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The use of analgesics and hypnotics in relation to self-rated health and disability pension - A prospective study of middle-aged men

Månsson, Nils-Ove LU ; Merlo, Juan LU orcid and Östergren, Per-Olof LU (2001) In Scandinavian Journal of Public Health 29(2). p.133-139
Abstract
Aims: This cohort study on urban middle-aged men investigates the association between the use of analgesics and hypnotics, self-rated health (SRI-I) and disability pension. Methods: Five birth-year cohorts of middle-aged, urban, Swedish men were invited to a screening programme and were followed for approximately 11 years. Results: Out of all the subjects (n = 5798), 12.4% received a disability pension during follow-up, 27.0% rated their health as less than perfect, 10.6% used analgesics and 2.9% used hypnotics. Compared with non-users of analgesics and hypnotics, the adjusted hazard ratio of disability pension for the simultaneous use of both drugs was 7.0 (95% CI: 4.3, 11.6) and the adjusted odds ratio of poor SRH was 16.5 (6.3, 43.5).... (More)
Aims: This cohort study on urban middle-aged men investigates the association between the use of analgesics and hypnotics, self-rated health (SRI-I) and disability pension. Methods: Five birth-year cohorts of middle-aged, urban, Swedish men were invited to a screening programme and were followed for approximately 11 years. Results: Out of all the subjects (n = 5798), 12.4% received a disability pension during follow-up, 27.0% rated their health as less than perfect, 10.6% used analgesics and 2.9% used hypnotics. Compared with non-users of analgesics and hypnotics, the adjusted hazard ratio of disability pension for the simultaneous use of both drugs was 7.0 (95% CI: 4.3, 11.6) and the adjusted odds ratio of poor SRH was 16.5 (6.3, 43.5). Thus, the use of analgesics and hypnotics was positively related to poor SRH and predicted award of a disability pension within an Ii-year follow-up. This may reflect that the use of analgesics and hypnotics is a proxy of disease but an independent negative effect on health cannot be excluded. Conclusions: Information on the use of these drugs could be used to predict the award of a disability pension, such as in different geographical areas or population groups. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Public Health
volume
29
issue
2
pages
133 - 139
publisher
SAGE Publications
external identifiers
  • scopus:0035379082
ISSN
1651-1905
DOI
10.1177/14034948010290021101
language
English
LU publication?
yes
id
f7b85bd4-68fb-4239-97e4-d83849608807 (old id 1122756)
date added to LUP
2016-04-01 15:59:21
date last changed
2022-01-28 08:33:19
@article{f7b85bd4-68fb-4239-97e4-d83849608807,
  abstract     = {{Aims: This cohort study on urban middle-aged men investigates the association between the use of analgesics and hypnotics, self-rated health (SRI-I) and disability pension. Methods: Five birth-year cohorts of middle-aged, urban, Swedish men were invited to a screening programme and were followed for approximately 11 years. Results: Out of all the subjects (n = 5798), 12.4% received a disability pension during follow-up, 27.0% rated their health as less than perfect, 10.6% used analgesics and 2.9% used hypnotics. Compared with non-users of analgesics and hypnotics, the adjusted hazard ratio of disability pension for the simultaneous use of both drugs was 7.0 (95% CI: 4.3, 11.6) and the adjusted odds ratio of poor SRH was 16.5 (6.3, 43.5). Thus, the use of analgesics and hypnotics was positively related to poor SRH and predicted award of a disability pension within an Ii-year follow-up. This may reflect that the use of analgesics and hypnotics is a proxy of disease but an independent negative effect on health cannot be excluded. Conclusions: Information on the use of these drugs could be used to predict the award of a disability pension, such as in different geographical areas or population groups.}},
  author       = {{Månsson, Nils-Ove and Merlo, Juan and Östergren, Per-Olof}},
  issn         = {{1651-1905}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{133--139}},
  publisher    = {{SAGE Publications}},
  series       = {{Scandinavian Journal of Public Health}},
  title        = {{The use of analgesics and hypnotics in relation to self-rated health and disability pension - A prospective study of middle-aged men}},
  url          = {{http://dx.doi.org/10.1177/14034948010290021101}},
  doi          = {{10.1177/14034948010290021101}},
  volume       = {{29}},
  year         = {{2001}},
}