1. Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees
- Author
-
Ossi Rahkonen, Olli Pietiläinen, Anna Huttu, Simon Øverland, Tea Lallukka, Aapo Hiilamo, Social Policy, Department of Public Health, University of Helsinki, Center for Population, Health and Society, and Helsinki Inequality Initiative (INEQ)
- Subjects
work disability ,Health, Toxicology and Mutagenesis ,lcsh:Medicine ,Article ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Humans ,Medicine ,Disabled Persons ,pain ,030212 general & internal medicine ,Cause specific ,Finland ,Multinomial logistic regression ,Work disability ,business.industry ,Mental Disorders ,public sector ,lcsh:R ,Public Health, Environmental and Occupational Health ,030210 environmental & occupational health ,3142 Public health care science, environmental and occupational health ,Work environment ,Population study ,business ,Demography - Abstract
This study investigates to what extent pain in multiple sites and common risk factors related to work environment, occupational class and health behaviours are associated with cause-specific work disability (WD) development clusters. The study population was derived from the Finnish Helsinki Health Study (n = 2878). Sequence analysis created clusters of similar subsequent cause-specific WD development in an eight-year follow-up period. Cross-tabulations and multinomial logistic regression were used to analyze the extent to which baseline factors, including pain in multiple sites, were associated with the subsequent WD clusters. A solution with five distinct WD clusters was chosen: absence of any WD (40%), low and temporary WD due to various causes (46%), WD due to mental disorders (3%), WD due to musculoskeletal (8%) and WD due to other causes (4%). Half of the employees in the musculoskeletal WD cluster had pain in multiple locations. In the adjusted model the number of pain sites, low occupational class and physical working conditions were linked to the musculoskeletal WD. The identified characteristics of the different WD clusters may help target tailored work disability prevention measures for those at risk.
- Published
- 2021