Participation in everyday activities - A comparison of people on sick leave and a reference group from the Swedish population

2010 ◽  
Author(s):  
T. Eriksson ◽  
H. Jonsson ◽  
K. Tham ◽  
G. Eriksson
Keyword(s):  
Sick Leave ◽  
Reference Group ◽  
Swedish Population ◽  
Everyday Activities

Being a refugee or having a refugee status? Birthweight and gestational age outcomes among offspring of immigrant mothers in Sweden

2018 ◽  
Vol 47 (7) ◽  
pp. 730-734 ◽  
Author(s):  
Sol Juárez ◽  
Eleonora Mussino ◽  
Anders Hjern
Keyword(s):  
Birth Outcomes ◽  
Gestational Age ◽  
Low Birthweight ◽  
Reference Group ◽  
Multinomial Regression ◽  
Refugee Status ◽  
Residence Permit ◽  
Swedish Population ◽  
Migration Status ◽  
Migratory Status

Aims: to evaluate whether the information on refugee status based on the residence permit is a useful source of information for perinatal health surveillance. Methods: Using the Swedish population registers (1997-2012), we use multinomial regression models to assess the associations between migration status (refugee and non-refugee) and birth outcomes derived from birthweight and gestational age: low birthweight (LBW) (<2500 g), macrosomia (≥4000 g); preterm: (<37 w) and post-term (≥42 w). The Swedish-born population was used as a reference group. Results: Compared to the Swedish-born population, an increased OR (odds ratio) of LBW and post-term was found among migrants with and without refugee status (respectively: OR for refugees: 1.47 [95% CI: 1.33-1.63] and non-refugees:1.27 [95% CI: 1.18-1.38], for refugees: 1.41 [95% CI: 1.35-1.49] and non-refugees:1.04 [95% CI: 1.00-1.08]) with statistically significant differences between these two migrant categories. However, when looking at specific regions of origin, few regions show differences by refugee status. Compared to Swedes, lower or equal ORs of preterm and macrosomia are observed regardless of migratory status. Conclusions: Small or no differences were observed in birth outcomes among offspring of women coming from the same origin with different migratory status, compared to their Swedish counterparts. This suggests that information on migration status is not a relevant piece of information to identify immigrant women at higher risk of experiencing adverse reproductive outcomes. Our results however might be explained by the large proportion of women coming to Sweden for family reunification who are classified as non-refugee migrants.

scholarly journals Evaluation of a multimodal pain rehabilitation programme in primary care based on clinical register data: a feasibility study

2020 ◽  
Vol 21 ◽  
Author(s):  
Charlotte Post Sennehed ◽  
Kjerstin Stigmar ◽  
Birgitta Grahn ◽  
Marcelo Rivano Fischer ◽  
Malin Forsbrand ◽  
...  
Keyword(s):  
Primary Care ◽  
Sick Leave ◽  
Work Ability ◽  
Reference Group ◽  
Register Data ◽  
Randomised Control Trial ◽  
Health Differences ◽  
One Year ◽  
Clinical Register ◽  
Reference Cohort

Abstract Aim: Investigate the feasibility of identifying a well-defined treatment group and a comparable reference group in clinical register data. Background: There is insufficient knowledge on how to avert neck/back pain from turning chronic or to impair work ability. The Swedish Government implemented a national multimodal rehabilitation (MMR) programme in primary care intending to promote work ability, reduce sick leave and increase return to work. Since randomised control trial data for effect is lacking, it is important to evaluate existing observational data from clinical settings. Methods: We identified all unique patients with musculoskeletal pain (MSP) diagnoses undergoing the MMR programme in primary care in the Skåne Health care Register (n = 2140) during 2010–2011. A reference cohort in primary care (n = 56 300) with similar MSP diagnoses, same ages and the same level of sick leave before baseline was identified for the same period. The reference cohort received ordinary care and treatment in primary care. The final study group consisted of 603 eligible MMR patients and 2874 eligible reference patients. Socio-economic and health-related baseline data including sick leave one year before up to two years after baseline were compared between groups. Findings: There were significant socio-economic and health differences at baseline between the MMR and the reference patients, with the MMR group having lower income, higher morbidity and more sick leave days. Sick leave days per year decreased significantly in the MMR group (118–102 days, P < 0.001) and in the reference group (50–42 days, P < 0.001) from one year before baseline to two years after. Conclusions: It was not feasible to identify a comparable reference group based on clinical register data. Despite an ambitious attempt to limit selection bias, significant baseline differences in socio-economic and health were present. In absence of randomised trials, effects of MMR cannot be sufficiently evaluated in primary care.

scholarly journals Losing and Regaining Grip: Depression and Everyday Life

SAGE Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 215824401882237 ◽  
Author(s):  
Vilma Hänninen ◽  
Jukka Valkonen
Keyword(s):  
Sick Leave ◽  
Everyday Life ◽  
Depressive Episode ◽  
Leisure Activities ◽  
Point Of View ◽  
Life Situation ◽  
Structured Interviews ◽  
Everyday Activities ◽  
Personal Accounts

Despite increased interest and research into personal accounts of depression, it has seldom been studied specifically from the point of view everyday life. Our aim is to highlight how depression progresses in relation to everyday activities, and to interpret the process using a theory of everyday life. Semi-structured interviews were conducted with 55 persons (31 women, 24 men) in their 40s who self-identified as having been depressed. Depression typically progressed as follows: It originated in a difficult life situation, which was coped with by trying to manage or by escaping to drinking. Eventually, it was not possible to carry out everyday duties. Seeking treatment and sick leave signified a disconnection from everyday obligations. Leisure activities as well as support from close people helped in coping, and gradually a new, more meaningful and enjoyable everyday life developed. Disconnection, rest, reflection, reorientation, and reorganization of life seemed to build a pathway out of depression. Thus, a depressive episode could be interpreted as a process in which the person first disengaged from the unreflected everyday and then reflectively re-engaged to it.

scholarly journals Sick leave among people in paid work after age 65: A Swedish population-based study covering 1995, 2000, 2005 and 2010

2017 ◽  
Vol 46 (3) ◽  
pp. 297-305 ◽  
Author(s):  
K. Farrants ◽  
S. Marklund ◽  
L. Kjeldgård ◽  
J. Head ◽  
K. Alexanderson
Keyword(s):  
Sick Leave ◽  
Age Groups ◽  
Population Based ◽  
Paid Work ◽  
Swedish Population ◽  
Population Based Study ◽  
The Public ◽  
Labour Market Participation ◽  
Working People ◽  
High Work

Aims: Extending working life into older age groups is discussed in many countries. However, there is no knowledge about how this affects rates of sick leave. The aim of this work was to investigate rates of sick leave among people in paid work after retirement age and if such rates have changed over time. Methods: Swedish nationwide register data on people aged >65 years and living in Sweden in 1995, 2000, 2005 and 2010 were analysed. All people with a sufficiently high work income to be eligible for public sick leave benefits were included. The proportions in paid work and compensated rates of sick leave for people aged 66–70 and ≥71 were analysed by sex, educational level, country of birth, living area, and employment type and sector. Results: The percentage of people in paid work at ages 66–70 years increased from <10% in 1995 to 24% in 2010 and among those aged ≥71 years from 2.7% in 1995 to 3.5% in 2010. The rates of sick leave among working people aged 66–70 years were 3.3% in 1995 and 2.4% in 2010 and for people aged ≥71 years the rates of sick leave were 2.2% in 1995 and 0.2% in 2010. Women had higher rates of sick leave than men in 2005 and 2010, but lower in 1995 and 2000. In 2010, the rates of sick leave were similar between employees and the self-employed, and higher among employees in the public sector than among employees in the private sector. Conclusions: Rates of sick leave among workers aged >65 years were lower in 2010 than in 1995, despite much higher rates of labour market participation in 2010.

Quality of life in children with pulmonary atresia and intact ventricular septum

2004 ◽  
Vol 14 (6) ◽  
pp. 615-621 ◽  
Author(s):  
Britt-Marie Ekman-Joelsson ◽  
Leeni Berntsson ◽  
Jan Sunnegårdh
Keyword(s):  
Quality Of Life ◽  
Surgical Repair ◽  
Reference Group ◽  
Pulmonary Atresia ◽  
Ventricular Septum ◽  
Intact Ventricular Septum ◽  
Swedish Population ◽  
Psychological Conditions ◽  
Children And Parents

Objective: To measure quality of life in children with pulmonary atresia and intact ventricular septum, and make comparisons with a healthy group of children from the general Swedish population. An additional aim was to compare quality of life in two subgroups, children undergoing biventricular and univentricular repair, the latter by establishment of the Fontan circulation. Methods: Quality of life was measured using a mailed questionnaire, taking into consideration the three spheres of personal, interpersonal, and external living conditions. In all, 52 children received the questionnaire, and the answers were compared with those of a random sample of 1856 healthy Swedish children. Results: We received responses from 42 children and parents. The overall differences between groups were small, and no difference was found when comparing the children undergoing univentricular as opposed to biventricular surgical repair. In terms of personal quality of life, we found a higher level of psychosomatic complaints, and lower satisfaction with their own and parent–child activities, in those with the congenital anomaly than in their normal peers. In terms of the interpersonal sphere, more time was available for those with malformed hearts, but the experience of support from the relatives was significantly lower. Conclusions: Overall, quality of life was equal between children with pulmonary atresia and intact ventricular septum and the children in the reference group. The personal psychological conditions were less favourable for children with pulmonary atresia and intact ventricular septum. The perceived lack of support from relatives was also higher in these families. No difference was found when comparing the children undergoing univentricular and biventricular surgical repair.

scholarly journals Socioeconomic status of patients in a Swedish national self-management program for osteoarthritis compared with the general population—a descriptive observational study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Kristin Gustafsson ◽  
Joanna Kvist ◽  
Marit Eriksson ◽  
Leif E. Dahlberg ◽  
Ola Rolfson
Keyword(s):  
Educational Level ◽  
Reference Group ◽  
Management Program ◽  
Self Management ◽  
Line Treatment ◽  
First Line ◽  
Swedish Population ◽  
Knee Oa ◽  
General Swedish Population ◽  
First Line Treatment

Abstract Background First-line treatment for hip and knee osteoarthritis (OA) including education and supervised exercises, delivered as a self-management program, is considered one of the mainstays in OA treatment. However, the socioeconomic profile of the population that utilizes first-line treatment for hip and knee OA is unclear. The aim of this study was to describe the socioeconomic status (SES) of a population referred to a self-management program for OA, in comparison with that of the general Swedish population. Methods This is a cross-sectional study including 72,069 patients with hip or knee OA enrolled in the National Quality Register for Better management of patients with Osteoarthritis (BOA) between 2008 and 2016, and registered before participation in a structured OA self-management program. A reference cohort (n = 216,207) was selected from the general Swedish population by one-to-three matching by year of birth, sex and residence. Residential municipality, country of birth, marital status, family type, educational level, employment, occupation, disposable income and sick leave were analyzed. Results The BOA population had higher educational level than the reference group, both regarding patients with hip OA (77.5% vs 70% with ≥10 years of education), and with knee OA (77% vs 72% with ≥10 years of education). Their average disposable income was higher (median [IQR] in Euro (€), for hip €17,442 [10,478] vs €15,998 [10,659], for knee €17,794 [10,574] vs €16,578 [11,221]). Of those who worked, 46% of patients with hip OA and 45% of the reference group had a blue-collar occupation. The corresponding numbers for knee OA were 51 and 44% respectively. Sick leave was higher among those with hip and knee OA (26%) than those in the reference groups (13% vs 12%). Conclusions The consistently higher SES in the BOA population compared with the general population indicates that this self-management program for OA may not reach the more socioeconomically disadvantaged groups, who are often those with a higher disease burden.

scholarly journals Urbanisation and incidence of psychosis and depression

2004 ◽  
Vol 184 (4) ◽  
pp. 293-298 ◽  
Author(s):  
Kristina Sundquist ◽  
Gölin Frank ◽  
Jan Sundquist
Keyword(s):  
Reference Group ◽  
Incidence Rates ◽  
Rural Populations ◽  
Immigrant Status ◽  
Swedish Population ◽  
Follow Up Study ◽  
Increased Risk ◽  
Depression Level ◽  
High Level

BackgroundPrevious studies of differences in mental health between urban and rural populations are inconsistent.AimsTo examine whether a high level of urbanisation is associated with increased incidence rates of psychosis and depression, after adjustment for age, marital status, education and immigrant status.MethodFollow-up study of the total Swedish population aged 25–64 years with respect to first hospital admission for psychosis or depression. Level of urbanisation was defined by population density and divided into quintiles.ResultsWith increasing levels of urbanisation the incidence rates of psychosis and depression rose. In the full models, those living in the most densely populated areas (quintile 5) had 68–77% more risk of developing psychosis and 12–20% more risk of developing depression than the reference group (quintile 1).ConclusionsA high level of urbanisation is associated with increased risk of psychosis and depression for both women and men.

scholarly journals Decrease in sick leave among patients with rheumatoid arthritis in the first 12 months after start of treatment with tumour necrosis factor antagonists: a population-based controlled cohort study

2010 ◽  
Vol 69 (12) ◽  
pp. 2131-2136 ◽  
Author(s):  
Tor Olofsson ◽  
Martin Englund ◽  
Tore Saxne ◽  
Anna Jöud ◽  
Lennart T H Jacobsson ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Sick Leave ◽  
Tumour Necrosis Factor ◽  
Tumour Necrosis ◽  
Reference Group ◽  
Population Based ◽  
Southern Sweden ◽  
Treatment Start ◽  
Tnf Antagonist ◽  
Necrosis Factor

ObjectiveTo investigate the effect of tumour necrosis factor (TNF) antagonist treatment of patients with rheumatoid arthritis (RA) on sick leave (SL) and disability pension (DP) in a population-based setting in southern Sweden.MethodsAll patients with RA in the South Swedish Arthritis Treatment Group register living in the county of Skåne (population 1.2 million), who started their first treatment with a TNF antagonist between January 2004 and December 2007 and were 18–58 years at treatment start (n=365), were identified. For each patient with RA, four matched reference subjects from the general population were randomly selected. Data were linked to the Swedish Social Insurance Agency register and the point prevalence of SL and DP as well as days of SL and DP per month were calculated from 360 days before until 360 days after treatment start.ResultsAt treatment start 38.6% of the patients with RA were registered for SL. During the first 6 months this share dropped to 28.5% (decrease by 26.2%, p<0.001). This level remained stable throughout the first treatment year. Comparing patients with RA to the reference group the relative risk of being on SL was 6.6 (95% CI 5.2 to 8.5) at initiation of anti-TNF treatment and 5.2 (95% CI 4.0 to 6.8) 1 year after that. The corresponding figures for DP were 3.4 (95% CI 2.7 to 4.2) and 3.2 (95% CI 2.7 to 3.9).ConclusionsThere was a marked decline in SL during the first 6 months of TNF antagonist treatment in patients with RA in southern Sweden, maintained throughout the first year, which was not offset by a corresponding increase in DP.

scholarly journals Diagnosis-specific sick leave as a risk marker for disability pension in a Swedish population

2007 ◽  
Vol 61 (10) ◽  
pp. 915-920 ◽  
Author(s):  
M. Kivimaki ◽  
J. E Ferrie ◽  
J. Hagberg ◽  
J. Head ◽  
H. Westerlund ◽  
...  
Keyword(s):  
Sick Leave ◽  
Disability Pension ◽  
Risk Marker ◽  
Swedish Population

scholarly journals Sick leave and disability pension in patients with chronic hepatitis C compared with a matched general population: a nationwide register study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e035996
Author(s):  
Katharina Büsch ◽  
Fredrik Hansson ◽  
Michelle Holton ◽  
Martin Lagging ◽  
Johan Westin ◽  
...  
Keyword(s):  
Chronic Hepatitis ◽  
Hepatitis C ◽  
General Population ◽  
Sick Leave ◽  
Chronic Hepatitis C ◽  
Disability Pension ◽  
Register Study ◽  
Secondary Outcome ◽  
Swedish Population ◽  
Chronic Hcv

ObjectiveThe objective of this study was to evaluate sick leave and disability pension in patients with chronic hepatitis C virus (HCV) infection as compared with a matched general population cohort.DesignRetrospective register study.SettingNationwide in Sweden.ParticipantsThis register-based study used the Swedish National Patient Register to identify working-age patients with HCV in 2012 (n=32 021) who were diagnosed between 1999 and 2007 (n=19 362). Sick leave and disability pension data were retrieved from Statistics Sweden (1994–2012), with up to five matched individuals from the general population.Primary and secondary outcome measuresThe primary outcome was workdays lost due to sick leave episodes (>14 days) and disability pension overall. The secondary outcome was workdays lost per subgroup of patients with chronic HCV.ResultsIn 2012, 14% of the HCV patients had ≥1 registered sick leave episode compared with 10% in the matched comparator cohort. For disability pension benefits, results were 30% versus 8%, respectively. Overall, in 2012, 57% of patients with HCV did not have any registered workdays lost, whereas 30% were absent ≥360 days compared with 83% and 9% in the matched cohort, respectively. The mean total number of annual workdays lost in 2012 was 126 days in the HCV patient cohort compared with 40 days in the matched general population comparator cohort. Annual days lost increased from a mean of 86 days 5 years before diagnosis to 136 days during the year of diagnosis.ConclusionsThese results show that Swedish HCV patients used more sick days and have a higher frequency of disability pension compared with a comparator cohort from the general Swedish population. Whether earlier diagnosis of HCV and treatment might impact work absence in Sweden warrants further investigation.

Sign in / Sign up

Export Citation Format

Share Document