Combined exposure to heavy physical workload and low job control and the risk of disability pension: A cohort study of employed men and women in Sweden.

ABSTRACT:

Objective

To investigate the separate and combined effects of overall heavy physical workload (PWL) and low decision authority on all-cause disability pension (DP) or musculoskeletal DP.

Methods

This study uses a sample of 1,804,242 Swedish workers aged 44-63 at the 2009 baseline. Job Exposure Matrices (JEMs) estimated exposure to PWL and decision authority. Mean JEM values were linked to occupational codes, then split into tertiles and combined. DP cases were taken from register data from 2010 to 2019. Cox regression models estimated sex-specific Hazard Ratios (HR) with 95% confidence intervals (95% CI). The Synergy Index (SI) estimated interaction effects.

Results

Heavy physical workload and low decision authority were associated with an increased risk of DP. Worker

SUBMITTER: Badarin K 

PROVIDER: S-EPMC10361844 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature