Abstract:
BACKGROUND:Mental depression is an important health problem in many countries. It reduces productivity at work and is the fastest increasing reason for early retirement. METHODS:This study followed up a Finnish cohort of 1726 men from 1984 to 2000. Depression was assessed at baseline by HPL depression score. Pension records were obtained from the national pension registers. Cox's regression analysis was used to estimate the associations of depression with the risk of all disability pensions combined, separately for different causes of disability, and non-illness based pension. RESULTS:During the follow up, 839 men (48.6%) received a disability pension. A total of 142 men (16.9% of all disability pensions) retired because of mental disorder and of these, 75 (52.8%) because of depression. After adjustment for the potential confounders, men in the highest third of depression score had an increased risk of non-illness based pension (RR 1.86 95% CI 1.37 to 2.51) and disability pension attributable to mental disorders (RR 2.74, 95% CI 1.68 to 4.46), chronic somatic diseases (RR 1.68, 95% CI 1.05 to 2.71), cardiovascular diseases (RR 1.61, 95% CI 1.12 to 2.32). The mean age of retirement for men with a high and low depression score was 57.6 years (SD 3.87) and 59.1 years (SD 3.65) (p<0.001) respectively. CONCLUSIONS:A high depression score predicted disability attributable to any cause, especially mental disorders, and non-illness based pensions. Depressed people retired on average 1.5 years younger than those without depression. Further studies are needed to elucidate the pathways of how mental depression leads people to seek retirement pension.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Karpansalo M,Kauhanen J,Lakka TA,Manninen P,Kaplan GA,Salonen JTdoi
10.1136/jech.2003.010702keywords:
subject
Has Abstractpub_date
2005-01-01 00:00:00pages
70-4issue
1eissn
0143-005Xissn
1470-2738pii
59/1/70journal_volume
59pub_type
杂志文章abstract::Mortality from congenital malformations by mother's country of birth was examined in England and Wales between the years 1976 and 1980, based on stillbirths and infant deaths. There were 18 870 stillbirths and infant deaths attributed to congenital malformations in this period, of which 2 375 (13%) were to mothers bor...
journal_title:Journal of epidemiology and community health
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journal_title:Journal of epidemiology and community health
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
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更新日期:2013-11-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:1996-04-01 00:00:00
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journal_title:Journal of epidemiology and community health
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doi:10.1136/jech-2013-202725
更新日期:2014-04-01 00:00:00
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journal_title:Journal of epidemiology and community health
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doi:10.1136/jech-2020-214401
更新日期:2020-11-01 00:00:00
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更新日期:2009-01-01 00:00:00
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更新日期:2004-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/jech-2015-206329
更新日期:2016-05-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
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更新日期:1995-12-01 00:00:00
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更新日期:2004-01-01 00:00:00
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更新日期:1980-09-01 00:00:00
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更新日期:1994-08-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
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更新日期:2001-08-01 00:00:00
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更新日期:2009-09-01 00:00:00
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更新日期:2015-01-01 00:00:00
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更新日期:2012-11-01 00:00:00
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更新日期:2019-01-01 00:00:00
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pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2000-12-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2006-07-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:1995-06-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:2012-10-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.40.2.174
更新日期:1986-06-01 00:00:00