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dc.contributor.authorStøver, Morten
dc.contributor.authorPape, Kristine
dc.contributor.authorJohnsen, Roar
dc.contributor.authorFleten, Nils
dc.contributor.authorSund, Erik Reidar
dc.contributor.authorClaussen, Bjørgulf
dc.contributor.authorBjørngaard, Johan Håkon
dc.date.accessioned2012-09-10T12:15:25Z
dc.date.available2012-09-10T12:15:25Z
dc.date.issued2012
dc.description.abstractThis study explored the association of unemployment and an increased risk of receiving disability pension, and the possibility that this risk is attributed to municipality-specific characteristics. A cohort of 7,985 40-42 year olds was followed for 18 years in national registers, identifying new episodes of unemployment and cases of disability pension. The association between an unemployment period and disability pension in the subsequent year was estimated using discrete time multilevel logistic regressions and clustering individuals by municipality. The association between unemployment and disability pension was adjusted for age in the follow up-period, sex, baseline health status, health behaviour and education level. A conditional intra-class correlation coefficient (ICC) was estimated as a measure of inter-municipality variance. In the follow-up period, 2784 (35%) of the participants were granted disability pension. The crude odds ratio for receiving disability pension after unemployment (adjusted for age in follow-up period and sex only) was 1.42 (95% CI 1.1-1.8). Adjusting for baseline health indicators reduced the odds ratio of unemployment to 1.33 (CI 1.1-1.7). A fully adjusted model, including education level, further reduced the odds ratio of unemployment to 1.25 (CI 1.00-1.6). The ICC of the municipality level was approximately 2%. Becoming unemployed increased the risk of receiving subsequent disability pension. However, adjusting for baseline health status, health behaviour and education attenuated this impact considerably. The multilevel analysis indicated that a minor, yet statistically significant, proportion of the risk of disability pension can be attributed to the municipality of residence.en
dc.identifier.citationBMC Public Health (2012) vol.12:148en
dc.identifier.cristinIDFRIDAID 912447
dc.identifier.doidoi: 10.1186/1471-2458-12-148
dc.identifier.issn1471-2458
dc.identifier.urihttps://hdl.handle.net/10037/4426
dc.identifier.urnURN:NBN:no-uit_munin_4140
dc.language.isoengen
dc.publisherBioMed Centralen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en
dc.titleUnemployment and disability pension-an 18-year follow-up study of a 40-year-old population in a Norwegian countyen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


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