Display Settings:

Format

Send to:

Choose Destination
BMJ Open. 2012 Nov 12;2(6). pii: e000991. doi: 10.1136/bmjopen-2012-000991. Print 2012.

Differences in risk factors for voluntary early retirement and disability pension: a 15-year follow-up in a cohort of nurses' aides.

Author information

  • 1Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Denmark.

Abstract

OBJECTIVE:

To estimate the extent of early retirement and to examine risk factors for voluntary early retirement and disability pension in a cohort of nurses' aides.

DESIGN:

Register study including baseline questionnaire and register data covering all transfer incomes from 1991 to 2008 in a cohort of nurses' aides established in 1993 with a follow-up period of 15 years.

SETTING:

Nurses' aides working in nursery homes, homecare or hospitals.

PARTICIPANTS:

3332 gainfully employed nurses' aides at the time of inclusion in the study.

OUTCOME:

Disability pension or early voluntary retirement.

RESULTS:

16.2% of the population was granted disability pension and 27.1% entered early voluntary retirement in the follow-up period representing 11 186 lost working years with a direct cost in transfer payment amounting about €410 million. Health-related risk factors for disability pension was long-lasting low-back pain (HR 2.27(95% CI 1.55 to 3.34), sick leave because of upper-extremity disorders (HR 2.18 (95% CI 1.08 to 2.11), and inflammatory rheumatic disease (HR 2.42 (95% CI 1.67 to 3.52)). Of non-health-related factors, low education, workers compensation case, evening work and high-rated perceived exertion at work all were minor risk factors for disability pension. The primary risk factor for early voluntary retirement was low education (HR 3.19 (95% CI 2.65 to 3.85)).

CONCLUSIONS:

43.3% of nurses' aides gainfully employed in 1993 retired before due time during the follow-up period. Work-related factors at baseline only seemed to have a minor prognostic role. Risk factors for disability pension were mainly health-related factors, whereas economical factors seemed to influence the decision to choose early voluntary retirement. The number of persons and the amount of lost working years underscores the need of a more active counselling towards maintaining employment especially among those with persistent musculoskeletal disorders.

PMID:
23148337
[PubMed]
PMCID:
PMC3533112
Free PMC Article

Images from this publication.See all images (3)Free text

Figure 1
Figure 2
Figure 3
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk