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Table 3 Multivariate adjusted hazard ratios (HR) with 95% confidence intervals, CI, for disability pension (DP) due to mental and somatic diagnoses in individuals (N = 36 304) with sickness absence due to stress related mental diagnoses (SRMD) initiated in 2005

From: Risk markers of all-cause and diagnosis-specific disability pension - a prospective cohort study of individuals sickness absent due to stress-related mental disorders

 

DP mental diagnoses

DP somatic diagnoses

Characteristics

Adjusted hazard ratios (HR)

Confidence interval (CI 95%)

Adjusted hazard ratios (HR)

Confidence interval (CI 95%)

Socio-demographic characteristics

    

Sex

    

  Female

1.07

0.97-1.19

1.36

1.14-1.63

  Male

1

 

1

 

Age (years)

    

  17-25

1

 

1

 

  26-35

1.03

0.78-1.37

1.32

0.67-2.61

  36-45

1.49

1.13-1.97

2.17

1.12-4.19

  46-55

2.20

1.67-2.89

6.08

3.20-11.53

  56-65

3.76

2.86-4.95

14.59

7.70-27.63

Education (years)

    

  0 to 9

1.10

0.96-1.26

2.14

1.73-2.64

  10 to 12

0.94

0.86-1.04

1.53

1.29-1.82

  Above 12

1

 

1

 

Country of birth*

    

  Sweden

1

 

1

 

  Other Nordic countries

1.00

0.79-1.27

1.51

1.12-2.05

  EU25 without Nordic countries

1.03

0.78-1.36

0.39

0.17-0.87

  Rest of the world

1.76

1.53-2.03

1.60

1.19-2.14

Place of residence**

    

  Cities

1

 

1

 

  Medium sized cities

0.98

0.89-1.11

1.84

1.53-2.22

  Small towns/villages

1.18

1.06-1.32

1.95

1.60-2.38

Type of family

    

  Married/cohabiting with childrena

1

 

1

 

  Married/cohabiting without childrena

1.22

1.06-1.39

1.14

0.91-1.42

  Single people without childrena

1.17

1.04-1.31

1.19

0.97-1.46

  Single people with childrena

1.04

0.91-1.19

0.98

0.77-1.26

Sickness absence characteristics b

    

Number of spells

    

  Only mental

1

 

1

 

  1 spell somatic

1.11

0.96-1.28

2.31

1.93-2.75

  > 1 spell somatic

1.25

0.84-1.88

2.97

1.97-4.49

Duration (days)c

    

  1-14

1

 

1

 

  15-90

1.19

0.99-1.43

1.03

0.84-1.27

  91-180

2.76

2.23-3.42

1.04

0.75-1.44

  181-365

7.89

6.54-9.53

3.53

2.74-4.54

  > 365

24.99

21.17-29.51

6.50

5.22-8.11

Health care characteristics

    

Length of hospital stay due to mental diagnoses (days)d

    

  No hospital stay

1

 

1

 

  1 to 8

1.68

1.35-2.10

0.66

0.36-1.20

  > 8

2.03

1.67-2.47

0.71

0.37-1.36

Length of hospital stay due to somatic diagnoses (days)d

    

  No hospital stay

1

 

1

 

  1 to 4

0.99

0.87-1.12

1.31

1.08-1.59

  > 4

0.92

0.80-1.05

1.58

1.30-1.93

Outpatient care visits due to mental diagnoses (days)d

    

  No visits

1

 

1

 

  1

1.41

1.19-1.66

1.05

0.75-1.46

  >1

1.68

1.44-1.95

0.96

0.65-1.39

Outpatient care visits due to somatic diagnoses (days)d

    

  No visits

1

 

1

 

  1-4

1.11

0.98-1.26

1.33

1.06-1.67

  > 4

1.38

1.21-1.58

1.98

1.56-2.51

  1. *"Other Nordic countries include Denmark, Norway and Finland; EU25 includes all countries included in the European Union in 2006 without Sweden and without "Other Nordic countries"; Rest of the world includes all remaining countries. **Place of residence: big cities: Stockholm, Gothenburg and Malmö; medium-sized cities: cities with more than 90 000 inhabitants within 30 km distance from the centre of the city; aChildren living at home; bSickness absence due to SRMD (stress related mental diagnoses); cLength of the first sickness absence spell due to stress related mental diagnoses; dCut-offs are based on the median, inpatient care from 2000–2005; outpatient care from 2001–2005. Adjusted HRs indicate that all variables have been mutually adjusted for each other.
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BMC Public Health

ISSN: 1471-2458

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