Article Text

other Versions

PDF
Employee control over working times and risk of cause-specific disability pension: the Finnish Public Sector Study
  1. Jussi Vahtera1,*,
  2. Sari Laine1,
  3. Marianna Virtanen1,
  4. Tuula Oksanen1,
  5. Aki Koskinen1,
  6. Jaana Pentti1,
  7. Mika Kivimäki2
  1. 1 Finnish Institute of Occupational Health, Finland;
  2. 2 University College London, United Kingdom
  1. Correspondence to: Jussi Vahtera, Finnish Institute of Occupational Health, Lemminkäisenkatu 14-18B, Turku, FIN-20520, Finland; jussi.vahtera{at}ttl.fi

Abstract

Objective: To examine the association between worktime control and subsequent retirement on health ground (disability pension) among employees.

Methods: A prospective cohort study of 30 700 public sector employees (78% women) aged 18 to 64 at baseline. Two scores of worktime control (self-assessed and co-worker assessed), were obtained from responses to the baseline survey in 2000-2001 (score range 1 to 5). Information on cause-specific disability pension during follow-up was collected from national registers.

Results: During a mean follow-up of 4.4 years, 1178 employees were granted disability pension (incidence per 1000 person-years 9.2 in women and 8.7 in men). The most common causes of a disability pension were musculoskeletal disorders (43% of all pensions), mental disorders (25%), tumours (8%), and diseases of the circulatory system (6%) and the nervous system (6%). A 1 unit increase in self-assessed and co-worker assessed worktime control score was associated with a 41-48% lowering of the risk of disabling musculoskeletal disorders in men and 33-35% lowering in women. This association was robust to adjustment for all 17 baseline covariates (in men and women combined, adjusted hazard ratio 0.76, 95% CI 0.67-0.87 and 0.64, 95% CI 0.51-0.79 per 1 unit increase in self-assessed and co-worker assessed worktime control, respectively).Self-assessed worktime control was also associated with the risk of disability retirement due to mental disorders in women, but this association was not replicated using co-workers' assessment. Disability pensions from other disease categories were not related to control over working times.

Conclusions: In this cohort of public sector employees, high worktime control was associated with reduced risk of early retirement caused by musculoskeletal disorders independent of baseline characteristics.

Statistics from Altmetric.com

Footnotes

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.