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Combinations of Job Demands and Job Control and Future Trajectories of Sickness Absence and Disability Pension An
Laura Salonen1, Kristina Alexanderson, Reiner Rugulies
1Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden (Dr Alexanderson, Dr Farrants); National Research Centre for the Working Environment, Copenhagen, Denmark (Dr Rugulies); Department of Public Health, University of Copenhagen, Copenhagen, Denmark (Dr Rugulies); Department of Psychology, University of Copenhagen, Copenhagen, Denmark (Dr Rugulies); National Research Centre for the Working Environment, Copenhagen, Denmark (Dr Framke); University of Turku, Turku, Finland (Dr Niemelä, Salonen).
Objective:
The aim of this study was to examine the association between combinations of job demands/control and future sickness absence (SA) and disability pension (DP) trajectories over 11 years.
Methods:
A population-based prospective cohort study of female (n = 1,079,631) and male (n = 1,107,999) employees in 2001. With group-based trajectory analysis, we modeled the trajectories of annual mean SA/DP days in 2002 to 2012. We predicted trajectory memberships for job demands/control using multinomial regression.
Results:
We found three SA/DP trajectories for women (low stable, medium stable, and high increasing) and two for men (low stable and high increasing). Low demands/low control in women [odds ratio (OR) 1.42; 95% confidence interval (95% CI) 1.38 to 1.45], and low demands and medium/high control in men (equal OR of 1.23; 95% CI 1.18 to 1.28) were strongly associated with high increasing trajectory.
Conclusion:
The associations between job demands/control varied between SA/DP trajectories and between sexes.
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