Combinations of Job Demands and Job Control and Future Trajectories of Sickness Absence and Disability Pension An 11-year Follow-up of Two Million Employees in Sweden
: Salonen Laura, Alexanderson Kristina, Rugulies Reiner, Framke Elisabeth, Niemelä Mikko, Farrants Kristin
Publisher: Lippincott, Williams & Wilkins
: 2020
: Journal of Occupational and Environmental Medicine
: 62
: 10
: 795
: 802
: 8
: 1076-2752
: 1536-5948
DOI: https://doi.org/10.1097/JOM.0000000000001919
: https://journals.lww.com/joem/Fulltext/2020/10000/Combinations_of_Job_Demands_and_Job_Control_and.4.aspx
: https://research.utu.fi/converis/portal/detail/Publication/49556036
Objective: The aim of this study was to examine the association between combinations of job demands/control and future sickness absence (SA) and disability pension (DP) trajectories over 11 years.
Methods: A population-based prospective cohort study of female (n = 1,079,631) and male (n = 1,107,999) employees in 2001. With group-based trajectory analysis, we modeled the trajectories of annual mean SA/DP days in 2002 to 2012. We predicted trajectory memberships for job demands/control using multinomial regression.
Results: We found three SA/DP trajectories for women (low stable, medium stable, and high increasing) and two for men (low stable and high increasing). Low demands/low control in women [odds ratio (OR) 1.42; 95% confidence interval (95% CI) 1.38 to 1.45], and low demands and medium/high control in men (equal OR of 1.23; 95% CI 1.18 to 1.28) were strongly associated with high increasing trajectory.
Conclusion: The associations between job demands/control varied between SA/DP trajectories and between sexes.
