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Stattin, Mikael
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Publications (10 of 27) Show all publications
Söderberg, M., Schiöler, L., Stattin, M., Burdorf, A. & Järvholm, B. (2019). Mortality in persons with disability pension due to common mental disorders: A cohort study of Swedish construction workers. Scandinavian Journal of Public Health
Open this publication in new window or tab >>Mortality in persons with disability pension due to common mental disorders: A cohort study of Swedish construction workers
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2019 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aims: This study investigated mortality in disability pensions due to common mental disorder, and variation over time after first receiving disability pension. Methods: Objectives were explored in 301,863 construction workers (97.2% men) recruited through healthcare examinations from 1971-1993. By linking with the Swedish National Insurance Agency registers, disability pensions until 2014 were identified. Common mental disorder was defined as disability pension diagnosis due to anxiety, stress-related disorders or moderate depression. Mortality was calculated in all-psychiatric diagnosis and diagnostic sub-groups, and compared to persons without disability pensions, using Poisson regression. Additional analyses were stratified by age at follow-up. Results: In total 6030 subjects received disability pensions based on psychiatric diagnoses, and 2624 constituted common mental disorder. Analyses in an all-psychiatric diagnosis displayed increased mortality risks in men (relative risk 3.6; 95% confidence interval 3.3-3.9) and women (relative risk 2.1; 95% confidence interval 1.6-2.6). Common mental disorder was associated with mortality, especially in men (relative risk 2.5; 95% confidence interval 2.2-2.8). Increased relative risks in alcohol and substance abuse were also observed. Results in analyses stratified by age at follow-up displayed persistent high relative risks for mortality in older ages (75-89 years) in men in all-psychiatric disability pensions diagnosis (relative risk 2.8; 95% confidence interval 2.1-3.7) and common mental disorder diagnosis (relative risk 2.6; 95% confidence interval 1.8-3.6), compared to men without disability pensions. Similar results were found in women, but few cases lowered the precision of estimates. Conclusions: This study shows that disability pension based on common mental disorders, often regarded as a 'lighter' psychiatric diagnosis, is a risk for early mortality in construction workers, even several years after first receiving disability pension.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
Disability pension, common mental disorders, construction workers, mortality
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-166527 (URN)10.1177/1403494819884440 (DOI)31820671 (PubMedID)
Note

2019-12-20: Epub ahead of print. Granskad. /CSa

Available from: 2019-12-17 Created: 2019-12-17 Last updated: 2019-12-20
Söderberg, M., Mannelqvist, R., Järvholm, B., Schiöler, L. & Stattin, M. (2018). Impact of changes in welfare legislation on the incidence of disability pension. A cohort study of construction workers. Scandinavian Journal of Public Health, Article ID 1403494818754747.
Open this publication in new window or tab >>Impact of changes in welfare legislation on the incidence of disability pension. A cohort study of construction workers
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2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, article id 1403494818754747Article in journal (Refereed) Epub ahead of print
Abstract [en]

AIMS: Study objectives were to investigate how changes in social insurance legislation influenced the incidence of disability pension.

METHODS: The study included 295,636 male construction workers who attended health examinations between 1971 and 1993, aged 20-60 years and without previous disability pension. Via the Swedish National Insurance Agency national register we identified 66,046 subjects who were granted disability pension up until 2010. The incidence rates were calculated and stratified according to age and diagnosis.

RESULTS: The incidence rate of disability pension was fairly stable until the 1990s when large variations occurred, followed by a strong decreasing trend from the early 2000s to 2010. Trends in incidence rates, stratified by age and diagnosis, showed a consistent decrease in cardiovascular disease for all age groups. In subjects aged 30-49 years there was a high peak around 2003 for musculoskeletal diseases and psychiatric diseases. For the age group 50-59 years, musculoskeletal diagnosis, the most common cause of disability pension, had a sharp peak around 1993 and then a decreasing trend. In the 60-64 age group, the incidence rate for psychiatric diagnosis was stable, while incidence rates for musculoskeletal diagnosis varied during the 1990s.

CONCLUSIONS: There are considerable variations in the incidence rate of disability pension over time, with different patterns depending on age and diagnosis. Changes in social insurance legislation, as well as in administration processes, seem to influence the variation.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Disability pension, construction workers, social insurance legislation, time trends
National Category
Occupational Health and Environmental Health Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-144283 (URN)10.1177/1403494818754747 (DOI)29366393 (PubMedID)
Available from: 2018-01-30 Created: 2018-01-30 Last updated: 2019-04-04
Bengs, C. & Stattin, M. (2018). Pensionspreferenser och motiv till arbete efter 65 bland personal inom hälso- och sjukvården: kvalitativa analyser av arbetsrelaterade faktorers påverkan på pensionspreferenser samt motiv till och erfarenheter av ett förlängt arbetsliv. Umeå: Umeå universitet
Open this publication in new window or tab >>Pensionspreferenser och motiv till arbete efter 65 bland personal inom hälso- och sjukvården: kvalitativa analyser av arbetsrelaterade faktorers påverkan på pensionspreferenser samt motiv till och erfarenheter av ett förlängt arbetsliv
2018 (Swedish)Report (Other academic)
Abstract [sv]

Projektet ”Nycklar till ett längre arbetsliv. Individuella och organisatoriska perspektiv” är ett av FORTE finansierat forskningsprojekt som startade hösten 2014 som ett samverkansprojekt med personalenheten vid Västerbottens läns landsting (VLL). Projektet, som baseras på olika enkätundersökningar, studerar medarbetares syn på pensionsålder (pensionspreferenser) och hur olika arbetsrelaterade faktorer påverkar pensionspreferenser och motivationen att arbeta längre. Projektet har bestått av tre olika delstudier. Delstudie ett baseras på kvantitativa analyser av en enkät riktad till samtliga medarbetare från 55 år och uppåt kring önskad tidpunkt för pension. Studien utgår från teoretiska bestämningar av arbetsvillkor och arbetsmiljö och dess effekt på pensionspreferensen. Delstudie två baseras på kvalitativa analyser av fritextsvar från samma enkät kring de arbetsrelaterade motiv som medarbetare angett i relation till sin pensionspreferens. De kvalitativa analyserna kompletterar de kvantitativa fynden genom att medarbetarna själva definierar motiven till sin pensionspreferens. Delstudie tre studerar erfarenheter av och motiv till att fortsätta arbeta efter 65 års ålder. Studien baseras på kvalitativa analyser av fritextsvar från en enkät riktade till medarbetare som arbetar efter 65 års ålder. I föreliggande rapport redovisas resultaten från de två kvalitativt orienterade studierna. Rapporten inleds med en kort bakgrund till forskningsprojektet därefter presenteras de övergripande resultaten från de två fristående delstudierna tillsammans med återkopplingar till tidigare forskning på området. Rapporten avslutas med ett kort diskussionsavsnitt där de två studiernas resultat relateras till varandra och till de implikationer resultaten kan ha för organisationen.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2018. p. 38
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Identifiers
urn:nbn:se:umu:diva-152333 (URN)978-91-7601-961-0 (ISBN)
Available from: 2018-10-02 Created: 2018-10-02 Last updated: 2018-10-05Bibliographically approved
Stattin, M. & Fors, F. (2016). Arbete, pensionering och hälsa bland äldre i Europa. In: Filip Fors och Jenny Olofsson (Ed.), Utblick: Sverige i en internationell jämförelse (pp. 119-134). Umeå: Sociologiska Institutionen, Umeå Universitet
Open this publication in new window or tab >>Arbete, pensionering och hälsa bland äldre i Europa
2016 (Swedish)In: Utblick: Sverige i en internationell jämförelse / [ed] Filip Fors och Jenny Olofsson, Umeå: Sociologiska Institutionen, Umeå Universitet , 2016, p. 119-134Chapter in book (Other academic)
Place, publisher, year, edition, pages
Umeå: Sociologiska Institutionen, Umeå Universitet, 2016
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
Sociology
Identifiers
urn:nbn:se:umu:diva-159273 (URN)9789176014295 (ISBN)
Available from: 2019-05-23 Created: 2019-05-23 Last updated: 2019-05-23Bibliographically approved
Stattin, M. & Larsson, D. (2015). The labour market in agening Sweden: lifecourse influences on workforce participation. In: Kathrin Komp & Stina Johansson (Ed.), Population ageing from a lifecourse perspective: critical and international approaches (pp. 203-220). Bristol: Policy Press
Open this publication in new window or tab >>The labour market in agening Sweden: lifecourse influences on workforce participation
2015 (English)In: Population ageing from a lifecourse perspective: critical and international approaches / [ed] Kathrin Komp & Stina Johansson, Bristol: Policy Press, 2015, p. 203-220Chapter in book (Refereed)
Place, publisher, year, edition, pages
Bristol: Policy Press, 2015
Series
Ageing and the lifecourse series
National Category
Sociology Work Sciences
Identifiers
urn:nbn:se:umu:diva-101013 (URN)9781447310716 (ISBN)
Available from: 2015-03-17 Created: 2015-03-17 Last updated: 2018-06-07Bibliographically approved
Järvholm, B., Stattin, M., Robroek, S. J., Janlert, U., Karlsson, B. & Burdorf, A. (2014). Heavy work and disability pension: a long term follow-up of Swedish construction workers. Scandinavian Journal of Work, Environment and Health, 40(4), 335-342
Open this publication in new window or tab >>Heavy work and disability pension: a long term follow-up of Swedish construction workers
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2014 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 40, no 4, p. 335-342Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The objective of this study was to investigate the occurrence of disability pensions over time among workers with physically demanding jobs.

METHODS: The occurrence of disability pension was prospectively studied between 1980-2008 among 325 549 Swedish construction workers. The risks for disability pension and years lost of working life were compared among 22 occupational groups, adjusting for age, body mass index, height, and smoking habits.

RESULTS: The risk varied considerably among blue-collar workers. For example, rock workers had double the risk of disability pension [relative risk (RR) 2.16, 95% confidence interval (95% CI) 1.96-2.39] compared to electricians. Most working years lost due to disability pensions (about 75%) were found among men >50 years, mainly due to musculoskeletal and cardiovascular diseases. The years of working life lost due to disability pension varied from 0.7 (salaried employees) to 3.2 years (rock workers) among occupational groups.

CONCLUSION: Work environment is an important predictor for disability pension among construction workers with those in physically heavy jobs having the highest burden of disability. If the purpose is to increase labor force participation for workers with heavy jobs, strategies to reduce physical demands at work among elderly workers are important.

Place, publisher, year, edition, pages
Nordic Association of Occupational Safety and Health, 2014
Keywords
attributable risk, employability, epidemiology, insurance medicine, public health. Sweden
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-84978 (URN)10.5271/sjweh.3413 (DOI)000338614100002 ()24385007 (PubMedID)
Available from: 2014-01-24 Created: 2014-01-24 Last updated: 2018-06-08Bibliographically approved
Örestig, J., Strandh, M. & Stattin, M. (2013). A wish come true?: A Longitudinal Analysis of the Relationship between Retirement Preferences and the Timing of Retirement. Journal of Population Ageing, 6(1-2), 99-118
Open this publication in new window or tab >>A wish come true?: A Longitudinal Analysis of the Relationship between Retirement Preferences and the Timing of Retirement
2013 (English)In: Journal of Population Ageing, ISSN 1874-7884, E-ISSN 1874-7876, ISSN 1874-7884, Vol. 6, no 1-2, p. 99-118Article in journal (Refereed) Published
Abstract [en]

This study examines the relationship between retirement preferences, expressed as preferred retirement age, and actual retirement age in Sweden. The data were drawn from the Swedish Panel Survey of Ageing and the Elderly (PSAE). The PSAE was fielded in 2002 and 2003 with the aim of mapping living conditions of older people in Sweden. The data, which have a powerful longitudinal component, cover a broad spectrum of welfare indicators such as health, daily activities, social interactions, labour market and working conditions, and attitudes towards and experiences of retirement. Cox regression analysis was employed to explore whether and to what extent retirement preferences had any impact on actual retirement age. The results imply that retirement preferences do represent, in relation to other known key factors, an isolated influence on retirement patterns. The introduction of time-dependent variables strengthened this argument by showing how the “hazard” for the timing of retirement varied during the study period: those who preferred to retire close the end point of the study period were more likely to retire at this time than those who preferred to retire after the end of the study period and those who preferred to retire at the beginning of the study period. The results also indicated that the categories that wished to retire close to the beginning of the study period were more likely to retire at this point of time. The study thus provides empirical support for those researchers, debaters and policymakers who have addressed the importance of changing preferences towards later retirement in order to prolong working life.

Place, publisher, year, edition, pages
Springer Netherlands, 2013
Keywords
Retirement preferences - Timing of retirement – Postponed retirement age - Older workers
National Category
Sociology
Identifiers
urn:nbn:se:umu:diva-64066 (URN)10.1007/s12062-012-9075-7 (DOI)
Available from: 2013-01-14 Created: 2013-01-14 Last updated: 2018-06-08Bibliographically approved
Halleröd, B., Örestig, J. & Stattin, M. (2013). Leaving the labour market: the impact of exit routes from employment to retirement on health and wellbeing in old age. European Journal of Ageing, 10(1), 25-35
Open this publication in new window or tab >>Leaving the labour market: the impact of exit routes from employment to retirement on health and wellbeing in old age
2013 (English)In: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380, Vol. 10, no 1, p. 25-35Article in journal (Refereed) Published
Abstract [en]

The study analyses whether and to what degree specific routes into retirement affect older people, i.e. the relationship between heterogeneous exit patterns and post-retirement health and wellbeing. We used longitudinal data from two points in time; data related to t 0 were collected in 1993, 1994, 1995 and 1996 and data related to t 1 were collected in 2002 and 2003 (N = 589). We focused on older people (55+ at t 1) who were employed at t 0 and retired at t 1. We used confirmative factor analysis to identify identical measures of health and wellbeing at both t 0 and t 1. Hence, we were able to control for pre-retirement health and wellbeing when evaluating the effects of different exit routes. These routes were defined as dependence on incomes from sickness benefit, disability pension, part-time pension, unemployment insurance and active labour market programmes. Our initial structural equation model showed a clear relation between exit routes and post-retirement wellbeing. People who prior to retirement were pushed into social benefit programmes related to health and unemployment were significantly worse off as retirees, especially those with health-related benefits. However, these relationships disappeared once pre-retirement wellbeing was added to the model. Our main conclusion is that post-retirement wellbeing first and foremost is a consequence of accumulation of advantages and disadvantages during the life course. Both labour market exit routes and post-retirement wellbeing can be seen as outcomes of this process. There are no independent effects of the retirement process. Judging from our findings, there is no reason to believe that involvement in social security programmes allowing early retirement on health grounds has any additional negative consequences for health and wellbeing.

Keywords
Retirement, Health, Wellbeing, Labour market Longitudinal, Structural equation
National Category
Sociology
Identifiers
urn:nbn:se:umu:diva-64033 (URN)10.1007/s10433-012-0250-8 (DOI)000316223800004 ()28804280 (PubMedID)
Available from: 2013-01-14 Created: 2013-01-14 Last updated: 2018-06-08Bibliographically approved
Robroek, S., Schuring, M., Croezen, S., Stattin, M. & Burdorf, A. (2013). Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study. Scandinavian Journal of Work, Environment and Health, 39(2), 125-133
Open this publication in new window or tab >>Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study
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2013 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 39, no 2, p. 125-133Article in journal (Refereed) Published
Abstract [en]

Objectives The aim of this study was to get insight into the role of poor health, unhealthy behaviors, and unfavorable work characteristics on exit from paid employment due to disability pension, unemployment, and early retirement among older workers.

Methods Respondents of the longitudinal Survey of Health, Ageing, and Retirement in Europe (SHARE) in 11 European countries were selected when (i) aged between 50 years and the country-specific retirement age, and having (ii) paid employment at baseline and (iii) information on employment status during the 4-year follow-up period (N=4923). Self-perceived health, health behaviors, and physical and psychosocial work characteristics were measured by interview at baseline. Employment status was derived from follow-up interviews after two and four years. Cox proportional hazards regression analyses were used to identify determinants of unemployment, disability pension, and early retirement.

Results Poor health was a risk factor for disability pension [hazard ratio (HR) 3.90, 95% confidence interval (95% CI) 2.51–6.05], and a lack of physical activity was a risk factor for disability pension (HR 3.05, 95% CI 1.68–5.55) and unemployment (HR 1.84, 95% CI 1.13–3.01). A lack of job control was a risk factor for disability pension, unemployment, and early retirement (HR 1.30–1.77).

Conclusions Poor health, a lack of physical activity, and a lack of job control played a role in exit from paid employment, but their relative importance differed by pathway of labor force exit. Primary preventive interventions focusing on promoting physical activity as well as increasing job control may contribute to reducing premature exit from paid employment.

Place, publisher, year, edition, pages
Scandinavian Journal of Work, Environment and Health, 2013
Keywords
disability pension; early retirement; Europe; exit from paid employment; health; job control; longitudinal; obesity; older worker; pathway of exit; physical activity; physical work; poor health; self-perceived health; unemployment; unfavorable work characteristic; unhealthy behavior; work characteristic
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Identifiers
urn:nbn:se:umu:diva-60403 (URN)10.5271/sjweh.3319 (DOI)000332916000002 ()22949091 (PubMedID)
Available from: 2012-10-10 Created: 2012-10-10 Last updated: 2018-06-08Bibliographically approved
Hult, C., Stattin, M., Janlert, U. & Järvholm, B. (2010). Comparing mortality rates and recognizing health selection bias: A response to Wallman and Svärdsudd. Social Science and Medicine, 70(10), 1489-1491
Open this publication in new window or tab >>Comparing mortality rates and recognizing health selection bias: A response to Wallman and Svärdsudd
2010 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 70, no 10, p. 1489-1491Article in journal (Other academic) Published
Place, publisher, year, edition, pages
Elsevier Ltd, 2010
Keywords
Disability pension, Health selection, Mortality, Methods
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-36064 (URN)10.1016/j.socscimed.2010.01.044 (DOI)000277815000006 ()
Available from: 2010-09-15 Created: 2010-09-15 Last updated: 2018-06-08Bibliographically approved
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