Ervasti Jenni, Virtanen Marianna, Pentti Jaana, Lallukka Tea, Tinghög Petter, Kjeldgard Linnea, Mittendorfer-Rutz Ellenor, Alexanderson Kristina
Jenni Ervasti, Marianna Virtanen, Jaana Pentti, and Tea Lallukka are with the Finnish Institute of Occupational Health, Helsinki and Turku, Finland. Petter Tinghög, Linnea Kjeldgård, Ellenor Mittendorfer-Rutz, and Kristina Alexanderson are with the Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Am J Public Health. 2015 Jun;105(6):e22-9. doi: 10.2105/AJPH.2015.302646. Epub 2015 Apr 16.
We evaluated the risk of work disability (sick leave and disability pension) before and after diabetes diagnosis relative to individuals without diabetes during the same time period, as well as the trajectory of work disability around the diagnosis.
This Swedish population-based cohort study with register data included 14 428 individuals with incident diabetes in 2006 and 39 702 individuals without diabetes during 2003 to 2009.
Work disability was substantially higher among people with diabetes (overall mean = 95 days per year over the 7 years, SD = 143) than among those without diabetes (mean = 35 days, SD = 95). The risk of work disability was slightly higher after diabetes diagnosis than before and compared with the risk of those without diabetes. The trajectory of work disability was already increasing before diagnosis, increased even more at the time of diagnosis, and leveled off after diagnosis. Individual sociodemographic characteristics and comorbid conditions contributed both to the risk and to the trajectory of work disability.
Although diabetes has an independent effect on work disability, sex, age, education, and comorbid conditions play a significant role.
我们评估了糖尿病诊断前后相对于同期无糖尿病个体的工作残疾风险（病假和残疾抚恤金），以及诊断前后工作残疾的变化轨迹。
这项基于瑞典人群的队列研究使用登记数据，纳入了2006年14428例新发糖尿病患者以及2003年至2009年期间39702例无糖尿病个体。
糖尿病患者的工作残疾率显著高于无糖尿病者（7年期间总体平均每年95天，标准差143）（无糖尿病者平均为35天，标准差95）。糖尿病诊断后的工作残疾风险略高于诊断前，且高于无糖尿病者的风险。工作残疾的变化轨迹在诊断前就已上升，诊断时进一步增加，诊断后趋于平稳。个体社会人口学特征和合并症对工作残疾风险及其变化轨迹均有影响。
尽管糖尿病对工作残疾有独立影响，但性别、年龄、教育程度和合并症也起着重要作用。
