Int J Health Serv. 2014;44(1):155-68. doi: 10.2190/HS.44.1.i.
The article studies social differentials in non-employment among individuals who had been employed in 2001 following hospital admission for musculoskeletal disorders, by gender, educational level, and country of birth, in Stockholm County during 2001-2006. Individually linked population registers on health service use and sociodemographic characteristics were used. Individuals ages 25 to 59, living in Stockholm County and having employment in 2001, were followed until 2006. Annual age-standardized employment rates were calculated for people admitted to the hospital and diagnosed with a musculoskeletal disorder (n = 1,888) and compared to a reference group of others in employment. Multivariate Cox regression analysis was used to calculate the hazard risks of non-employment in 2006. Both women and men admitted to the hospital had lower age-standardized employment rates compared to the reference group and were at higher risk of non-employment. The hazard risk of non-employment was significantly higher among women and men with short education and among foreign-born individuals. Employment consequences of musculoskeletal disorders seem to be unequally distributed between different social groups, with women, people with short education, and people born outside Sweden more likely to be non-employed.
这篇文章研究了 2001 年因肌肉骨骼疾病住院的个体在 2001 年就业后的非就业社会差异,按性别、教育程度和出生国进行了细分,研究对象来自 2001 年至 2006 年斯德哥尔摩县。研究使用了个体链接的人口登记册,以获取卫生服务使用和社会人口特征信息。年龄在 25 至 59 岁之间、居住在斯德哥尔摩县且在 2001 年就业的个体被跟踪至 2006 年。对因肌肉骨骼疾病住院并被诊断为该疾病的个体(n=1888)和其他就业参考组的个体进行了每年的年龄标准化就业率计算,并进行了比较。使用多变量 Cox 回归分析计算了 2006 年非就业的风险比。与参考组相比,住院的男女个体的年龄标准化就业率均较低,且失业风险更高。教育程度较短的女性和男性以及外国出生的个体,其失业的风险比显著更高。肌肉骨骼疾病的就业后果似乎在不同的社会群体之间分配不均,女性、教育程度较低的个体和瑞典境外出生的个体更有可能失业。