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Regional differences in disability retirement: explaining between-county differences in Finland.
MedLine Citation:
PMID:  23807617     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: This study aimed to examine between-county differences in disability retirement due to main diagnosis groups and explain these differences by individual-level demographic and work-related factors and municipality-level characteristics.
METHODS: A 20% random sample of the Finnish social insured population aged 25-62 years at the end of 2006 was followed for disability retirement until the end of 2011. Individual-level demographic and work-related covariates were derived from the registers of the Finnish Centre for Pensions and complemented by municipality-level covariates from the national SotkaNet databank. Standardized disability retirement rates were calculated and logistic regression analysis was used to examine between-county differences during the 5-year follow-up.
RESULTS: In the county with the highest incidence, disability retirement was nearly twice as common as in the county with the lowest incidence. The between-county differences were larger in disability retirement due to cardiovascular and musculoskeletal diseases than due to other causes. Adjusting for demographic and work-related characteristics explained a third of the differences. Further adjustment for municipal characteristics explained up to 60% of the differences. However, in regions of Northern and Eastern Finland with the highest incidence of disability retirement, 20-30% excess incidence remained even after all adjustments.
CONCLUSIONS: Large differences exist in disability retirement between Finnish counties. Disability retirement due to musculoskeletal diseases has the highest impact on the overall differences. Demographic structure and work-related characteristics but also municipality-level characteristics contribute to these differences.
Authors:
Mikko Laaksonen; Raija Gould
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-6-28
Journal Detail:
Title:  Scandinavian journal of work, environment & health     Volume:  -     ISSN:  1795-990X     ISO Abbreviation:  Scand J Work Environ Health     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-6-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7511540     Medline TA:  Scand J Work Environ Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Finnish Centre for Pensions, FI-00065 Eläketurvakeskus, Helsinki, Finland. mikko.laaksonen@etk.fi.
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