青年、中年及老年员工中抑郁症及肌肉骨骼疾病相关工作残疾的预测因素
Predictors of Depression and Musculoskeletal Disorder Related Work Disability Among Young, Middle-Aged, and Aging Employees.
作者信息
Ervasti Jenni, Mattila-Holappa Pauliina, Joensuu Matti, Pentti Jaana, Lallukka Tea, Kivimäki Mika, Vahtera Jussi, Virtanen Marianna
机构信息
Finnish Institute of Occupational Health (Dr Ervasti, Ms Mattila-Holappa, Dr Joensuu, Ms Pentti, Drs Lallukka, Kivimäki, Virtanen); Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland (Drs Lallukka, Kivimäki); Department of Epidemiology and Public Health, University College London, London, UK (Dr Kivimäki); and Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland (Dr Vahtera).
出版信息
J Occup Environ Med. 2017 Jan;59(1):114-119. doi: 10.1097/JOM.0000000000000921.
OBJECTIVE
The aim of this study was to investigate the level and predictors of work disability in different age groups.
METHODS
We followed young (18 to 34 years), middle-aged (35 to 50 years), and aging (>50 years) employees (n = 70,417) for 7 years (2005 to 2011) for all-cause and cause-specific work disability (sickness absence and disability pension). Using negative binomial regression, we obtained both relative risk estimates and absolute rates, that is, days of work disability per person-year.
RESULTS
The greatest relative difference in all-cause, and specifically depression-related work disability, was between young women and young men, and between employees with low versus high levels of education. Aging employees with a low education and chronic somatic disease had the highest levels of musculoskeletal disorder related work disability.
CONCLUSIONS
The predictors of work disability vary by age and diagnosis. These results help target age-specific measures for the prevention of permanent work disability.
目的
本研究旨在调查不同年龄组工作残疾的水平及预测因素。
方法
我们对年轻（18至34岁）、中年（35至50岁）和老龄（>50岁）员工（n = 70417）进行了为期7年（2005年至2011年）的全因及病因特异性工作残疾（病假和残疾抚恤金）跟踪调查。使用负二项回归，我们获得了相对风险估计值和绝对发生率，即每人每年的工作残疾天数。
结果
全因工作残疾，特别是与抑郁症相关的工作残疾，最大的相对差异存在于年轻女性与年轻男性之间，以及低教育水平与高教育水平的员工之间。教育程度低且患有慢性躯体疾病的老龄员工，与肌肉骨骼疾病相关的工作残疾水平最高。
结论
工作残疾的预测因素因年龄和诊断而异。这些结果有助于针对特定年龄采取措施预防永久性工作残疾。
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