Unemployment Trajectories and the Early Risk of Disability Pension among Young People with and without Autism Spectrum Disorder : A Nationwide Study in Sweden

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Lallukka , T , Mittendorfer-Rutz , E , Ervasti , J , Alexanderson , K & Virtanen , M 2020 , ' Unemployment Trajectories and the Early Risk of Disability Pension among Young People with and without Autism Spectrum Disorder : A Nationwide Study in Sweden ' , International Journal of Environmental Research and Public Health , vol. 17 , no. 7 , 2486 . https://doi.org/10.3390/ijerph17072486

Title: Unemployment Trajectories and the Early Risk of Disability Pension among Young People with and without Autism Spectrum Disorder : A Nationwide Study in Sweden
Author: Lallukka, Tea; Mittendorfer-Rutz, Ellenor; Ervasti, Jenni; Alexanderson, Kristina; Virtanen, Marianna
Contributor: University of Helsinki, Department of Public Health
University of Helsinki, Finnish Institute of Occupational Health (TTL)
Date: 2020-04
Language: eng
Number of pages: 16
Belongs to series: International Journal of Environmental Research and Public Health
ISSN: 1661-7827
URI: http://hdl.handle.net/10138/315996
Abstract: Depression and anxiety are associated with unemployment and disability pension, while autism spectrum disorder (ASD) is less studied. We aimed to first identify unemployment trajectories among young adults with and without ASD, and then to examine their social determinants. Finally, we used the trajectories as determinants for subsequent disability pension. We used a population-based cohort, including 814 people who were 19-35 years old, not on disability pension, and who had their ASD diagnosis between 2001 and 2009. A matched reference population included 22,013 people with no record of mental disorders. Unemployment follow-up was the inclusion year and four years after. Disability pension follow-up started after the unemployment follow-up and continued through 2013. We identified three distinctive trajectories of unemployment during the follow-up: (1) low, then sharply increasing (9%,) (2) low (reference, 67%), and (3) high then slowly decreasing (24%). People with ASD had higher odds of belonging belong to the trajectory groups 1 (OR 2.53, 95% CI 2.02-3.18) and 3 (OR 3.60, 95% CI 3.08-4.19). However, the mean number of unemployment days was relatively low in all groups. A disability pension was a rare event in the cohort, although memberships to groups 1 and 3 were associated with the risk of a future disability pension. More knowledge is needed about factors facilitating participation in paid employment among people with ASD.
Subject: autism spectrum disorder
risk factor epidemiology
population-based
trajectory analysis
person-oriented methods
unemployment
disability pension
social determinants
HIGH-FUNCTIONING AUTISM
SUPPORTED EMPLOYMENT
ADULTS
POPULATION
OUTCOMES
3142 Public health care science, environmental and occupational health
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