原创力文档sickness absence due to otoaudiological diagnoses and risk of disability pension a nationwide swedish prospective cohort study病假因otoaudiological诊断和风险的残疾退休金一个全国性的瑞典前瞻性队列研究.pdfVIP
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sickness absence due to otoaudiological diagnoses and risk of disability pension a nationwide swedish prospective cohort study病假因otoaudiological诊断和风险的残疾退休金一个全国性的瑞典前瞻性队列研究
Sickness Absence Due to Otoaudiological Diagnoses and
Risk of Disability Pension: A Nationwide Swedish
Prospective Cohort Study
1 1 1 2,3 1
Emilie Friberg *, Catarina Jansson , Ellenor Mittendorfer-Rutz , Ulf Rosenhall , Kristina Alexanderson
1 Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, 2 Department of Clinical Neuroscience, Center for
Hearing and Communication Research, Karolinska Institutet, Stockholm, Sweden, 3 Department of Audiology, Karolinska University Hospital, Stockholm, Sweden
Abstract
Background: Hearing difficulties are a large public health problem. Knowledge is scarce regarding risk of disability pension
among people who have been sickness absent due to these difficulties.
Methods: A cohort including all 4,687,756 individuals living in Sweden in 2005, aged 20–64, and not on disability or old-age
pension, was followed through 2009. Incidence rate ratios (RR) of disability pension with 95% confidence intervals (CI) were
estimated using Cox proportional hazard models.
Results: In multivariable models, individuals who had a sick-leave spell due to otoaudiological diagnoses in 2005 had a 1.52-
fold (95% CI: 1.43–1.62) increased risk of being granted a disability pension compared to individuals on sick leave due to
other diagnoses. Hearing and tinnitus sick-leave diagnoses were associated with risk of disability pension: RR 3.38, 95% CI:
3.04–3.75, and 3.30, 95% CI: 2.95–3.68, respectively. No association was observed between sick leave due to vertigo
diagnoses and disability pension whereas otological diagnoses and no sick leave were inversely associated with risk of
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