Department of Public Health and General Practice, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Department of Public Health and General Practice/HUNT Research Center, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Eur J Public Health. 2017 Aug 1;27(4):653-659. doi: 10.1093/eurpub/ckx082.
Health status has been reported to change before, during and after disability pension receipt. These associations might be subject to temporal changes according to changes in policy, incidence of disability pensions and other contextual factors. We compared the perceived health around time of disability retirement among persons receiving disability pension in the 1990 s and 2000 s in Norway.
We linked data from two consecutive cross-sectional population based Norwegian health surveys, HUNT2 (1995-97) and HUNT3 (2006-08), to national registries, identifying those who received disability pension within 5 years before or after participation in the survey (HUNT2: n = 5362, HUNT3: n = 4649). We used logistic regression to assess associations of time from receiving a disability pension with self-rated health, insomnia, depression and anxiety symptoms and subsequently estimated adjusted prevalence over time.
Prevalence of poor self-rated health peaked around time of receiving disability pension in both decades. For those aged 50+, prevalence the year before disability pension was slightly lower in 2006-08 (74%, 95% CI 70-79%) than in 1995-97 (83%, 95% CI 79-87%), whereas peak prevalence was similar between surveys for those younger than 50. Depression symptoms peaked more pronouncedly in 1995-97 than in 2006-08, whereas prevalence of anxiety symptoms was similar at time of receiving disability pension between surveys.
We found no strong evidence of differences in health selection to disability pension in the 2000 s compared to the 1990 s. However, we found indication of less depression symptoms around time of disability pension in the 2000 s compared to the 1990 s.
据报道，健康状况在领取残疾抚恤金前后会发生变化。这些关联可能会随着政策的变化、残疾抚恤金的发生率和其他背景因素而发生变化。我们比较了 20 世纪 90 年代和 21 世纪 00 年代挪威领取残疾抚恤金者在残疾退休前后的健康状况。
我们将来自两次连续的基于人群的挪威健康调查 HUNT2（1995-97 年）和 HUNT3（2006-08 年）的数据与全国登记册相链接，确定在参与调查前或后 5 年内领取残疾抚恤金的人（HUNT2：n=5362，HUNT3：n=4649）。我们使用逻辑回归评估残疾抚恤金领取时间与自评健康、失眠、抑郁和焦虑症状之间的关联，随后估计随时间调整的患病率。
在这两个十年中，自评为健康状况不佳的患病率在领取残疾抚恤金时达到峰值。对于 50 岁以上的人群，在 2006-08 年（74%，95%CI 70-79%）残疾前一年的患病率略低于 1995-97 年（83%，95%CI 79-87%），而在这两个调查中，50 岁以下人群的峰值患病率相似。抑郁症状在 1995-97 年比 2006-08 年更为明显，而在两个调查中，残疾前一年焦虑症状的患病率相似。
我们没有发现 2000 年代与 1990 年代相比，残疾抚恤金领取者的健康选择存在明显差异的有力证据。然而，我们发现，2000 年代残疾前一年的抑郁症状比 1990 年代有所减轻。
