| Titre : | Diagnosis-specific sick leave as a long-term predictor of disability pension : a 13-year follow-up of the GAZEL cohort study. (2012) |
| Auteurs : | K. ALEXANDERSON ; J.E. FERRIE ; M. GOLDBERG ; J. HEAD ; M. KIVIMAKI ; M. MELCHIOR ; Archana Singh-Manoux ; VAHTERA (J.) : FIN. Finnish Institute of Occupational Health. Helsinki. ; WESTERLUND (H.) : SWE. Stress Research Institute. Stockholm University. ; M. ZINS ; Centre for research in Epidemiology and Population Health. Versailles Saint Quentin University. Villejuif. FRA ; Division of Insurance Medicine. Department of Clinical Neuroscience. Karolinska Institutet. Stockholm. SWE ; Inserm. U1018 Occupational and Social Determinants of Health. Villejuif. FRA |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 66, n° 2, 2012) |
| Pagination : | 155-159 |
| Langues: | Anglais |
| Mots-clés : | Diagnostic ; Long terme ; Incapacité ; Pension d'invalidité ; Congé maladie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS qqFGR0xI. Diffusion soumise à autorisation]. Background Factors that increase the risk of labour market exclusion are poorly understood. In this study, we examined the extent to which all-cause and diagnosis-specific sick leave predict subsequent disability pension (DP). Methods Prospective cohort study of 20434 persons employed by the French national gas and electric company (the GAZEL study). New sick-leave spells >7 days in 1990-1992 were obtained from company records. Follow-up for DP was from 1994 to 2007. Results The HR, adjusted for age and occupational position, for DP was 3.5 (95 % CI 2.7 to 4.5) in men and 2.6 (95 % CI 1.9 to 3.5) in women with one or more sick-leave spells >7 days compared with those with no sick leave. The strongest predictor of DP was sick leave with a psychiatric diagnosis, HR 7.6 (95 % CI 5.2 to 10.9) for men and 4.1 (95 % CI 2.9 to 5.9) for women. Corresponding HRs for sick leave due to circulatory diagnoses in men and women were 5.6 (95 % CI 3.7 to 8.6) and 3.1 (95 % CI 1.8 to 5.3), for respiratory diagnoses 3.9 (95 % CI 2.6 to 5.8) and 2.6 (95 % CI 1.7 to 4.0), and musculoskeletal diagnoses 4.6 (95 % CI 3.4 to 6.4) and 3.3 (95 % CI 2.2 to 4.8), respectively. Conclusions Sick leave with a psychiatric diagnosis is a major risk factor for subsequent DP, especially among men. Sick leave due to musculoskeletal or circulatory disorders was also a strong predictor of DP. Diagnosis-specific sick leave should be recognised as an early risk marker for future exclusion from the labour market. |
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