LMM at the end of follow-up. The multinomial logistic regression revealed that educational level and comorbid mental disorders discriminated trajectories of work disability, while educational level, living area and age determined differences in trajectories of unemployment (R2difference = 0.02-0.05, p < 0.001).Conclusions: A large share, nearly 50%, of young adults with CMDs, substantially higher than in the comparison group of individuals without mental disorders, display increasing or high persistent levels of either work disability or unemployment throughout the follow-up period. Low educational level, comorbidity with other mental disorders and living in rural areas were factors that increased the probability for LMM. [ABSTRACT FROM AUTHOR]- Published
- 2018
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15. 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
16. Differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders
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Ellenor Mittendorfer-Rutz, Laura Werlen, Magnus Helgesson, University of Zurich, and Helgesson, Magnus
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Male ,Pediatrics ,Immigration ,2700 General Medicine ,0302 clinical medicine ,Risk Factors ,Ethnicity ,Medicine ,Prospective Studies ,030212 general & internal medicine ,media_common ,education.field_of_study ,Mental Disorders ,General Medicine ,Middle Aged ,Europe ,Common Mental Disorders ,Sick leave ,Population study ,Female ,Public Health ,Sick Leave ,Cohort study ,Adult ,medicine.medical_specialty ,Asia ,Adolescent ,media_common.quotation_subject ,Oceania ,Population ,Emigrants and Immigrants ,610 Medicine & health ,Pensions ,Young Adult ,03 medical and health sciences ,Insurance ,Psychiatric medication ,Humans ,Disabled Persons ,Disability, Insurance ,education ,Socioeconomic status ,Proportional Hazards Models ,Sweden ,Psychotropic Drugs ,Disability ,business.industry ,Research ,10060 Epidemiology, Biostatistics and Prevention Institute (EBPI) ,Disability pension ,030227 psychiatry ,Social Class ,Africa ,Americas ,business ,Demography - 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 population-based 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) (p interaction =0.003). Low education was a marginally stronger predictor for DP in non-Western immigrants than in native Swedes and Western immigrants (p interaction =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.
- Published
- 2017
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