Grünfeld B, Noreik K
Institutt for sosialmedisin, Universitetet i Oslo, Rikshospitalet.
Tidsskr Nor Laegeforen. 1991 Apr 10;111(9):1147-50.
The prevalence of vocational disability pensions is now much higher among immigrants from Pakistan, Turkey and Morocco who settled in Norway in the late 1960' and early 1970' in order to find work than among the Norwegian population in general. The present study covers two cohorts of males and females aged 40-44 and 50-54 years of age in receipt of disability pensions. Musculoskeletal pain syndromes are far more prevalent among the immigrants as basis for a pension than among the Norwegian disabled population. In contrast, psychiatric diagnoses are less frequent among the immigrants. The above differences are discussed. The living conditions and particularly the working conditions of the immigrants, whose jobs are characterized by physical hardships and long working hours, may be an important reason for the high prevalence of vocational disability. Psychiatric diagnoses may be concealed because of their stigmatizing nature. Early retirement from work is more common in the countries from where the immigrants came and they thus tend to apply for a disability pension. This means that the Norwegian insurance system, with its rather liberal policy of consent, takes over many of the social and economic obligations which were traditionally part of family and kinship obligations in the former culture of the immigrants.
20世纪60年代末和70年代初为了找工作定居在挪威的巴基斯坦、土耳其和摩洛哥移民中,职业残疾抚恤金的患病率现在比挪威总人口普遍要高得多。本研究涵盖了两个年龄段的领取残疾抚恤金的男性和女性群体,年龄分别为40 - 44岁和50 - 54岁。作为领取抚恤金的依据,肌肉骨骼疼痛综合征在移民中比在挪威残疾人群体中更为普遍。相比之下,移民中精神疾病诊断的频率较低。对上述差异进行了讨论。移民的生活条件,尤其是工作条件,其工作特点是体力艰苦和工作时间长,这可能是职业残疾患病率高的一个重要原因。由于精神疾病的污名化性质,其诊断可能被隐瞒。在移民来源国,提前退休更为常见,因此他们倾向于申请残疾抚恤金。这意味着挪威保险系统因其相当宽松的同意政策,承担了许多传统上属于移民前文化中家庭和亲属义务一部分的社会和经济义务。