Work participation and working life expectancy after a disabling shoulder lesion

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http://hdl.handle.net/10138/311865

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Siren , M , Viikari-Juntura , E , Arokoski , J & Solovieva , S 2019 , ' Work participation and working life expectancy after a disabling shoulder lesion ' , Occupational and Environmental Medicine , vol. 76 , no. 6 , pp. 363-369 . https://doi.org/10.1136/oemed-2018-105647

Title: Work participation and working life expectancy after a disabling shoulder lesion
Author: Siren, Maria; Viikari-Juntura, Eira; Arokoski, Jari; Solovieva, Svetlana
Other contributor: University of Helsinki, HUS Internal Medicine and Rehabilitation
University of Helsinki, University of Helsinki


Date: 2019-06
Language: eng
Number of pages: 7
Belongs to series: Occupational and Environmental Medicine
ISSN: 1351-0711
DOI: https://doi.org/10.1136/oemed-2018-105647
URI: http://hdl.handle.net/10138/311865
Abstract: Objective T o examine the impact of a disabling nontraumatic shoulder lesion on work participation and working life expectancy. Methods From a 70% random sample of the Finnish population, we selected 30-59-year-old wage earners with prolonged sickness absence due to a shoulder lesion (n=7644). We followed the persons from 2006 to 2014 and calculated the proportion of time a person spent in different work participation statuses. The associations of potential determinants with a preterm exit from paid employment were tested using Cox regression. Years expected to be spent in different work participation statuses were estimated applying the Sullivan method for healthy life expectancy. Results During 9 years of follow-up time spent at work was reduced from 77.7% to 46.7%, and 15.8% of the persons were granted disability retirement, mostly due to shoulder and other musculoskeletal diseases. Compared with the general population persons with a disabling shoulder disease are expected to lose from 1.8 to 8.1 years of working life, depending on their age. Age, gender, education, duration of initial sickness absence due to the shoulder lesion, not being able to return to work sustainably and participation in vocational rehabilitation predicted preterm exit from work. Heavy lifting increased the risk of preterm exit marginally. Conclusions Working life expectancy is markedly reduced in persons with a disabling shoulder lesion, mainly because of disability retirement due to musculoskeletal problems. Clinicians should consider interventions targeted at improving musculoskeletal functioning and necessary work modifications before shoulder problems become chronic or the persons develop disabling comorbid musculoskeletal conditions.
Subject: MUSCULOSKELETAL DISORDERS
HIP OSTEOARTHRITIS
DISABILITY PENSION
PHYSICAL WORKLOAD
GENERAL-PRACTICE
CLIMBING STAIRS
PAID EMPLOYMENT
UPPER EXTREMITY
RISK-FACTORS
ILL-HEALTH
3142 Public health care science, environmental and occupational health
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