Childhood adversity, adult socioeconomic status and risk of work disability : a prospective cohort study

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Halonen , J I , Kivimaki , M , Vahtera , J , Pentti , J , Virtanen , M , Ervasti , J , Oksanen , T & Lallukka , T 2017 , ' Childhood adversity, adult socioeconomic status and risk of work disability : a prospective cohort study ' , Occupational and Environmental Medicine , vol. 74 , no. 9 , pp. 659-666 . https://doi.org/10.1136/oemed-2017-104319

Title: Childhood adversity, adult socioeconomic status and risk of work disability : a prospective cohort study
Author: Halonen, Jaana I.; Kivimaki, Mika; Vahtera, Jussi; Pentti, Jaana; Virtanen, Marianna; Ervasti, Jenni; Oksanen, Tuula; Lallukka, Tea
Contributor: University of Helsinki, Clinicum
University of Helsinki, Department of Public Health
University of Helsinki, Clinicum
Date: 2017-09
Language: eng
Number of pages: 8
Belongs to series: Occupational and Environmental Medicine
ISSN: 1351-0711
URI: http://hdl.handle.net/10138/224326
Abstract: Objectives To examine the combined effects of childhood adversities and low adult socioeconomic status (SES) on the risk of future work disability. Methods Included were 34 384 employed Finnish Public Sector study participants who responded to questions about childhood adversities (none vs any adversity, eg, parental divorce or financial difficulties) in 2008, and whose adult SES in 2008 was available. We categorised exposure into four groups: neither (reference), childhood adversity only, low SES only or both. Participants were followed from 2009 until the first period of register-based work disability (sickness absence >9 days or disability pension) due to any cause, musculoskeletal or mental disorders; retirement; death or end of follow-up (December 2011). We ran Cox proportional hazard models adjusted for behavioural, health-related and work-related covariates, and calculated synergy indices for the combined effects. Results When compared with those with neither exposure, HR for work disability from any cause was increased among participants with childhood adversity, with low SES, and those with both exposures. The highest hazard was observed in those with both exposures: HR 2.53, 95% CI 2.29 to 2.79 for musculoskeletal disability, 1.55, 95% CI 1.36 to 1.78 for disability due to mental disorders and 1.29, 95% CI 1.20 to 1.39 for disability due to other reasons. The synergy indices did not indicate synergistic effects. Conclusions These findings indicate that childhood psychosocial adversity and low adult SES are additive risk factors for work disability.
Subject: OCCUPATIONAL SOCIAL-CLASS
SICKNESS ABSENCE
CARDIOVASCULAR-DISEASE
MENTAL-DISORDERS
HEALTH BEHAVIORS
ILL-HEALTH
FOLLOW-UP
PENSION
POPULATION
RETIREMENT
3142 Public health care science, environmental and occupational health
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