PubTransformer

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PMID- 28784838
OWN - NLM
STAT- MEDLINE
DA  - 20170808
DCOM- 20170901
LR  - 20170901
IS  - 1470-7926 (Electronic)
IS  - 1351-0711 (Linking)
VI  - 74
IP  - 9
DP  - 2017 Sep
TI  - Childhood adversity, adult socioeconomic status and risk of work disability: a
      prospective cohort study.
PG  - 659-666
LID - 10.1136/oemed-2017-104319 [doi]
AB  - OBJECTIVES: To examine the combined effects of childhood adversities and low
      adult socioeconomic status (SES) on the risk of future work disability. METHODS: 
      Included were 34 384 employed Finnish Public Sector study participants who
      responded to questions about childhood adversities (none vs any adversity, eg,
      parental divorce or financial difficulties) in 2008, and whose adult SES in 2008 
      was available. We categorised exposure into four groups: neither (reference),
      childhood adversity only, low SES only or both. Participants were followed from
      2009 until the first period of register-based work disability (sickness absence
      >9 days or disability pension) due to any cause, musculoskeletal or mental
      disorders; retirement; death or end of follow-up (December 2011). We ran Cox
      proportional hazard models adjusted for behavioural, health-related and
      work-related covariates, and calculated synergy indices for the combined effects.
      RESULTS: When compared with those with neither exposure, HR for work disability
      from any cause was increased among participants with childhood adversity, with
      low SES, and those with both exposures. The highest hazard was observed in those 
      with both exposures: HR 2.53, 95% CI 2.29 to 2.79 for musculoskeletal disability,
      1.55, 95% CI 1.36 to 1.78 for disability due to mental disorders and 1.29, 95% CI
      1.20 to 1.39 for disability due to other reasons. The synergy indices did not
      indicate synergistic effects. CONCLUSIONS: These findings indicate that childhood
      psychosocial adversity and low adult SES are additive risk factors for work
      disability.
CI  - (c) Article author(s) (or their employer(s) unless otherwise stated in the text
      of the article) 2017. All rights reserved. No commercial use is permitted unless 
      otherwise expressly granted.
FAU - Halonen, Jaana I
AU  - Halonen JI
AD  - Finnish Institute of Occupational Health, Helsinki, Finland.
FAU - Kivimaki, Mika
AU  - Kivimaki M
AD  - Finnish Institute of Occupational Health, Helsinki, Finland.
AD  - Department of Epidemiology and Public Health, University College London, London, 
      UK.
AD  - Department of Public Health, Faculty of Medicine, University of Helsinki,
      Helsinki, Finland.
FAU - Vahtera, Jussi
AU  - Vahtera J
AD  - Department of Public Health, University of Turku, Turku, Finland.
AD  - Turku University Hospital, Turku, Finland.
FAU - Pentti, Jaana
AU  - Pentti J
AD  - Finnish Institute of Occupational Health, Helsinki, Finland.
AD  - Department of Public Health, Faculty of Medicine, University of Helsinki,
      Helsinki, Finland.
FAU - Virtanen, Marianna
AU  - Virtanen M
AD  - Finnish Institute of Occupational Health, Helsinki, Finland.
FAU - Ervasti, Jenni
AU  - Ervasti J
AD  - Finnish Institute of Occupational Health, Helsinki, Finland.
FAU - Oksanen, Tuula
AU  - Oksanen T
AD  - Finnish Institute of Occupational Health, Helsinki, Finland.
FAU - Lallukka, Tea
AU  - Lallukka T
AD  - Finnish Institute of Occupational Health, Helsinki, Finland.
AD  - Department of Public Health, Faculty of Medicine, University of Helsinki,
      Helsinki, Finland.
LA  - eng
PT  - Journal Article
DEP - 20170807
PL  - England
TA  - Occup Environ Med
JT  - Occupational and environmental medicine
JID - 9422759
SB  - IM
MH  - Adult
MH  - Age Factors
MH  - *Disabled Persons/psychology
MH  - *Employment
MH  - Family Relations/psychology
MH  - Female
MH  - Finland
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Mental Disorders/*etiology
MH  - Mental Health
MH  - Middle Aged
MH  - Musculoskeletal Diseases/*etiology
MH  - Occupational Diseases/*etiology
MH  - Pensions
MH  - Proportional Hazards Models
MH  - Retirement
MH  - Risk Factors
MH  - Sick Leave
MH  - *Social Class
OTO - NOTNLM
OT  - childhood adversity
OT  - cohort study
OT  - life course
OT  - socioeconomic status
OT  - work disability
COI - Competing interests: None declared.
EDAT- 2017/08/09 06:00
MHDA- 2017/09/02 06:00
CRDT- 2017/08/09 06:00
PHST- 2017/01/18 [received]
PHST- 2017/03/29 [revised]
PHST- 2017/04/10 [accepted]
AID - oemed-2017-104319 [pii]
AID - 10.1136/oemed-2017-104319 [doi]
PST - ppublish
SO  - Occup Environ Med. 2017 Sep;74(9):659-666. doi: 10.1136/oemed-2017-104319. Epub
      2017 Aug 7.