Level of and Changes in Perceived Work Ability Among Partial Disability Pensioners and the Risk of Full Disability Pension-A Register-Linked Cohort Study.

IF 2.1 3区医学 Q1 REHABILITATION

Journal of Occupational Rehabilitation Pub Date : 2024-09-01 Epub Date: 2023-12-28 DOI:10.1007/s10926-023-10161-z

Mari-Anne Wallius, Tea Lallukka, Taina Leinonen, Jouko Remes, Jenni Ervasti

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引用次数: 0

Abstract

Purpose: To examine how the level of perceived work ability and its changes over time are associated with the risk of full disability pension (DP) among those receiving partial DP.

Methods: We retrieved survey data on perceived work ability and covariates (sociodemographic factors and health behaviors) from a cohort study of Finnish public sector employees at two time points: 2008 and 2012 and linked them with register data on DP obtained from the Finnish Centre for Pensions up to the end of 2018. Participants had begun receiving partial DP in 2008 and responded to either the 2008 survey (n = 159) or both surveys (n = 80). We used Cox regression for the analyses.

Results: During the follow-up, 61 (38%) of those receiving partial DP transitioned to full DP. Those with perceived poor work ability were at a higher risk of full DP (HR 1.93; 95% CI 1.11-3.38) than those with at least moderate work ability, after adjustment for covariates. During four years of receiving partial DP, perceived work ability decreased among 36% of the participants, and remained unchanged or improved among 64%. Change in work ability was not associated with a risk of full DP.

Conclusion: Among those receiving partial DP, perceived poor work ability was a risk factor for full DP. Our findings highlight the importance of monitoring the level of perceived work ability of those receiving partial DP to enable identifying individuals at an increased risk of full DP.

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部分残疾养老金领取者的认知工作能力水平和变化以及领取全额残疾养老金的风险--一项与登记簿相关的队列研究。

目的：研究感知工作能力水平及其随时间的变化与领取部分残疾抚恤金（DP）者领取全额残疾抚恤金（DP）的风险有何关联：我们从一项针对芬兰公共部门雇员的队列研究中获取了2008年和2012年两个时间点的感知工作能力和协变量（社会人口因素和健康行为）的调查数据，并将其与部分残疾抚恤金领取者的登记数据联系起来：这些数据与芬兰养老金中心（Finnish Centre for Pensions）截至2018年底的养老金登记数据进行了关联。参与者从2008年开始领取部分养老金，并回答了2008年的调查（n = 159）或两次调查（n = 80）。我们采用考克斯回归法进行分析：在随访期间，有 61 人（38%）从部分 DP 过渡到完全 DP。在对协变量进行调整后，那些被认为工作能力差的人比那些至少具有中等工作能力的人有更高的完全残疾风险（HR 1.93; 95% CI 1.11-3.38）。在接受部分DP的四年中，36%的参与者的工作能力有所下降，64%的参与者的工作能力保持不变或有所提高。工作能力的变化与完全残疾方案的风险无关：结论：在接受部分残疾方案治疗的患者中，认为自己工作能力差是导致完全残疾的一个风险因素。我们的研究结果凸显了监测部分接受残疾方案治疗者的感知工作能力水平的重要性，以便识别出完全残疾方案治疗风险增加的个体。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational Rehabilitation Multiple-

CiteScore

5.80

自引率

12.10%

发文量

期刊介绍： The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law. A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.