Department on Occupational and Environmental Medicine, Sahlgrenska Academy and University of Gothenburg, Sweden.
Department of Law, Umeå University, Sweden.
Scand J Public Health. 2020 Jun;48(4):405-411. doi: 10.1177/1403494818754747. Epub 2018 Jan 24.
Study objectives were to investigate how changes in social insurance legislation influenced the incidence of disability pension. The study included 295,636 male construction workers who attended health examinations between 1971 and 1993, aged 20-60 years and without previous disability pension. Via the Swedish National Insurance Agency national register we identified 66,046 subjects who were granted disability pension up until 2010. The incidence rates were calculated and stratified according to age and diagnosis. The incidence rate of disability pension was fairly stable until the 1990s when large variations occurred, followed by a strong decreasing trend from the early 2000s to 2010. Trends in incidence rates, stratified by age and diagnosis, showed a consistent decrease in cardiovascular disease for all age groups. In subjects aged 30-49 years there was a high peak around 2003 for musculoskeletal diseases and psychiatric diseases. For the age group 50-59 years, musculoskeletal diagnosis, the most common cause of disability pension, had a sharp peak around 1993 and then a decreasing trend. In the 60-64 age group, the incidence rate for psychiatric diagnosis was stable, while incidence rates for musculoskeletal diagnosis varied during the 1990s. .
研究目的是调查社会保险立法的变化如何影响残疾抚恤金的发生率。该研究包括 1971 年至 1993 年间参加体检的 295636 名男性建筑工人，年龄在 20 至 60 岁之间，且之前没有残疾抚恤金。通过瑞典国家保险局的国家登记处，我们确定了截至 2010 年有 66046 名被授予残疾抚恤金的对象。根据年龄和诊断对发病率进行了计算和分层。残疾抚恤金的发病率在 20 世纪 90 年代之前相当稳定，之后在 2000 年代初期到 2010 年期间出现了强烈的下降趋势。按年龄和诊断分层的发病率趋势显示，所有年龄段的心血管疾病发病率持续下降。在 30-49 岁的人群中，肌肉骨骼疾病和精神疾病在 2003 年左右达到了一个高峰。对于 50-59 岁年龄组，肌肉骨骼诊断是残疾抚恤金的最常见原因，在 1993 年左右达到了一个高峰，然后呈下降趋势。在 60-64 岁年龄组，精神疾病诊断的发病率保持稳定，而肌肉骨骼诊断的发病率在 20 世纪 90 年代有所波动。
