Wittlund Sina, Mykletun Arnstein, Lorentzen Thomas
Nordland Hospital Trust, Regional Competence Centre for Work and Mental Health, PO Box 1480, 8092, Bodø, Norway.
Department of Community Medicine, UiT - The Arctic University of Norway, PO Box 6050 Langnes, N-9037, Tromsø, Norway.
SSM Popul Health. 2022 Mar 13;17:101062. doi: 10.1016/j.ssmph.2022.101062. eCollection 2022 Mar.
Since the 1990's, structural transformations in the Norwegian economy have decreased employment opportunities for low-skilled young people lacking formal education credentials. In parallel with these economic changes, there has been a strong increase in the proportion of young disability pensioners. Preventing labour market exit requires a thorough understanding of the disability process. We aim to 1) identify the most typical trajectories into disability pension for young Norwegian inhabitants between 1993 and 2014 and 2) investigate if the trajectories and composition of young disability pensioners changed over time.
Using high-quality Norwegian registry data, we established two population-based cohorts of Norwegian inhabitants aged 29-39 years in either 2003 (cohort 1) or 2014 (cohort 2) who were not disability pensioners during the first month of their cohort period but had been granted a disability pension by the cohort end-date. Cohort 1 was followed from the beginning of 1993 through 2003, cohort 2 from 2004 through 2014. We used sequence and cluster analyses to identify typical disability pension trajectories and investigate how they changed overtime.
The majority follow trajectories characterised by little or no previous work participation. Both the trajectories and composition of young disability pensioners changed overtime. Between the two cohorts there was 1) a doubling in the probability of following 'precarious income trajectories', 2) a decrease in the probability of following 'work and/or education trajectories' and 3) an increase in the proportion of early school leavers.
Current initiatives such as the Norwegian Inclusive Workplace Agreement (IA) focus on preventing transitions from employment to disability benefits. However, such initiatives have little relevance for young disability pensioners as the majority have weak labour market attachment. Policymakers should therefore consider placing more emphasis on non-workplace interventions.
自20世纪90年代以来,挪威经济的结构转型减少了缺乏正规教育证书的低技能年轻人的就业机会。与这些经济变化同时发生的是,年轻残疾养老金领取者的比例大幅增加。防止劳动力市场退出需要深入了解残疾过程。我们的目标是:1)确定1993年至2014年间挪威年轻居民领取残疾养老金最典型的轨迹;2)调查年轻残疾养老金领取者的轨迹和构成是否随时间变化。
利用高质量的挪威登记数据,我们建立了两个以人群为基础的队列,队列1为2003年年龄在29 - 39岁的挪威居民,队列2为2014年年龄在29 - 39岁的挪威居民,他们在队列期的第一个月不是残疾养老金领取者,但在队列结束日期前获得了残疾养老金。队列1从1993年初跟踪到2003年,队列2从2004年跟踪到2014年。我们使用序列和聚类分析来确定典型的残疾养老金轨迹,并研究它们如何随时间变化。
大多数人的轨迹特点是以前很少或没有工作经历。年轻残疾养老金领取者的轨迹和构成都随时间发生了变化。在这两个队列之间,1)遵循“不稳定收入轨迹”的概率增加了一倍;2)遵循“工作和/或教育轨迹”的概率降低了;3)早期辍学者的比例增加了。
当前的举措,如挪威包容性工作场所协议(IA),侧重于防止从就业向残疾福利的转变。然而,这些举措对年轻残疾养老金领取者几乎没有相关性,因为大多数人对劳动力市场的依附性较弱。因此,政策制定者应考虑更多地强调非工作场所干预措施。