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High prevalence of sickness absence and disability pension among multiple sclerosis patients: a nationwide population-based study.
Karolinska Inst, Dept Insurance Med.ORCID iD: 0000-0001-6138-6427
Karolinska Inst, Dept Clin Neurosci.
Karolinska Inst, Dept Insurance Med.
Karolinska Inst, Dept Insurance Med.
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2013 (English)In: Multiple Sclerosis, ISSN 1352-4585, E-ISSN 1477-0970, Vol. 19, no 14, 1923-30 p.Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Although multiple sclerosis (MS) often implies substantial disability, there is little knowledge about sick leave and disability pension among MS patients.

OBJECTIVES: The purpose of this study was to estimate the prevalence rates of sick leave and disability pension among MS patients and to explore how socio-demographics are associated with such rates.

METHODS: The register data of all people who lived in Sweden in 2005 and were 16-64 years old was used to identify 9721 MS patients and matched controls. Adjusted odds ratios (ORs) with 95% confidence intervals (CIs) were calculated and effect modifications were evaluated with Wald X(2) tests.

RESULTS: In 2005, 61.7% of the MS patients were on partial or full disability pension compared to 14.2% among the controls. Of the others, 36.8% had ≥ 1 sick-leave spell for >14 days during that year. Socio-demographics were similarly associated with sick leave and disability pension among MS patients and controls, with the noteworthy exceptions that female gender and immigration status were less potent risk factors in the MS population (p<0.05).

CONCLUSION: In spite of widespread access to modern health care including disease-modifying drugs, the majority of MS patients of working ages were on a disability pension. Strategies enabling MS patients to retain their footing in the labour market are needed.

Place, publisher, year, edition, pages
2013. Vol. 19, no 14, 1923-30 p.
Keyword [en]
Multiple sclerosis; disability pension; sick leave; socio-demographics
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:rkh:diva-1586DOI: 10.1177/1352458513488234PubMedID: 23652218OAI: oai:DiVA.org:rkh-1586DiVA: diva2:801549
Available from: 2015-04-09 Created: 2015-03-17 Last updated: 2015-04-22Bibliographically approved

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CiteExportLink to record
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  • apa
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