Work disability before and after diabetes diagnosis: A nationwide population-based register study in Sweden

J. Ervasti, M. Virtanen, J. Pentti, T. Lallukka, P. Tinghög, L. Kjeldgard, E. Mittendorfer-Rutz and K. Alexanderson

American Journal of Public Health, 2015, vol. 105, issue 6, e22-e29

Abstract: Objectives. We evaluated the risk of work disability (sick leave and disability pension) before and after diabetes diagnosis relative to individuals without diabetes during the same time period, as well as the trajectory of work disability around the diagnosis. Methods. This Swedish population-based cohort study with register data included 14 428 individuals with incident diabetes in 2006 and 39 702 individuals without diabetes during 2003 to 2009. Results. Work disability was substantially higher among people with diabetes (overall mean = 95 days per year over the 7 years, SD = 143) than among those without diabetes (mean = 35 days, SD = 95). The risk of work disability was slightly higher after diabetes diagnosis than before and compared with the risk of those without diabetes. The trajectory of work disability was already increasing before diagnosis, increased even more at the time of diagnosis, and leveled off after diagnosis. Individual sociodemographic characteristics and comorbid conditions contributed both to the risk and to the trajectory of work disability. Conclusions. Although diabetes has an independent effect on work disability, sex, age, education, and comorbid conditions play a significant role. © 2015, American Public Health Association Inc. All rights reserved.

Keywords: adult; age; comorbidity; diabetes mellitus; disabled person; educational status; female; human; incidence; male; medical leave; middle aged; pension; register; risk; risk factor; sex difference; statistics and numerical data; Sweden, Adult; Age Factors; Comorbidity; Diabetes Mellitus; Disabled Persons; Educational Status; Female; Humans; Incidence; Male; Middle Aged; Pensions; Registries; Risk; Risk Factors; Sex Factors; Sick Leave; Sweden (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302646_9

DOI: 10.2105/AJPH.2015.302646

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