Socioeconomic factors and regional differences in mental disorder-based disability pensioning in Finland
Introduction Prior literature has indicated low socioeconomic status (SES) and regional differences as epidemiological risk factors for disability pension (DP) due to mental disorders. Objectives Our studies aimed to examine these associations and differences in greater detail, with separate consi...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822015127/type/journal_article |
| _version_ | 1827753874820169728 |
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| author | T. Karolaakso R. Autio T. Näppilä K. Nurmela H. Leppänen P. Rissanen M. Tuomisto S. Karvonen S. Pirkola |
| author_facet | T. Karolaakso R. Autio T. Näppilä K. Nurmela H. Leppänen P. Rissanen M. Tuomisto S. Karvonen S. Pirkola |
| author_sort | T. Karolaakso |
| collection | DOAJ |
| description |
Introduction
Prior literature has indicated low socioeconomic status (SES) and regional differences as epidemiological risk factors for disability pension (DP) due to mental disorders.
Objectives
Our studies aimed to examine these associations and differences in greater detail, with separate consideration of the risk factors for mood disorders (F30–39) and non-affective psychotic disorder (F20–29) DP.
Methods
Subjects (N = 36 879) were all those granted DP due to a mental disorder for the first time between 2010 and 2015 in Finland. All the subjects were matched with three controls. Education, income and occupational status were used as measures of SES. Conditional logistic regression models were used to study SES differences. Negative binomial regression analysis was used to study the levels of DP risk in the Finnish hospital districts.
Results
DP recipients had low educational and income levels and often lived alone. The risk of DP was greater in white-collar occupational groups compared with blue-collar workers. Students had the greatest risk of DP for all mental and mood disorders. Significant differences in the regional mental disorder DP risks did not appear to follow the traditional Finnish health differences.
Conclusions
We found evidence of SES factors and regional variation associating with mental disorder-related severe loss of working and studying ability in a disorder-specific way. The increased risk of white-collar worker DP could be related to the psychosocially demanding contemporary working life. Regional variation in DP may at least partly relate to differences in regional mental health service systems.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:42:29Z |
| format | Article |
| id | doaj.art-c4e711b1f6ee47a99ae9fdb70575b576 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:42:29Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-c4e711b1f6ee47a99ae9fdb70575b5762023-11-17T05:08:23ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S590S59010.1192/j.eurpsy.2022.1512Socioeconomic factors and regional differences in mental disorder-based disability pensioning in FinlandT. Karolaakso0R. Autio1T. Näppilä2K. Nurmela3H. Leppänen4P. Rissanen5M. Tuomisto6S. Karvonen7S. Pirkola8Tampere University, Faculty Of Social Sciences, Tampere, FinlandTampere University, Faculty Of Social Sciences, Tampere, FinlandTampere University, Faculty Of Social Sciences, Tampere, FinlandTampere University, Faculty Of Social Sciences, Tampere, FinlandTampere University, Medicine And Health Technology, Tampere, FinlandTampere University, Faculty Of Social Sciences, Tampere, FinlandTampere University, Faculty Of Social Sciences, Tampere, FinlandThe Finnish Institute for Health and Welfare (THL), Health And Welfare, Helsinki, FinlandTampere University, Faculty Of Social Sciences, Tampere, Finland Introduction Prior literature has indicated low socioeconomic status (SES) and regional differences as epidemiological risk factors for disability pension (DP) due to mental disorders. Objectives Our studies aimed to examine these associations and differences in greater detail, with separate consideration of the risk factors for mood disorders (F30–39) and non-affective psychotic disorder (F20–29) DP. Methods Subjects (N = 36 879) were all those granted DP due to a mental disorder for the first time between 2010 and 2015 in Finland. All the subjects were matched with three controls. Education, income and occupational status were used as measures of SES. Conditional logistic regression models were used to study SES differences. Negative binomial regression analysis was used to study the levels of DP risk in the Finnish hospital districts. Results DP recipients had low educational and income levels and often lived alone. The risk of DP was greater in white-collar occupational groups compared with blue-collar workers. Students had the greatest risk of DP for all mental and mood disorders. Significant differences in the regional mental disorder DP risks did not appear to follow the traditional Finnish health differences. Conclusions We found evidence of SES factors and regional variation associating with mental disorder-related severe loss of working and studying ability in a disorder-specific way. The increased risk of white-collar worker DP could be related to the psychosocially demanding contemporary working life. Regional variation in DP may at least partly relate to differences in regional mental health service systems. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822015127/type/journal_articleDisability pensionSocioeconomicMental health servicesRegional differences |
| spellingShingle | T. Karolaakso R. Autio T. Näppilä K. Nurmela H. Leppänen P. Rissanen M. Tuomisto S. Karvonen S. Pirkola Socioeconomic factors and regional differences in mental disorder-based disability pensioning in Finland European Psychiatry Disability pension Socioeconomic Mental health services Regional differences |
| title | Socioeconomic factors and regional differences in mental disorder-based disability pensioning in Finland |
| title_full | Socioeconomic factors and regional differences in mental disorder-based disability pensioning in Finland |
| title_fullStr | Socioeconomic factors and regional differences in mental disorder-based disability pensioning in Finland |
| title_full_unstemmed | Socioeconomic factors and regional differences in mental disorder-based disability pensioning in Finland |
| title_short | Socioeconomic factors and regional differences in mental disorder-based disability pensioning in Finland |
| title_sort | socioeconomic factors and regional differences in mental disorder based disability pensioning in finland |
| topic | Disability pension Socioeconomic Mental health services Regional differences |
| url | https://www.cambridge.org/core/product/identifier/S0924933822015127/type/journal_article |
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