Using Longitudinal Survey Data to Estimate Mental Health Related Transitions to a Disability Pension: Analysis of an Australian Household Panel Study

被引:1
作者
Schofield, Timothy P. [1 ]
Kiely, Kim M. [2 ]
Mykletun, Arnstein [3 ,4 ,5 ,6 ]
Harvey, Samuel B. [7 ,8 ]
Butterworth, Peter [1 ,9 ]
机构
[1] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Ctr Mental Hlth, Parkville, Vic, Australia
[2] Australian Natl Univ, Res Sch Populat Hlth, Ctr Res Ageing Hlth & Well Being, Acton, Australia
[3] Norwegian Inst Publ Hlth, Dept Mental Hlth & Suicide, Oslo, Norway
[4] Univ Tromso, Dept Community Med, Tromso, Norway
[5] Haukeland Hosp, Ctr Res & Educ Forens Psychiat & Psychol, Bergen, Norway
[6] Nordland Hosp Trust, Ctr Work & Mental Hlth, Bodo, Norway
[7] Univ New South Wales, Sch Psychiat, Sydney, NSW, Australia
[8] Black Dog Inst, Sydney, NSW, Australia
[9] Univ Melbourne, Melbourne Inst Appl Econ & Social Res, Parkville, Vic, Australia
基金
澳大利亚研究理事会; 英国医学研究理事会;
关键词
disability pension; long-term health condition; psychiatric epidemiology; welfare; DISORDERS; INCOME; PREVALENCE; DYNAMICS; TRENDS; WORK;
D O I
10.1097/JOM.0000000000001269
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective:This study examined the association between mental ill-health and subsequent receipt of a disability pension in Australia, and assessed how the strength of the association varied in relation to the duration between mental health measurement and reported disability pension receipt.Methods:Eight thousand four hundred seventy-four working-age adults not receiving a disability pension at baseline were followed for up to 11 years; 349 transitioned onto a disability pension. Discrete-time survival analysis considered baseline and time-varying (12-month lagged) measures of mental ill-health.Results:Proximal measures of mental ill-health were more strongly associated with subsequent pension receipt than baseline measures (odds ratio: 6.6 vs 3.9) and accounted for a significantly greater proportion of pension transitions (35% vs 21%).Conclusion:Mental ill-health is an independent risk factor for disability pension receipt, and proximal circumstances better capture this association than mental health measured earlier.
引用
收藏
页码:E166 / E172
页数:7
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