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The joint contribution of diabetes and work disability to premature death during working age: a population-based study in Sweden.
Finnish Institute of Occupational Health, Helsinki, Finland Department of Public Health, University of Helsinki, Finland .
Finnish Institute of Occupational Health, Helsinki, Finland.
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet.
The Swedish Red Cross University College, Department of Public Health and Medicine. Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet.ORCID iD: 0000-0001-6138-6427
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2016 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 44, no 6, 580-586 p.Article in journal (Refereed) Published
Abstract [en]

AIMS: We aimed to examine how newly diagnosed diabetes and work disability jointly predict death during working age.

METHODS: We used prospective population-based register data of 25-59-year-old adults who had lived in Sweden since 2002. All those with onset of diabetes recorded in 2006 were included (n=14266). A 2% random sample (n=78598) was drawn from the general population, comprising people with no indication of diabetes during 2003-2010. Net days of sickness absence and disability pension in 2005-2006 were examined; the follow-up time for mortality was 2007-2010. Cox regression models were fitted (hazard ratios, HR, 95% confidence interval, CI) adjusting for sociodemographics and time-dependent health conditions.

RESULTS: Individuals with diabetes and work disability for over 6 months were at a higher risk of premature death (HR=14.2, 95% CI 12.0-16.8) than their counterparts without diabetes and work disability. A high risk was also observed among people without diabetes but equally prolonged work disability (HR=6.4, 95% CI 5.4-7.6). Diabetes was associated with premature death even without work disability (HR=3.5, 95% CI 2.8-4.4). The associations were particularly attenuated after adjustment for health conditions assessed over the follow-up.

CONCLUSIONS: DIABETES AND WORK DISABILITY JOINTLY INCREASE THE RISK OF DEATH DURING WORKING AGE DIABETES WITH LONG-TERM WORK DISABILITY IS ASSOCIATED WITH THE HIGHEST RISK OF PREMATURE DEATH, WHICH HIGHLIGHTS THE IMPORTANCE OF THEIR PREVENTION AND EARLY DETECTION.

Place, publisher, year, edition, pages
2016. Vol. 44, no 6, 580-586 p.
Keyword [en]
Disability pension; Longitudinal studies; Multiple sclerosis; Risk factors; Sick-leave; Sociodemographics
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:rkh:diva-2272DOI: 10.1177/1403494816655059PubMedID: 27324618OAI: oai:DiVA.org:rkh-2272DiVA: diva2:957097
Available from: 2016-09-01 Created: 2016-09-01 Last updated: 2016-09-01Bibliographically approved

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