Sickness absence with low-back, shoulder, or neck diagnoses: An 11-year follow-up regarding gender differences in sickness absence and disability pension

Article type: Research Article

Authors: Alexanderson, Kristina A.E.^; | Borg, Karin E. | Hensing, Gunnel K.E.^;

Affiliations: Division of Social Medicine and Public Health Science, Department of Health and Society, Linköping universitet, S-581 83 Linköping, Sweden | Section of Personal Injury Prevention, Dept of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden | Department of Social Medicine, The Sahlgrenska Academy at Göteborg University, Sweden

Note: [] Address for correspondence: Kristina Alexanderson, Professor Section of Personal Injury Prevention, Dept of Clinical Neuroscience, Karolinska Institute, Box 127 18, S112 94 Stockholm, Sweden. Tel.: +46 8 692 22 52; Fax: +46 8 653 94 13; E-mail: Kristina. [email protected]

Abstract: Background: There is very little knowledge on the long-term outcomes of sickness absence. The aim was to investigate sickness absence and disability pensions over 11 years in a cohort of young persons initially long-term sick listed with back, neck, or shoulder diagnoses. Method: A prospective population-based cohort study of all 213 individuals in the Municipality of Linköping, Sweden, who in 1985 were aged 25–34 and had at least one new sick-leave spell > 28 days with such diagnoses. Main results: More women (61%) than men fulfilled the inclusion criteria. In 1996, 22% of the cohort (14% of the men, 26% of the women) had been granted disability pension; 76% of these individuals with musculoskeletal and the rest with psychiatric diagnoses. Partial disability pension was granted to 59% of the women, 17% of the men. Women were more often granted temporary disability pension than men. Conclusions: This proved to be a high-risk group for disability pension. There were large and somewhat unexpected gender differences regarding incidence and type of disability pension. It has been debated how soon physicians should be concerned about the risk of long-term disability regarding these diagnoses; at four or eight weeks of sickness absence – our results support the former, at least for women.

Keywords: sickness absence, sick leave, disability pension, back diagnoses, neck diagnoses, shoulder diagnoses, gender

Journal: Work, vol. 25, no. 2, pp. 115-124, 2005