Self-reported health problems in a health risk appraisal predict permanent work disability : a prospective cohort study of 22,023 employees from different sectors in Finland with up to 6-year follow-up

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Pihlajamäki , M , Uitti , J , Arola , H , Korhonen , M , Nummi , T & Taimela , S 2020 , ' Self-reported health problems in a health risk appraisal predict permanent work disability : a prospective cohort study of 22,023 employees from different sectors in Finland with up to 6-year follow-up ' , International Archives of Occupational and Environmental Health , vol. 93 , no. 4 , pp. 445-456 . https://doi.org/10.1007/s00420-019-01497-2

Title: Self-reported health problems in a health risk appraisal predict permanent work disability : a prospective cohort study of 22,023 employees from different sectors in Finland with up to 6-year follow-up
Author: Pihlajamäki, Minna; Uitti, Jukka; Arola, Heikki; Korhonen, Mikko; Nummi, Tapio; Taimela, Simo
Contributor: University of Helsinki, University of Tampere
University of Helsinki, Department of Surgery
Date: 2020-05
Language: eng
Number of pages: 12
Belongs to series: International Archives of Occupational and Environmental Health
ISSN: 0340-0131
URI: http://hdl.handle.net/10138/316246
Abstract: Purpose Work disability (WD) as a medico-legal concept refers to disability benefits (DB) that are granted due to diseases that permanently reduce work ability. We studied whether an occupational healthcare instrument for the prediction of sickness absence (SA) risk-a health risk appraisal (HRA)-also predicts permanent WD. Methods HRA results were combined with registry data on DB of 22,023 employees from different industry sectors. We analysed how the HRA risk categories predict DB and considered occupational group, gender, age, and prior SA as confounding variables. Cumulative incidence function illustrates the difference between the HRA risk categories, and the Fine-Gray model estimates the predictors of WD during 6-year follow-up. Results The most common primary reasons for permanent WD were musculoskeletal (39%) and mental disorders (21%). Self-reported health problems in the HRA, labelled as "WD risk factors", predicted DB when controlling for age and prior SA. Hazard ratios were 10.9 or over with the lower limit of the 95% confidence interval 3.3 or over among those with two simultaneous WD risk factors. 14% of the females and 17% of the males with three or more simultaneous WD risk factors had received a DB, whereas the respective figures among those without findings were 1.9% and 0.3%. Conclusions Self-reported health problems in the HRA, especially multiple simultaneous WD risk factors, predict permanent WD among both genders across occupational groups. Screening WD risk with a self-administered questionnaire is a potential means for identifying high-risk employees for targeting occupational healthcare actions.
Subject: Health risk appraisal
Work disability
Disability retirement
Cumulative incidence function
SICKNESS ABSENCE
SOCIOECONOMIC DIFFERENCES
CUMULATIVE INCIDENCE
PENSION
RETIREMENT
ABILITY
LEAVE
RECOMMENDATIONS
PROGRAM
MARKER
3142 Public health care science, environmental and occupational health
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