Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden.
Scand J Public Health. 2011 Jul;39(5):501-7. doi: 10.1177/1403494811399652. Epub 2011 Mar 7.
Hearing difficulties is a growing public health problem and more knowledge of consequences of those difficulties in working life is warranted.
To study the future risk of being granted a disability pension (DP) among people with sickness absence with an otoaudiological diagnoses (OAD) compared to other sickness absentees.
A population-based prospective cohort study of all 40,786 people in a Swedish county who in 1985 were aged 16-64 and had a new sick-leave spell >7 days. Those were followed for 12 years with regard to DP. Hazard ratios (HR) + 95% confidence intervals (CI) of being granted DP was calculated among those with sick leave due to OAD compared to people with sickness absence with other diagnoses.
In 1985, 515 people had a new sick-leave spell with an OAD. Twelve years later, 36% of those had been granted DP, compared to 24% of all other sickness absentees. Their HR for DP was 1.42 (95% CI 1.23-1.64) adjusting for gender and age. Compared to men, women with an OAD had a HR of DP of 1.24 (95% CI 0.90-1.71), when adjusted for age. The HR for DP regarding those aged>45 years and sickness absent with OAD was 2.63 (95% CI 1.95-3.55) compared to the sickness absentees with OAD below 45 years of age, adjusted for gender.
The risk for future DP was more than 40% higher among those initially on sickness absence due to OAD than among other sickness absentees.
听力困难是一个日益严重的公共卫生问题，因此更需要了解这些困难对工作生活的影响。
研究患有耳疾（OAD）的病假人员与其他病假人员相比，未来获得残疾养老金（DP）的风险。
这是一项基于人群的前瞻性队列研究，研究对象为瑞典一个县的所有 40786 名年龄在 16-64 岁之间、新病假超过 7 天的人群。这些人在 12 年内都接受了 DP 随访。与其他诊断的病假人员相比，OAD 导致病假的人员获得 DP 的风险比（HR）和 95%置信区间（CI）进行了计算。
1985 年，有 515 人因新的病假出现 OAD。12 年后，其中 36%的人获得了 DP，而所有其他病假人员的这一比例为 24%。调整性别和年龄后，他们获得 DP 的 HR 为 1.42（95%CI 1.23-1.64）。与男性相比，患有 OAD 的女性获得 DP 的 HR 为 1.24（95%CI 0.90-1.71），同时也调整了年龄因素。与 45 岁以下 OAD 病假人员相比，年龄>45 岁且患有 OAD 的人员获得 DP 的 HR 为 2.63（95%CI 1.95-3.55），同时也调整了性别因素。
与其他病假人员相比，最初因 OAD 而休病假的人员未来获得 DP 的风险高出 40%以上。
