Occupational social class and disability retirement among municipal employees — the contribution of health behaviors and working conditions

Objectives The mechanisms through which a low socioeconomic position leads to disability retirement are not yet established. We examined, on the one hand, the associations between occupational social class and disability retirement due to all causes, musculoskeletal diseases, and mental disorders an...

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Veröffentlicht in:Scandinavian Journal of Work, Environment & Health. - NOROSH Nordic Association of Occupational Safety and health, 1975. - 37(2011), 6, Seite 464-472
1. Verfasser: Leinonen, Taina (VerfasserIn)
Weitere Verfasser: Pietiläinen, Olli, Laaksonen, Mikko, Rahkonen, Ossi, Lahelma, Eero, Martikainen, Pekka
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2011
Zugriff auf das übergeordnete Werk:Scandinavian Journal of Work, Environment & Health
Schlagworte:Economics Behavioral sciences Social sciences Business Health sciences
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245 1 0 |a Occupational social class and disability retirement among municipal employees — the contribution of health behaviors and working conditions 
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520 |a Objectives The mechanisms through which a low socioeconomic position leads to disability retirement are not yet established. We examined, on the one hand, the associations between occupational social class and disability retirement due to all causes, musculoskeletal diseases, and mental disorders and, on the other hand, the contribution of health behaviors and working conditions to these associations. Methods Middle-aged municipal employees from the Helsinki Health Study cohort baseline surveys in 2000–2002 (N=6516) were followed up until the end of 2010 for disability retirement. Retirement data were obtained from the registers of the Finnish Centre for Pensions and social class and covariates from the baseline surveys. Social class was categorized into managers and professionals, semi-professionals, routine non-manual employees, and manual workers. Cox regression analysis was used to calculate hazard ratios and their 95% confidence intervals. Results The risk of disability retirement was generally higher among those in lower social classes with a strong gradient for all causes, an even stronger gradient for musculoskeletal diseases, and a weaker non-linear association for mental disorders. These associations were largely mediated through physical workload among both women and men and hazardous exposures particularly among men. In mental disorders, job control also mediated the association. Strenuous desktop work and job demands widened the social class differences particularly among men and in mental disorders. The contribution of health behaviors was modest. Conclusions Improvements particularly in the physical working conditions but also the job control of those in lower social classes are likely to reduce socioeconomic differences in disability retirement. 
650 4 |a Economics  |x Economic disciplines  |x Labor economics  |x Retirement  |x Disability retirement 
650 4 |a Behavioral sciences  |x Sociology  |x Human societies  |x Social structures  |x Social stratification  |x Social classes 
650 4 |a Social sciences  |x Human geography  |x Workplaces  |x Working conditions 
650 4 |a Behavioral sciences  |x Psychology  |x Clinical psychology  |x Mental illness 
650 4 |a Business  |x Business administration  |x Human resources  |x Employee compensation  |x Employee benefits  |x Employee benefit plans  |x Pension plans  |x Disability pensions 
650 4 |a Health sciences  |x Medical conditions  |x Diseases  |x Musculoskeletal diseases 
650 4 |a Economics  |x Economic disciplines  |x Labor economics  |x Labor  |x Workforce  |x Blue collar workers  |x Manual labor 
650 4 |a Economics  |x Economic disciplines  |x Socioeconomics 
650 4 |a Social sciences  |x Population studies  |x Human populations  |x Persons  |x Men 
650 4 |a Economics  |x Economic disciplines  |x Labor economics  |x Employment  |x Occupations  |x Employees 
655 4 |a research-article 
700 1 |a Pietiläinen, Olli  |e verfasserin  |4 aut 
700 1 |a Laaksonen, Mikko  |e verfasserin  |4 aut 
700 1 |a Rahkonen, Ossi  |e verfasserin  |4 aut 
700 1 |a Lahelma, Eero  |e verfasserin  |4 aut 
700 1 |a Martikainen, Pekka  |e verfasserin  |4 aut 
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