Social consequences of multiple sclerosis (1): early pension and temporary unemployment-a historical prospective cohort study

被引:100
作者
Pfleger, Claudia Christina Hilt [1 ]
Flachs, Esben Meulengracht [2 ,3 ]
Koch-Henriksen, Nils [1 ,2 ]
机构
[1] Aarhus Univ Hosp, Dept Neurol, DK-9000 Aalborg, Denmark
[2] Danish Multiple Sclerosis Registry, Copenhagen, Denmark
[3] Univ So Denmark, Natl Inst Publ Hlth, Lyngby, Denmark
来源
MULTIPLE SCLEROSIS | 2010年 / 16卷 / 01期
关键词
cohort study; disability pension; early pension; early retirement; income; multiple sclerosis; occupational status; unemployment; QUALITY-OF-LIFE; EMPLOYMENT; HEALTH; PEOPLE; IMPACT;
D O I
10.1177/1352458509352196
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Multiple sclerosis affects young and middle-aged people and often leads to physical and cognitive handicaps. There is a need for detailed knowledge of the social consequences of the disease. We aim here to describe the course of the working life and career of multiple sclerosis patients at the time of onset and thereafter, in terms of probability of early pension and income development. All 2538 patients with multiple sclerosis in Denmark with disease onset between 1980 and 1989, identified through the Danish MS-Registry, were included in this study. Twenty matched control persons per patient were randomly drawn from the civil registration system. Information on economic status was retrieved from Statistics Denmark. A survival analysis technique was used with onset as the starting point. We found that the probability of remaining without early pension was at 5 years 70% for patients and 97% for controls, and at 20 years 22% for patients and 86% for controls. Due to lower rates for early pension, gross income with time was lower in patients than controls. We conclude that multiple sclerosis seriously affects the economic life of multiple sclerosis patients, even within a few years of onset.
引用
收藏
页码:121 / 126
页数:6
相关论文
共 16 条
[1]  
Catanzaro M, 1992, Int J Rehabil Res, V15, P209, DOI 10.1097/00004356-199209000-00004
[2]   Biographical disruption associated with multiple sclerosis: Using propensity scoring to assess the impact [J].
Green, Gill ;
Todd, Jennifer ;
Pevalin, David .
SOCIAL SCIENCE & MEDICINE, 2007, 65 (03) :524-535
[3]   MULTIVARIATE ANALYSES OF FACTORS ASSOCIATED WITH UNEMPLOYMENT IN PEOPLE WITH MULTIPLE-SCLEROSIS [J].
GRONNING, M ;
HANNISDAL, E ;
MELLGREN, SI .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1990, 53 (05) :388-390
[4]  
Hakim EA, 2000, DISABIL REHABIL, V22, P288
[5]   Multiple sclerosis in Australia: Socioeconomic factors [J].
Hammond, SR ;
McLeod, JG ;
Macaskill, P ;
English, DR .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1996, 61 (03) :311-313
[6]  
Janssens A Cecile J W, 2004, Mult Scler, V10, P717
[7]   Costs and quality of life of patients with multiple sclerosis in Europe [J].
Kobelt, G. ;
Berg, J. ;
Lindgren, P. ;
Fredrikson, S. ;
Jonsson, B. .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2006, 77 (08) :918-926
[8]  
Koch-Henriksen N, 2001, DAN MED BULL, V48, P91
[9]   EMPLOYMENT IN INDIVIDUALS WITH MULTIPLE-SCLEROSIS [J].
KORNBLITH, AB ;
LAROCCA, NG ;
BAUM, HM .
INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH, 1986, 9 (02) :155-165
[10]   THE ROLE OF DISEASE AND DEMOGRAPHIC-FACTORS IN THE EMPLOYMENT OF PATIENTS WITH MULTIPLE-SCLEROSIS [J].
LAROCCA, N ;
KALB, R ;
KENDALL, P ;
SCHEINBERG, L .
ARCHIVES OF NEUROLOGY, 1982, 39 (04) :256-256