Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia (Drs Schofield, Butterworth); Centre for Research in Ageing, Health, and Wellbeing, Research School of Population Health, The Australian National University, Canberra, Acton, Australia (Dr Kiely); Department of Mental Health and Suicide, Norwegian Institute of Public Health, Oslo, Norway (Dr Mykletun); Department of Community Medicine, University of Tromsø, Tromsø, Norway (Dr Mykletun); Centre for Research and Education in Forensic Psychiatry and Psychology, Haukeland University Hospital, Bergen, Norway (Dr Mykletun); Centre for Work and Mental health, Nordland Hospital Trust, Bodø, Norway (Dr Mykletun); School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia (Dr Harvey); Black Dog Institute, Sydney, New South Wales, Australia (Dr Harvey); and Melbourne Institute of Applied Economic and Social Research, The University of Melbourne, Parkville, Victoria, Australia (Dr Butterworth).
J Occup Environ Med. 2018 Apr;60(4):e166-e172. doi: 10.1097/JOM.0000000000001269.
This study examined the association between mental ill-health and subsequent receipt of a disability pension in Australia, and assessed how the strength of the association varied in relation to the duration between mental health measurement and reported disability pension receipt.
Eight thousand four hundred seventy-four working-age adults not receiving a disability pension at baseline were followed for up to 11 years; 349 transitioned onto a disability pension. Discrete-time survival analysis considered baseline and time-varying (12-month lagged) measures of mental ill-health.
Proximal measures of mental ill-health were more strongly associated with subsequent pension receipt than baseline measures (odds ratio: 6.6 vs 3.9) and accounted for a significantly greater proportion of pension transitions (35% vs 21%).
Mental ill-health is an independent risk factor for disability pension receipt, and proximal circumstances better capture this association than mental health measured earlier.
本研究考察了澳大利亚心理健康不佳与随后领取残疾抚恤金之间的关联，并评估了心理健康测量与残疾抚恤金领取报告之间的时间间隔与关联强度的变化关系。
8474 名基线时未领取残疾抚恤金的工作年龄成年人接受了长达 11 年的随访；其中 349 人转为领取残疾抚恤金。离散时间生存分析考虑了基线和时变（12 个月滞后）的心理健康测量。
与基线测量相比，心理健康状况的近期指标与随后的养老金领取之间的关联更强（优势比：6.6 比 3.9），并解释了养老金转换的更大比例（35%比 21%）。
心理健康不佳是领取残疾抚恤金的独立风险因素，而近期情况比早期测量的心理健康状况更能捕捉到这种关联。
