{"title":"Contribution of age, gender and occupational group to the higher risk of disability retirement among Finnish public sector employees.","authors":"Anu Polvinen, Mikko Laaksonen","doi":"10.1177/14034948231153913","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to examine the differences in disability retirement between public and private sector employees and to examine the contribution of age, gender and occupational group to the differences between the sectors.</p><p><strong>Methods: </strong>Our Finnish register data consisted of about two million non-retired men and women aged 30-62 years. Cox proportional hazard models were used to calculate hazard ratios for any, full and partial disability retirement in the public sector compared with the private sector.</p><p><strong>Results: </strong>The risk of any disability retirement was higher in the public sector than in the private sector in all occupational groups. The unadjusted hazard ratio ranged from 1.29 (95% CI 1.16-1.44) among teaching professionals to 2.25 (95% CI 1.95-2.58) among skilled agricultural, forestry and fishery workers. Adjustment for age and gender attenuated the differences between the sectors. After adjusting for age, gender and occupational group, the hazard ratio was 1.29 (95% CI 1.27-1.32) for any disability retirement and 2.02 (95% CI 1.96-2.08) for partial disability retirement, but there was no difference between the public sector and private sector employees for full disability retirement.</p><p><strong>Conclusions: </strong>Adjustment of age and gender attenuated the higher risk of disability retirement in the public sector, while adjustment for occupational group widened the sector differences in any and full disability retirement. The risk of partial disability retirement was higher in all occupational groups in the public sector than in the private sector. For full disability retirement, the differences between the sectors were small or non-existent.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scandinavian Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/14034948231153913","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/2/22 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The aim of this study was to examine the differences in disability retirement between public and private sector employees and to examine the contribution of age, gender and occupational group to the differences between the sectors.
Methods: Our Finnish register data consisted of about two million non-retired men and women aged 30-62 years. Cox proportional hazard models were used to calculate hazard ratios for any, full and partial disability retirement in the public sector compared with the private sector.
Results: The risk of any disability retirement was higher in the public sector than in the private sector in all occupational groups. The unadjusted hazard ratio ranged from 1.29 (95% CI 1.16-1.44) among teaching professionals to 2.25 (95% CI 1.95-2.58) among skilled agricultural, forestry and fishery workers. Adjustment for age and gender attenuated the differences between the sectors. After adjusting for age, gender and occupational group, the hazard ratio was 1.29 (95% CI 1.27-1.32) for any disability retirement and 2.02 (95% CI 1.96-2.08) for partial disability retirement, but there was no difference between the public sector and private sector employees for full disability retirement.
Conclusions: Adjustment of age and gender attenuated the higher risk of disability retirement in the public sector, while adjustment for occupational group widened the sector differences in any and full disability retirement. The risk of partial disability retirement was higher in all occupational groups in the public sector than in the private sector. For full disability retirement, the differences between the sectors were small or non-existent.
研究背景本研究旨在探讨公共部门和私营部门雇员在伤残退休方面的差异,并研究年龄、性别和职业类别对部门间差异的影响:芬兰的登记数据包括约 200 万名年龄在 30-62 岁之间的非退休男性和女性。我们使用 Cox 比例危险模型来计算公共部门与私营部门相比,任何残疾、完全残疾和部分残疾退休的危险比:在所有职业类别中,公共部门的任何残疾退休风险均高于私营部门。未经调整的危险比从教学专业人员的 1.29(95% CI 1.16-1.44)到熟练农业、林业和渔业工人的 2.25(95% CI 1.95-2.58)不等。对年龄和性别进行调整后,各行业之间的差异有所缩小。在对年龄、性别和职业类别进行调整后,任何伤残退休的危险比为 1.29(95% CI 1.27-1.32),部分伤残退休的危险比为 2.02(95% CI 1.96-2.08),但公共部门和私营部门雇员在完全伤残退休方面没有差异:结论:对年龄和性别的调整减弱了公共部门较高的残疾退休风险,而对职业类别的调整则扩大了任何残疾退休和完全残疾退休的部门差异。公共部门所有职业类别的部分残疾退休风险均高于私营部门。在完全残疾退休方面,各部门之间的差异很小或不存在差异。
期刊介绍:
The Scandinavian Journal of Public Health is an international peer-reviewed journal which has a vision to: publish public health research of good quality; contribute to the conceptual and methodological development of public health; contribute to global health issues; contribute to news and overviews of public health developments and health policy developments in the Nordic countries; reflect the multidisciplinarity of public health.