Lost individual income due to severe health events: life-course perspective in the Northern Finland Birth Cohort 1966
BACKGROUND: Severe health events may lead to reduced income among survivors. Importantly, individuals’ risks for both severe health events and for lower income are shaped by early life course. Our aim was to consider early-life factors in determining lost individual income after stroke, heart attack...
Published in: | European Journal of Public Health |
---|---|
Main Authors: | , , , |
Format: | Text |
Language: | English |
Published: |
Oxford University Press
2022
|
Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527968/ http://www.ncbi.nlm.nih.gov/pubmed/36040214 https://doi.org/10.1093/eurpub/ckac110 |
id |
ftpubmed:oai:pubmedcentral.nih.gov:9527968 |
---|---|
record_format |
openpolar |
spelling |
ftpubmed:oai:pubmedcentral.nih.gov:9527968 2023-05-15T17:42:23+02:00 Lost individual income due to severe health events: life-course perspective in the Northern Finland Birth Cohort 1966 Rissanen, Ina Nerg, Iiro Ala-Mursula, Leena Korhonen, Marko 2022-08-30 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527968/ http://www.ncbi.nlm.nih.gov/pubmed/36040214 https://doi.org/10.1093/eurpub/ckac110 en eng Oxford University Press http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527968/ http://www.ncbi.nlm.nih.gov/pubmed/36040214 http://dx.doi.org/10.1093/eurpub/ckac110 © The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. CC-BY Eur J Public Health Work and Health Text 2022 ftpubmed https://doi.org/10.1093/eurpub/ckac110 2022-10-09T00:41:11Z BACKGROUND: Severe health events may lead to reduced income among survivors. Importantly, individuals’ risks for both severe health events and for lower income are shaped by early life course. Our aim was to consider early-life factors in determining lost individual income after stroke, heart attack and cancer between ages 18 and 50. METHODS: A population-based Northern Finland Birth Cohort 1966 (N = 12 058) was used. Early-life factors were collected since mid-pregnancy until age 16 years and used to match all persons with stroke, heart attack, or cancer (n = 995) with four controls. Registered annual individual income development 15 years before and after the event was compared between cases and propensity score matched controls using time-to-event mixed models, stratified for sex. RESULTS: Compared to controls, a new decreasing income trend emerged among women after stroke (logarithmic income per time −0.54; 95% CI −0.88 to −0.20), whereas men getting stroke showed declining earnings already by the time of the event, further declining after stroke (−1.00, −1.37 to −0.63). Getting heart attack was associated with a new declining trend both in women (−0.68; −1.28 to −0.09) and men (−0.69, −1.05 to −0.32). Income declined also among control men (−0.24, −0.34 to −0.14), who had higher income but were less educated than control women. CONCLUSIONS: Stroke and heart attack but not cancer have exogenous deleterious effects on individual economy, independently of early-life factors. The effects accelerate by time. Negative income trend in control men shows that severe health events do not explain all decrease in income. Text Northern Finland PubMed Central (PMC) European Journal of Public Health 32 5 723 728 |
institution |
Open Polar |
collection |
PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Work and Health |
spellingShingle |
Work and Health Rissanen, Ina Nerg, Iiro Ala-Mursula, Leena Korhonen, Marko Lost individual income due to severe health events: life-course perspective in the Northern Finland Birth Cohort 1966 |
topic_facet |
Work and Health |
description |
BACKGROUND: Severe health events may lead to reduced income among survivors. Importantly, individuals’ risks for both severe health events and for lower income are shaped by early life course. Our aim was to consider early-life factors in determining lost individual income after stroke, heart attack and cancer between ages 18 and 50. METHODS: A population-based Northern Finland Birth Cohort 1966 (N = 12 058) was used. Early-life factors were collected since mid-pregnancy until age 16 years and used to match all persons with stroke, heart attack, or cancer (n = 995) with four controls. Registered annual individual income development 15 years before and after the event was compared between cases and propensity score matched controls using time-to-event mixed models, stratified for sex. RESULTS: Compared to controls, a new decreasing income trend emerged among women after stroke (logarithmic income per time −0.54; 95% CI −0.88 to −0.20), whereas men getting stroke showed declining earnings already by the time of the event, further declining after stroke (−1.00, −1.37 to −0.63). Getting heart attack was associated with a new declining trend both in women (−0.68; −1.28 to −0.09) and men (−0.69, −1.05 to −0.32). Income declined also among control men (−0.24, −0.34 to −0.14), who had higher income but were less educated than control women. CONCLUSIONS: Stroke and heart attack but not cancer have exogenous deleterious effects on individual economy, independently of early-life factors. The effects accelerate by time. Negative income trend in control men shows that severe health events do not explain all decrease in income. |
format |
Text |
author |
Rissanen, Ina Nerg, Iiro Ala-Mursula, Leena Korhonen, Marko |
author_facet |
Rissanen, Ina Nerg, Iiro Ala-Mursula, Leena Korhonen, Marko |
author_sort |
Rissanen, Ina |
title |
Lost individual income due to severe health events: life-course perspective in the Northern Finland Birth Cohort 1966 |
title_short |
Lost individual income due to severe health events: life-course perspective in the Northern Finland Birth Cohort 1966 |
title_full |
Lost individual income due to severe health events: life-course perspective in the Northern Finland Birth Cohort 1966 |
title_fullStr |
Lost individual income due to severe health events: life-course perspective in the Northern Finland Birth Cohort 1966 |
title_full_unstemmed |
Lost individual income due to severe health events: life-course perspective in the Northern Finland Birth Cohort 1966 |
title_sort |
lost individual income due to severe health events: life-course perspective in the northern finland birth cohort 1966 |
publisher |
Oxford University Press |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527968/ http://www.ncbi.nlm.nih.gov/pubmed/36040214 https://doi.org/10.1093/eurpub/ckac110 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Eur J Public Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527968/ http://www.ncbi.nlm.nih.gov/pubmed/36040214 http://dx.doi.org/10.1093/eurpub/ckac110 |
op_rights |
© The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1093/eurpub/ckac110 |
container_title |
European Journal of Public Health |
container_volume |
32 |
container_issue |
5 |
container_start_page |
723 |
op_container_end_page |
728 |
_version_ |
1766144228696522752 |