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Published in: Journal of Public Health 3/2010

01-06-2010 | Original Article

The fraction of disability pensions attributable to smoking and obesity. Results from a 15-year follow-up study

Authors: Thomas Lund, Merete Labriola, Helene Feveile, Karl Bang Christensen

Published in: Journal of Public Health | Issue 3/2010

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Abstract

Objective

The aim of this study was to estimate the fraction of permanent disability pensions among the working population in Denmark that can be attributed to differences in health behaviour.

Methods

A total of 8,287 employees were interviewed regarding health behaviour, work environment and general health. They were followed in a national register on granted disability pensions. Cox regression analysis was performed, and attributable fractions were calculated.

Results

The analysis showed a 48% and 79% risk increase for female heavy and moderate smokers, respectively (attributable fraction 19.7%), and a 74% risk increase for BMI < 18.5 (attributable fraction 6.1%). Male heavy smokers had a 67% excess risk of disability pension (attributable fraction 15.7%).

Conclusions

Smoking was an independent disability pension predictor regardless of age, work environment factors and baseline general health status. Workplace-based smoking cessation could substantially decrease permanent disability retirement from work.
Literature
go back to reference Albertsen K, Lund T, Christensen KB, Christensen TS, Villadsen E (2007) Predictors of disability pension over a 10-year period for men and women. Scand J Public Health 35:78–85CrossRefPubMed Albertsen K, Lund T, Christensen KB, Christensen TS, Villadsen E (2007) Predictors of disability pension over a 10-year period for men and women. Scand J Public Health 35:78–85CrossRefPubMed
go back to reference Allebeck P, Mastekaasa A (2004) Chapter 5: Risk factors for sick leave–general studies. Scand J Public Health 32(Suppl 63):49–108CrossRef Allebeck P, Mastekaasa A (2004) Chapter 5: Risk factors for sick leave–general studies. Scand J Public Health 32(Suppl 63):49–108CrossRef
go back to reference Burr H, Bjorner JB, Kristensen TS, Tüchsen F, Bach E (2003) Trends in the Danish work environment in 1990–2000 and their associations with labor-force changes. Scand J Work Environ Health 29:270–279PubMed Burr H, Bjorner JB, Kristensen TS, Tüchsen F, Bach E (2003) Trends in the Danish work environment in 1990–2000 and their associations with labor-force changes. Scand J Work Environ Health 29:270–279PubMed
go back to reference Christensen KB, Feveile H, Labriola M, Lund T (2008) The impact of psychosocial work environment factors on the risk of disability pension in Denmark. Eur J Public Health 18:235–237CrossRefPubMed Christensen KB, Feveile H, Labriola M, Lund T (2008) The impact of psychosocial work environment factors on the risk of disability pension in Denmark. Eur J Public Health 18:235–237CrossRefPubMed
go back to reference Christensen KB, Lund T, Labriola M, Bültmann U, Villadsen E (2007) The impact of health behaviour on long term sickness absence: Results from DWECS/DREAM. Industrial Health 45:348–351CrossRefPubMed Christensen KB, Lund T, Labriola M, Bültmann U, Villadsen E (2007) The impact of health behaviour on long term sickness absence: Results from DWECS/DREAM. Industrial Health 45:348–351CrossRefPubMed
go back to reference Friis K, Ekholm O, Hundrup YA (2008) The relationship between lifestyle, working environment, socio-demographic factors and expulsion from the labour market due to disability pension among nurses. Scand J Caring Sci 22:241–248CrossRefPubMed Friis K, Ekholm O, Hundrup YA (2008) The relationship between lifestyle, working environment, socio-demographic factors and expulsion from the labour market due to disability pension among nurses. Scand J Caring Sci 22:241–248CrossRefPubMed
go back to reference Giovino GA (2007) The tobacco epidemic in the United States. Am J Prev Med 33:318–326CrossRef Giovino GA (2007) The tobacco epidemic in the United States. Am J Prev Med 33:318–326CrossRef
go back to reference Hjollund NH, Larsen FB, Andersen JH (2007) Register-based follow-up of social benefits and other transfer payments: accuracy and degree of completeness in a Danish interdepartmental administrative database compared with a population-based survey. Scand J Public Health 35(5):497–502CrossRefPubMed Hjollund NH, Larsen FB, Andersen JH (2007) Register-based follow-up of social benefits and other transfer payments: accuracy and degree of completeness in a Danish interdepartmental administrative database compared with a population-based survey. Scand J Public Health 35(5):497–502CrossRefPubMed
go back to reference Karnehed N, Rasmussen F, Kark M (2007) Obesity in young adulthood and later disability pension: a population-based cohort study of 366, 929 Swedish men. Scand J Public Health 35:48–54CrossRefPubMed Karnehed N, Rasmussen F, Kark M (2007) Obesity in young adulthood and later disability pension: a population-based cohort study of 366, 929 Swedish men. Scand J Public Health 35:48–54CrossRefPubMed
go back to reference Labriola M, Feveile H, Christensen KB, Strøyer J, Lund T (2009) The impact of ergonomic work environment exposures on the risk of disability pension. Ergonomics 52:1419–1422CrossRefPubMed Labriola M, Feveile H, Christensen KB, Strøyer J, Lund T (2009) The impact of ergonomic work environment exposures on the risk of disability pension. Ergonomics 52:1419–1422CrossRefPubMed
go back to reference Lund T, Labriola M, Christensen KB, Bültmann U, Villadsen E (2006) Physical work environment risk factors for long-term sickness absence: Prospective findings among a cohort of 5357 employees in Denmark. BMJ 332:449–452CrossRefPubMed Lund T, Labriola M, Christensen KB, Bültmann U, Villadsen E (2006) Physical work environment risk factors for long-term sickness absence: Prospective findings among a cohort of 5357 employees in Denmark. BMJ 332:449–452CrossRefPubMed
go back to reference Lund T, Labriola M, Christensen KB, Bültmann U, Villadsen E, Burr H (2005) Psychosocial work environment exposures as risk factors for long-term sickness absence among Danish employees: Results from DWECS/DREAM. J Occup Environ Med 47:1141–1147CrossRefPubMed Lund T, Labriola M, Christensen KB, Bültmann U, Villadsen E, Burr H (2005) Psychosocial work environment exposures as risk factors for long-term sickness absence among Danish employees: Results from DWECS/DREAM. J Occup Environ Med 47:1141–1147CrossRefPubMed
go back to reference Månsson NO, Merlo J (2001) The relation between self-rated health, socioeconomic status, body mass index and disability pension among middle-aged men. Eur J Epidemiol 17:65–69CrossRefPubMed Månsson NO, Merlo J (2001) The relation between self-rated health, socioeconomic status, body mass index and disability pension among middle-aged men. Eur J Epidemiol 17:65–69CrossRefPubMed
go back to reference Miettinen OS (1974) Proportion of disease caused or prevented by a given exposure, trait or intervention. Am J Epidemiol 99:325–332PubMed Miettinen OS (1974) Proportion of disease caused or prevented by a given exposure, trait or intervention. Am J Epidemiol 99:325–332PubMed
go back to reference Rasmussen PH, Nielsen CV (2003) Utilization of occupational ability by persons on early retirement. A registry study. Ugeskr Laeger 165:1335–1338, Article in DanishPubMed Rasmussen PH, Nielsen CV (2003) Utilization of occupational ability by persons on early retirement. A registry study. Ugeskr Laeger 165:1335–1338, Article in DanishPubMed
go back to reference Rothenbacher D, Arndt V, Fraisse E, Zschenderlein B, Fliedner TM, Brenner H (1998) Early retirement due to permanent disability in relation to smoking in workers of the construction industry. J Occup Environ Med 40:63–68CrossRefPubMed Rothenbacher D, Arndt V, Fraisse E, Zschenderlein B, Fliedner TM, Brenner H (1998) Early retirement due to permanent disability in relation to smoking in workers of the construction industry. J Occup Environ Med 40:63–68CrossRefPubMed
go back to reference Schaap MM, Kunst AE (2009) Monitoring of socio-economic inequalities in smoking: learning from the experiences of recent scientific studies. Public Health 123(2):103–109CrossRefPubMed Schaap MM, Kunst AE (2009) Monitoring of socio-economic inequalities in smoking: learning from the experiences of recent scientific studies. Public Health 123(2):103–109CrossRefPubMed
go back to reference Sovinová H, Csémy L, Procházka B, Kottnauerová S (2007) Smoking attributable hospital treatment, treatment costs and smoking attributable mortality in the Czech Republic in 2002. Cent Eur J Public Health 15:79–83PubMed Sovinová H, Csémy L, Procházka B, Kottnauerová S (2007) Smoking attributable hospital treatment, treatment costs and smoking attributable mortality in the Czech Republic in 2002. Cent Eur J Public Health 15:79–83PubMed
go back to reference Sovinová H, Csémy L, Procházka B, Kottnauerová S (2008) Smoking-attributable mortality in the Czech Republic. J Public Health 16:37–42CrossRef Sovinová H, Csémy L, Procházka B, Kottnauerová S (2008) Smoking-attributable mortality in the Czech Republic. J Public Health 16:37–42CrossRef
go back to reference Tüchsen F, Christensen KB, Lund T, Feveile H (2008) A 15 year prospective study of shift work and disability pension. Occup Environ Med 65:283–285CrossRefPubMed Tüchsen F, Christensen KB, Lund T, Feveile H (2008) A 15 year prospective study of shift work and disability pension. Occup Environ Med 65:283–285CrossRefPubMed
Metadata
Title
The fraction of disability pensions attributable to smoking and obesity. Results from a 15-year follow-up study
Authors
Thomas Lund
Merete Labriola
Helene Feveile
Karl Bang Christensen
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
Journal of Public Health / Issue 3/2010
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-009-0304-3

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