因精神和肌肉骨骼疾病导致工作能力丧失的老年女性的长期生活满意度。

Long-term life satisfaction in ageing women with work disability due to mental and musculoskeletal disorders.

机构信息

Institute of Clinical Medicine (Psychiatry), University of Eastern Finland, Finland; Kuopio Musculoskeletal Research Unit (KMRU), Institute of Clinical Medicine, University of Eastern Finland, Finland.

出版信息

Maturitas. 2023 Dec;178:107849. doi: 10.1016/j.maturitas.2023.107849. Epub 2023 Sep 17.

DOI:10.1016/j.maturitas.2023.107849

PMID:37774595

Abstract

BACKGROUND

Mental disorders (MDs) and musculoskeletal disorders (MSDs) are the major causes of global disability and increase in prevalence with age.

AIMS

To support healthy ageing, we studied how work disability due to MDs or MSDs is related to life satisfaction (LS) cross-sectionally and in 5- and 10-year follow-ups among ageing women.

METHODS

In the population-based OSTPRE cohort (women aged 58-67 in 1999), data on lifetime permanent work disability pensions (DPs) due to 'MDs only' (n = 337), 'MSDs only' (n = 942) and 'MDs + MSDs' (n = 212) and 'no DP' (n = 6322) until 1999 was obtained from the Finnish national register. The OSTPRE postal enquiry included a four-item life satisfaction (LS) scale (range 4-20: satisfied 4-6, intermediate 7-11, dissatisfied 12-20) at 5-year intervals, in 1999-2004 (n = 6548) and in 1999-2009 (n = 5562).

RESULTS

In 1999, the risks of belonging to the dissatisfied LS group (score 12-20) vs. the satisfied group (score 4-6) were higher in 'MDs only' (OR = 4.30; 95%CI 2.95-6.28), 'MSDs only' (OR = 2.69; 2.12-3.40) and 'MDs + MSDs' (OR = 2.72; 1.77-4.16) groups than in the 'no DP' group. In the follow-ups, these risks were OR = 5.59 (3.54-8.84) and OR = 4.94 (2.80-8.73) for 'MDs only', OR = 3.36 (2.58-4.37) and OR = 3.18 (2.40-4.21) for 'MSDs only', and OR = 4.70 (2.75-8.05) and OR = 6.84 (3.53-13.27) for 'MDs + MSDs' (all: p ≤ 0.001). Adjusting for baseline LS did not change the pattern (all p ≤ 0.001).

CONCLUSION

Work disability due to MDs and MSDs undermines healthy ageing among women via life dissatisfaction.

摘要

背景

精神障碍（MDs）和肌肉骨骼疾病（MSDs）是全球残疾的主要原因，并随着年龄的增长而患病率增加。

目的

为了支持健康老龄化，我们研究了 MD 或 MSD 导致的工作残疾与衰老女性的生活满意度（LS）之间的横断面和 5 年及 10 年随访的关系。

方法

在基于人群的 OSTPRE 队列中（1999 年年龄在 58-67 岁的女性），从芬兰国家登记处获得了 1999 年因“仅 MDs”（n=337）、“仅 MSDs”（n=942）和“MDs+MSDs”（n=212）以及“无 DP”（n=6322）而导致终身永久性工作残疾养老金（DP）的终生永久性工作残疾（DP）数据。OSTPRE 邮寄查询在 1999-2004 年（n=6548）和 1999-2009 年（n=5562）的 5 年间隔内包含了一个四项生活满意度（LS）量表（范围为 4-20：满意 4-6，中等 7-11，不满意 12-20）。

结果

1999 年，与“无 DP”组相比，“仅 MDs”（OR=4.30；95%CI 2.95-6.28）、“仅 MSDs”（OR=2.69；2.12-3.40）和“MDs+MSDs”（OR=2.72；1.77-4.16）组属于不满意 LS 组（评分 12-20）的风险更高。在随访中，这些风险对于“仅 MDs”为 OR=5.59（3.54-8.84）和 OR=4.94（2.80-8.73），对于“仅 MSDs”为 OR=3.36（2.58-4.37）和 OR=3.18（2.40-4.21），对于“MDs+MSDs”为 OR=4.70（2.75-8.05）和 OR=6.84（3.53-13.27）（所有 p≤0.001）。调整基线 LS 并没有改变这种模式（所有 p≤0.001）。