Differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders
Objectives Immigrants with common mental disorders (CMDs) are reported to have a higher risk of disability pension (DP) compared with native residents; however, the reasons for this are not fully understood. This study aimed to investigate (1) differences in morbidity (3 measures) and socioeconomic...
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crjcrbmj:10.1136/bmjopen-2016-014431 2024-06-23T07:54:07+00:00 Differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders Werlen, Laura Helgesson, Magnus Mittendorfer-Rutz, Ellenor Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2017 http://dx.doi.org/10.1136/bmjopen-2016-014431 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2016-014431 en eng BMJ BMJ Open volume 7, issue 3, page e014431 ISSN 2044-6055 2044-6055 journal-article 2017 crjcrbmj https://doi.org/10.1136/bmjopen-2016-014431 2024-05-24T13:16:33Z Objectives Immigrants with common mental disorders (CMDs) are reported to have a higher risk of disability pension (DP) compared with native residents; however, the reasons for this are not fully understood. This study aimed to investigate (1) differences in morbidity (3 measures) and socioeconomic status in native Swedes, ‘Western’ and ‘non-Western’ immigrants with CMDs and (2) interactions between morbidity and socioeconomic status and immigrant status regarding subsequent DP. Design The study was a prospective population-based cohort study using national register data. Crude and multivariate HRs with 95% CIs were calculated using the Cox regression (2007–2010). Participants All individuals aged 18–59 with an incident sick-leave spell due to CMDs during 2006 were included in the study (N=66 097). The study population was divided into 3 groups based on country of birth: (1) Sweden, (2) immigrants from ‘Western’ countries (EU25, Norway, Iceland, North America and Oceania) and (3) immigrants from ‘non-Western’ countries (east Europe, Africa, Asia and South America). Results Particularly, immigrants born in non-Western countries had higher levels of morbidity and lower socioeconomic status than natives (p>0.001). No significant differences in the associations between specialised psychiatric and somatic care with regard to subsequent DP were found between immigrants and native Swedes. Being prescribed more than 1 type of psychiatric medication was associated with higher HRs for DP in immigrants from Western (HR 3.34; CI 2.3 to 4.9) and non-Western countries (3.6; 1.9 to 6.4) than in native Swedes (2.55; 2.3 to 2.8) (p interaction =0.003). Low education was a marginally stronger predictor for DP in non-Western immigrants than in native Swedes and Western immigrants (p interaction =0.03). Conclusions Morbidity measured by medication, but not by specialised healthcare, was a stronger predictor for DP in immigrants than in native Swedes, warranting scrutiny of differences in care and treatment in immigrants and ... Article in Journal/Newspaper Iceland The BMJ Norway BMJ Open 7 3 e014431 |
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language |
English |
description |
Objectives Immigrants with common mental disorders (CMDs) are reported to have a higher risk of disability pension (DP) compared with native residents; however, the reasons for this are not fully understood. This study aimed to investigate (1) differences in morbidity (3 measures) and socioeconomic status in native Swedes, ‘Western’ and ‘non-Western’ immigrants with CMDs and (2) interactions between morbidity and socioeconomic status and immigrant status regarding subsequent DP. Design The study was a prospective population-based cohort study using national register data. Crude and multivariate HRs with 95% CIs were calculated using the Cox regression (2007–2010). Participants All individuals aged 18–59 with an incident sick-leave spell due to CMDs during 2006 were included in the study (N=66 097). The study population was divided into 3 groups based on country of birth: (1) Sweden, (2) immigrants from ‘Western’ countries (EU25, Norway, Iceland, North America and Oceania) and (3) immigrants from ‘non-Western’ countries (east Europe, Africa, Asia and South America). Results Particularly, immigrants born in non-Western countries had higher levels of morbidity and lower socioeconomic status than natives (p>0.001). No significant differences in the associations between specialised psychiatric and somatic care with regard to subsequent DP were found between immigrants and native Swedes. Being prescribed more than 1 type of psychiatric medication was associated with higher HRs for DP in immigrants from Western (HR 3.34; CI 2.3 to 4.9) and non-Western countries (3.6; 1.9 to 6.4) than in native Swedes (2.55; 2.3 to 2.8) (p interaction =0.003). Low education was a marginally stronger predictor for DP in non-Western immigrants than in native Swedes and Western immigrants (p interaction =0.03). Conclusions Morbidity measured by medication, but not by specialised healthcare, was a stronger predictor for DP in immigrants than in native Swedes, warranting scrutiny of differences in care and treatment in immigrants and ... |
author2 |
Forskningsrådet om Hälsa, Arbetsliv och Välfärd |
format |
Article in Journal/Newspaper |
author |
Werlen, Laura Helgesson, Magnus Mittendorfer-Rutz, Ellenor |
spellingShingle |
Werlen, Laura Helgesson, Magnus Mittendorfer-Rutz, Ellenor Differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders |
author_facet |
Werlen, Laura Helgesson, Magnus Mittendorfer-Rutz, Ellenor |
author_sort |
Werlen, Laura |
title |
Differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders |
title_short |
Differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders |
title_full |
Differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders |
title_fullStr |
Differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders |
title_full_unstemmed |
Differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders |
title_sort |
differences in predictors of permanent work disability between immigrants and natives: a cohort study of adults with sick leave due to common mental disorders |
publisher |
BMJ |
publishDate |
2017 |
url |
http://dx.doi.org/10.1136/bmjopen-2016-014431 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2016-014431 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
BMJ Open volume 7, issue 3, page e014431 ISSN 2044-6055 2044-6055 |
op_doi |
https://doi.org/10.1136/bmjopen-2016-014431 |
container_title |
BMJ Open |
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7 |
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3 |
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e014431 |
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1802646096485285888 |