Long-term exposure to heavy physical work, disability pension due to musculoskeletal disorders and all-cause mortality : 20-year follow-upintroducing Helsinki Health Study job exposure matrix

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Ervasti , J , Pietiläinen , O , Rahkonen , O , Lahelma , E , Kouvonen , A , Lallukka , T & Mänty , M 2019 , ' Long-term exposure to heavy physical work, disability pension due to musculoskeletal disorders and all-cause mortality : 20-year follow-upintroducing Helsinki Health Study job exposure matrix ' , International Archives of Occupational and Environmental Health , vol. 92 , no. 3 , pp. 337-345 . https://doi.org/10.1007/s00420-018-1393-5

Title: Long-term exposure to heavy physical work, disability pension due to musculoskeletal disorders and all-cause mortality : 20-year follow-upintroducing Helsinki Health Study job exposure matrix
Author: Ervasti, Jenni; Pietiläinen, Olli; Rahkonen, Ossi; Lahelma, Eero; Kouvonen, Anne; Lallukka, Tea; Mänty, Minna
Contributor: University of Helsinki, Clinicum
University of Helsinki, Center for Population, Health and Society
University of Helsinki, Department of Public Health
University of Helsinki, Center for Population, Health and Society
University of Helsinki, Social Policy
University of Helsinki, Department of Public Health
University of Helsinki, Clinicum
Date: 2019-04
Language: eng
Number of pages: 9
Belongs to series: International Archives of Occupational and Environmental Health
ISSN: 0340-0131
URI: http://hdl.handle.net/10138/300775
Abstract: PurposeWe developed a job exposure matrix (JEM) to study the association between long-term exposure to heavy physical effort or heavy lifting and carrying at work with disability pension due to musculoskeletal disorders and premature all-cause mortality.MethodsExposure to heavy physical effort at work during 1996-2005 was estimated with JEM developed for this study population, where the exposure was based on occupational titles of the participants. We included all employees of the City of Helsinki, Finland, who had annual data of exposure for 8-10years (1996-2005, n=18387). The outcome variables were register-based, and the follow-up was from 2006 until 2015. The risk estimates were evaluated using competing risk survival analysis.ResultsThere were 530 (3%) disability pension events due to musculoskeletal disorders during the 10-year follow-up. After adjustment for sex, age, education and chronic diseases, employees in the second (SHR=1.46, 95% CI 1.05-2.05), third (SHR=2.73, 95% CI 2.00-2.29), and the highest exposure quartile (SHR=2.56, 95% CI 1.88-3.50) had a higher risk of musculoskeletal disability pension than employees in the lowest quartile. A total of 110 (4%) men and 266 (2%) women died during the follow-up. Men in the third quartile (SHR=2.29, 95% CI 1.23-4.24), and women in the highest exposure quartile (SHR=1.54, 95% CI 0.99-2.41) had a higher risk of premature mortality than those in the lowest quartile.ConclusionsEight to ten years of exposure to heavy physical effort at work is strongly associated with disability pension due to musculoskeletal disorders. This exposure also increases the risk of premature mortality, particularly among men.
Subject: Disability pension
Job exposure matrix
Mortality
Physical job demands
ISCHEMIC-HEART-DISEASE
RISK
ENVIRONMENT
DEMANDS
LIFE
3142 Public health care science, environmental and occupational health
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