Diagnosis-specific sick leave as a long-term predictor of disability pension: a 13-year follow-up of the GAZEL cohort study.
Identifieur interne : 001272 ( Main/Exploration ); précédent : 001271; suivant : 001273Diagnosis-specific sick leave as a long-term predictor of disability pension: a 13-year follow-up of the GAZEL cohort study.
Auteurs : Kristina Alexanderson [Suède] ; Mika Kivim Ki [Royaume-Uni] ; Jane Ferrie [Royaume-Uni] ; Hugo Westerlund [Suède] ; Jussi Vahtera [Finlande] ; Archana Singh-Manoux [Royaume-Uni] ; Maria Melchior [France] ; Marie Zins [France] ; Marcel Goldberg [France] ; Jenny Head [Royaume-Uni]Source :
- Journal of Epidemiology and Community Health [ 0143-005X ] ; 2012-01-31.
Abstract
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). Prospective cohort study of 20 434 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. 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. 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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Affiliations:
- Finlande, France, Royaume-Uni, Suède
- Uusimaa, Île-de-France
- Helsinki, Versailles
- Université d'Helsinki, Université de Versailles-Saint-Quentin-en-Yvelines
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Le document en format XML
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</address> </desc> <listRelation> <relation active="#struct-50895" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-50895" type="direct"><org type="institution" xml:id="struct-50895" status="VALID"> <orgName>University of Helsinki</orgName> <desc> <address> <addrLine>Yliopistonkatu 4, 00100 Helsinki</addrLine> <country key="FI"></country> </address> <ref type="url">https://www.helsinki.fi/en</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>Finlande</country><placeName><settlement type="city">Helsinki</settlement><region type="région" nuts="2">Uusimaa</region></placeName><orgName type="university">Université d'Helsinki</orgName></affiliation></author><author><name sortKey="Singh Manoux, Archana" sort="Singh Manoux, Archana" uniqKey="Singh Manoux A" first="Archana" last="Singh-Manoux">Archana Singh-Manoux</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-16924" status="VALID"> <orgName>Department of Epidemiology and Public Health</orgName> <desc> <address> <addrLine>1-19 Torrington Place London WC1E 6BT</addrLine> <country key="GB"></country> </address> <ref type="url">https://www.ucl.ac.uk/whitehallII/people/principal_investigators</ref> </desc> <listRelation> <relation active="#struct-300875" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-300875" type="direct"><org type="institution" xml:id="struct-300875" status="VALID"> <orgName>University College of London [London]</orgName> <orgName type="acronym">UCL</orgName> <desc> <address> <addrLine>Gower Street, London WC1E 6BT </addrLine> <country key="GB"></country> </address> <ref type="url">http://www.ucl.ac.uk/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>Royaume-Uni</country></affiliation></author><author><name sortKey="Melchior, Maria" sort="Melchior, Maria" uniqKey="Melchior M" first="Maria" last="Melchior">Maria Melchior</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-106188" status="VALID"> <idno type="IdRef">156182254</idno> <idno type="ISNI">0000 0004 0638 6872 </idno> <idno type="RNSR">201019083D</idno> <orgName>Centre de recherche en épidémiologie et santé des populations</orgName> <orgName type="acronym">CESP</orgName> <desc> <address> <addrLine>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation name="UMR U1018" active="#struct-81173" type="direct"></relation> <relation active="#struct-92966" type="direct"></relation> <relation active="#struct-300068" type="direct"></relation> <relation active="#struct-300153" type="direct"></relation> <relation name="U1018" active="#struct-303623" type="direct"></relation> </listRelation> <tutelles><tutelle name="UMR U1018" active="#struct-81173" type="direct"><org type="institution" xml:id="struct-81173" status="VALID"> <idno type="IdRef">03082057X</idno> <idno type="ISNI">0000 0001 2323 0229 </idno> <orgName>Université de Versailles Saint-Quentin-en-Yvelines</orgName> <orgName type="acronym">UVSQ</orgName> <date type="start">1991-07-22</date> <desc> <address> <addrLine>55 avenue de Paris - 78035 Versailles cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.uvsq.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-92966" type="direct"><org type="institution" xml:id="struct-92966" status="VALID"> <orgName>Université Paris-Sud - Paris 11</orgName> <orgName type="acronym">UP11</orgName> <desc> <address> <addrLine>Bâtiment 300 - 91405 Orsay cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.u-psud.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-300068" type="direct"><org type="regroupinstitution" xml:id="struct-300068" status="VALID"> <orgName>Assistance publique - Hôpitaux de Paris (AP-HP)</orgName> <orgName type="acronym">APHP</orgName> <desc> <address> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle active="#struct-300153" type="direct"><org type="institution" xml:id="struct-300153" status="VALID"> <orgName>Hôpital Paul Brousse</orgName> <desc> <address> <addrLine>12 Avenue Paul Vaillant Couturier, 94800 Villejuif</addrLine> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle name="U1018" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Versailles</settlement><region type="region" nuts="2">Île-de-France</region></placeName><orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName></affiliation></author><author><name sortKey="Zins, Marie" sort="Zins, Marie" uniqKey="Zins M" first="Marie" last="Zins">Marie Zins</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-106188" status="VALID"> <idno type="IdRef">156182254</idno> <idno type="ISNI">0000 0004 0638 6872 </idno> <idno type="RNSR">201019083D</idno> <orgName>Centre de recherche en épidémiologie et santé des populations</orgName> <orgName type="acronym">CESP</orgName> <desc> <address> <addrLine>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation name="UMR U1018" active="#struct-81173" type="direct"></relation> <relation active="#struct-92966" type="direct"></relation> <relation active="#struct-300068" type="direct"></relation> <relation active="#struct-300153" type="direct"></relation> <relation name="U1018" active="#struct-303623" type="direct"></relation> </listRelation> <tutelles><tutelle name="UMR U1018" active="#struct-81173" type="direct"><org type="institution" xml:id="struct-81173" status="VALID"> <idno type="IdRef">03082057X</idno> <idno type="ISNI">0000 0001 2323 0229 </idno> <orgName>Université de Versailles Saint-Quentin-en-Yvelines</orgName> <orgName type="acronym">UVSQ</orgName> <date type="start">1991-07-22</date> <desc> <address> <addrLine>55 avenue de Paris - 78035 Versailles cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.uvsq.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-92966" type="direct"><org type="institution" xml:id="struct-92966" status="VALID"> <orgName>Université Paris-Sud - Paris 11</orgName> <orgName type="acronym">UP11</orgName> <desc> <address> <addrLine>Bâtiment 300 - 91405 Orsay cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.u-psud.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-300068" type="direct"><org type="regroupinstitution" xml:id="struct-300068" status="VALID"> <orgName>Assistance publique - Hôpitaux de Paris (AP-HP)</orgName> <orgName type="acronym">APHP</orgName> <desc> <address> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle active="#struct-300153" type="direct"><org type="institution" xml:id="struct-300153" status="VALID"> <orgName>Hôpital Paul Brousse</orgName> <desc> <address> <addrLine>12 Avenue Paul Vaillant Couturier, 94800 Villejuif</addrLine> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle name="U1018" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Versailles</settlement><region type="region" nuts="2">Île-de-France</region></placeName><orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName></affiliation></author><author><name sortKey="Goldberg, Marcel" sort="Goldberg, Marcel" uniqKey="Goldberg M" first="Marcel" last="Goldberg">Marcel Goldberg</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-106188" status="VALID"> <idno type="IdRef">156182254</idno> <idno type="ISNI">0000 0004 0638 6872 </idno> <idno type="RNSR">201019083D</idno> <orgName>Centre de recherche en épidémiologie et santé des populations</orgName> <orgName type="acronym">CESP</orgName> <desc> <address> <addrLine>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation name="UMR U1018" active="#struct-81173" type="direct"></relation> <relation active="#struct-92966" type="direct"></relation> <relation active="#struct-300068" type="direct"></relation> <relation active="#struct-300153" type="direct"></relation> <relation name="U1018" active="#struct-303623" type="direct"></relation> </listRelation> <tutelles><tutelle name="UMR U1018" active="#struct-81173" type="direct"><org type="institution" xml:id="struct-81173" status="VALID"> <idno type="IdRef">03082057X</idno> <idno type="ISNI">0000 0001 2323 0229 </idno> <orgName>Université de Versailles Saint-Quentin-en-Yvelines</orgName> <orgName type="acronym">UVSQ</orgName> <date type="start">1991-07-22</date> <desc> <address> <addrLine>55 avenue de Paris - 78035 Versailles cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.uvsq.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-92966" type="direct"><org type="institution" xml:id="struct-92966" status="VALID"> <orgName>Université Paris-Sud - Paris 11</orgName> <orgName type="acronym">UP11</orgName> <desc> <address> <addrLine>Bâtiment 300 - 91405 Orsay cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.u-psud.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-300068" type="direct"><org type="regroupinstitution" xml:id="struct-300068" status="VALID"> <orgName>Assistance publique - Hôpitaux de Paris (AP-HP)</orgName> <orgName type="acronym">APHP</orgName> <desc> <address> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle active="#struct-300153" type="direct"><org type="institution" xml:id="struct-300153" status="VALID"> <orgName>Hôpital Paul Brousse</orgName> <desc> <address> <addrLine>12 Avenue Paul Vaillant Couturier, 94800 Villejuif</addrLine> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle name="U1018" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Versailles</settlement><region type="region" nuts="2">Île-de-France</region></placeName><orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName></affiliation></author><author><name sortKey="Head, Jenny" sort="Head, Jenny" uniqKey="Head J" first="Jenny" last="Head">Jenny Head</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-16924" status="VALID"> <orgName>Department of Epidemiology and Public Health</orgName> <desc> <address> <addrLine>1-19 Torrington Place London WC1E 6BT</addrLine> <country key="GB"></country> </address> <ref type="url">https://www.ucl.ac.uk/whitehallII/people/principal_investigators</ref> </desc> <listRelation> <relation active="#struct-300875" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-300875" type="direct"><org type="institution" xml:id="struct-300875" status="VALID"> <orgName>University College of London [London]</orgName> <orgName type="acronym">UCL</orgName> <desc> <address> <addrLine>Gower Street, London WC1E 6BT </addrLine> <country key="GB"></country> </address> <ref type="url">http://www.ucl.ac.uk/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>Royaume-Uni</country></affiliation></author></analytic><series><title level="j">Journal of Epidemiology and Community Health</title><idno type="ISSN">0143-005X</idno><imprint><date type="datePub">2012-01-31</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"> <p>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). Prospective cohort study of 20 434 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. 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. 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.</p> </div></front></TEI><affiliations><list><country><li>Finlande</li><li>France</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Uusimaa</li><li>Île-de-France</li></region><settlement><li>Helsinki</li><li>Versailles</li></settlement><orgName><li>Université d'Helsinki</li><li>Université de Versailles-Saint-Quentin-en-Yvelines</li></orgName></list><tree><country name="Suède"><noRegion><name sortKey="Alexanderson, Kristina" sort="Alexanderson, Kristina" uniqKey="Alexanderson K" first="Kristina" last="Alexanderson">Kristina Alexanderson</name></noRegion><name sortKey="Westerlund, Hugo" sort="Westerlund, Hugo" uniqKey="Westerlund H" first="Hugo" last="Westerlund">Hugo Westerlund</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Kivim Ki, Mika" sort="Kivim Ki, Mika" uniqKey="Kivim Ki M" first="Mika" last="Kivim Ki">Mika Kivim Ki</name></noRegion><name sortKey="Ferrie, Jane" sort="Ferrie, Jane" uniqKey="Ferrie J" first="Jane" last="Ferrie">Jane Ferrie</name><name sortKey="Head, Jenny" sort="Head, Jenny" uniqKey="Head J" first="Jenny" last="Head">Jenny Head</name><name sortKey="Singh Manoux, Archana" sort="Singh Manoux, Archana" uniqKey="Singh Manoux A" first="Archana" last="Singh-Manoux">Archana Singh-Manoux</name></country><country name="Finlande"><region name="Uusimaa"><name sortKey="Vahtera, Jussi" sort="Vahtera, Jussi" uniqKey="Vahtera J" first="Jussi" last="Vahtera">Jussi Vahtera</name></region></country><country name="France"><region name="Île-de-France"><name sortKey="Melchior, Maria" sort="Melchior, Maria" uniqKey="Melchior M" first="Maria" last="Melchior">Maria Melchior</name></region><name sortKey="Goldberg, Marcel" sort="Goldberg, Marcel" uniqKey="Goldberg M" first="Marcel" last="Goldberg">Marcel Goldberg</name><name sortKey="Zins, Marie" sort="Zins, Marie" uniqKey="Zins M" first="Marie" last="Zins">Marie Zins</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Diagnosis-specific sick leave as a long-term predictor of disability pension: a 13-year follow-up of the GAZEL cohort study.
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