Show simple item record

dc.contributor.authorHaukenes, Ingeren_US
dc.contributor.authorMykletun, Arnsteinen_US
dc.contributor.authorKnudsen, Ann Kristinen_US
dc.contributor.authorHansen, Hans-Toreen_US
dc.contributor.authorMæland, John Gunnaren_US
dc.PublishedBMC Public Health 2011, 11:406en
dc.description.abstractBackground: The social gradient in disability pension is well recognized, however mechanisms accounting for the gradient are largely unknown. The aim of this study was to examine the association between occupational class and subsequent disability pension among middle-aged men and women, and to what extent work-related factors accounted for the association. Methods: A subsample (N = 7031) of the population-based Hordaland Health Study (HUSK) conducted in 1997-99, provided self-reported information on health and work-related factors, and were grouped in four strata by Erikson, Goldthorpe and Portocareros occupational class scheme. The authors obtained follow-up data on disability pension by linking the health survey to national registries of benefit (FD-trygd). They employed Cox regression analysis and adjusted for gender, health (medical conditions, mental health, self-perceived health, somatic symptoms) and workrelated factors (working hours, years in current occupation, physical demands, job demands, job control). Results: A strong gradient in disability pension by occupational class was found. In the fully adjusted model the risk (hazard ratio) ranged from 1.41 (95% CI 0.84 to 2.33) in the routine non-manual class, 1.87 (95% CI 1.07 to 3.27) in the skilled manual class and 2.12 (95% CI 1.14 to 3.95) in the unskilled manual class, employing the administrator and professional class as reference. In the gender and health-adjusted model work-related factors mediated the impact of occupational class on subsequent disability pension with 5% in the routine non-manual class, 26% in the skilled manual class and 24% in the unskilled manual class. The impact of job control and physical demands was modest, and mainly seen among skilled and unskilled manual workers. Conclusions: Workers in the skilled and unskilled manual classes had a substantial unexplained risk of disability pension. Work-related factors only had a moderate impact on the disability risk. Literature indicates an accumulation of hazards in the manual classes. This should be taken into account when interpreting the gradient in disability pension.en_US
dc.publisherBioMed Centraleng
dc.rightsAttribution CC BYeng
dc.titleDisability pension by occupational class - the impact of work-related factors: The Hordaland Health Study Cohorten_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2011 Haukenes et al; licensee BioMed Central Ltd.
dc.subject.nsiVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806eng
dc.subject.nsiVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801eng

Files in this item


This item appears in the following Collection(s)

Show simple item record

Attribution CC BY
Except where otherwise noted, this item's license is described as Attribution CC BY