Advanced

Is there an interaction between self-rated health and medication with analgesics and hypnotics in the prediction of disability pension?

Månsson, Nils-Ove LU ; Merlo, Juan LU and Östergren, Per-Olof LU (2002) In Scandinavian Journal of Public Health1999-01-01+01:00 30(4). p.267-273
Abstract
Aims: Several studies have shown that self-rated health (SRH ) is associated with drug use. The aim of this study was to investigate the possible interaction between SRH and use of analgesics and hypnotics and its ability to predict disability pension. Methods: In 1974-78, complete birth-year cohorts of middle-aged male residents in Malmö, Sweden, were invited to a health screening, and the cohort in this study comprised 5,798 men with complete data followed up for 11 years. Results: At inclusion, 27% rated their health as less than perfect, 11% used analgesics, 3% used hypnotics and, during follow-up, 12% received a disability pension. The adjusted hazard ratios of disability pension were 3.1 (CI: 2.6, 3.6) for those who had rated their... (More)
Aims: Several studies have shown that self-rated health (SRH ) is associated with drug use. The aim of this study was to investigate the possible interaction between SRH and use of analgesics and hypnotics and its ability to predict disability pension. Methods: In 1974-78, complete birth-year cohorts of middle-aged male residents in Malmö, Sweden, were invited to a health screening, and the cohort in this study comprised 5,798 men with complete data followed up for 11 years. Results: At inclusion, 27% rated their health as less than perfect, 11% used analgesics, 3% used hypnotics and, during follow-up, 12% received a disability pension. The adjusted hazard ratios of disability pension were 3.1 (CI: 2.6, 3.6) for those who had rated their health as less than perfect and 2.7 (2.3, 3.2) for subjects who used analgesics and/or hypnotics. For subjects with the combined risk of poor SRH and medication, the hazard ratio was 5.5 (4.6, 6.5). The granting of disability pension attributable to the interaction between poor SRH and medication was estimated at 47%, which was statistically significant. Conclusions: Disability pension among middle-aged men was associated with self-rated health as well as medication and clear evidence of synergism between the two factors was found, while there were no indications of medication acting as a causal link between poor SRH and disability pension. Several mechanisms may contribute to the findings, but the information gained may be used as means to identify those at risk for disability pension. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Analgesics, Causality, Disability Pension, Hypnotics, Interaction, Self-RATED, Health, Synergism
in
Scandinavian Journal of Public Health1999-01-01+01:00
volume
30
issue
4
pages
267 - 273
publisher
Taylor & Francis
external identifiers
  • wos:000179865100005
  • scopus:22344457821
ISSN
1651-1905
DOI
10.1080/14034940210134004
language
English
LU publication?
yes
id
47082605-9585-4935-9a2d-8e9db7360890 (old id 113484)
date added to LUP
2007-07-24 16:18:10
date last changed
2017-01-01 06:36:52
@article{47082605-9585-4935-9a2d-8e9db7360890,
  abstract     = {Aims: Several studies have shown that self-rated health (SRH ) is associated with drug use. The aim of this study was to investigate the possible interaction between SRH and use of analgesics and hypnotics and its ability to predict disability pension. Methods: In 1974-78, complete birth-year cohorts of middle-aged male residents in Malmö, Sweden, were invited to a health screening, and the cohort in this study comprised 5,798 men with complete data followed up for 11 years. Results: At inclusion, 27% rated their health as less than perfect, 11% used analgesics, 3% used hypnotics and, during follow-up, 12% received a disability pension. The adjusted hazard ratios of disability pension were 3.1 (CI: 2.6, 3.6) for those who had rated their health as less than perfect and 2.7 (2.3, 3.2) for subjects who used analgesics and/or hypnotics. For subjects with the combined risk of poor SRH and medication, the hazard ratio was 5.5 (4.6, 6.5). The granting of disability pension attributable to the interaction between poor SRH and medication was estimated at 47%, which was statistically significant. Conclusions: Disability pension among middle-aged men was associated with self-rated health as well as medication and clear evidence of synergism between the two factors was found, while there were no indications of medication acting as a causal link between poor SRH and disability pension. Several mechanisms may contribute to the findings, but the information gained may be used as means to identify those at risk for disability pension.},
  author       = {Månsson, Nils-Ove and Merlo, Juan and Östergren, Per-Olof},
  issn         = {1651-1905},
  keyword      = {Analgesics,Causality,Disability Pension,Hypnotics,Interaction,Self-RATED,Health,Synergism},
  language     = {eng},
  number       = {4},
  pages        = {267--273},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Public Health1999-01-01+01:00},
  title        = {Is there an interaction between self-rated health and medication with analgesics and hypnotics in the prediction of disability pension?},
  url          = {http://dx.doi.org/10.1080/14034940210134004},
  volume       = {30},
  year         = {2002},
}