Neighborhood social participation, use of anxiolytic-hypnotic drugs, and women's propensity for disability pension: a multilevel analysis
Johnell, K ; Månsson, Nils-Ove LU ; Sundquist, J ; Melander, Arne LU ; Blennow, G and Merlo, Juan LU
(2006)
In Scandinavian Journal of Public Health
34(1).
p.41-48
- Abstract
- Aims: The increasing number of people on disability pension in Sweden is of concern for Swedish policy-makers, and there is a need for a better understanding of the mechanisms behind disability pension. We investigated ( i) whether women living in the same neighborhood have a similar propensity for disability pension that relates to neighborhood social participation, and ( ii) whether there is an association between anxiolytic-hypnotic drug ( AHD) use and disability pension in women that is modified by the neighborhood context. Methods: We used multilevel logistic regression with 12,156 women aged 45 to 64 ( first level) residing in 95 neighborhoods ( second level) in the city of Malmo ( 250,000 inhabitants), Sweden, who participated in... (More)
- Aims: The increasing number of people on disability pension in Sweden is of concern for Swedish policy-makers, and there is a need for a better understanding of the mechanisms behind disability pension. We investigated ( i) whether women living in the same neighborhood have a similar propensity for disability pension that relates to neighborhood social participation, and ( ii) whether there is an association between anxiolytic-hypnotic drug ( AHD) use and disability pension in women that is modified by the neighborhood context. Methods: We used multilevel logistic regression with 12,156 women aged 45 to 64 ( first level) residing in 95 neighborhoods ( second level) in the city of Malmo ( 250,000 inhabitants), Sweden, who participated in the Malmo Diet and Cancer Study ( 1991 - 96). Results: Both AHD use ( OR=2.09, 95% CI 1.65, 2.65) and neighborhood rate of low social participation ( OR=11.85, 95% CI 5.09, 27.58) were associated with higher propensity for disability pension. The interval odds ratio indicated that the influence of neighborhood social participation was large compared with the unexplained variance between the neighborhoods. The association between AHD use and disability pension was not modified by the neighborhood context. The median odds ratio was 1.44 after adjusting for individual characteristics and 1.27 after the additional adjusting for neighborhood social participation. Conclusions: Women living in the same neighborhood appear to have a similar propensity for disability pension, beyond individual characteristics, and this contextual effect seems largely explained by neighborhood social participation. In addition, AHD use might increase the propensity for disability pension in women. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/418308
- author
- Johnell, K
; Månsson, Nils-Ove
LU
; Sundquist, J
; Melander, Arne
LU
; Blennow, G
and Merlo, Juan
LU
- organization
- publishing date
- 2006
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- anxiolytic-hypnotic drugs, neighborhood social participation, multilevel analysis, disability pension
- in
- Scandinavian Journal of Public Health
- volume
- 34
- issue
- 1
- pages
- 41 - 48
- publisher
- SAGE Publications
- external identifiers
-
- wos:000235002200007
- pmid:16449043
- scopus:32144441641
- pmid:16449043
- ISSN
- 1651-1905
- DOI
- 10.1080/14034940510032185
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Centre for Economic Demography (012019200), Community Medicine (013241810), Social Epidemiology (013241850), Psychiatry/Primary Care/Public Health (013240500)
- id
- 8e76e587-8d17-4d7b-b48a-4f74ce2b6150 (old id 418308)
- date added to LUP
- 2016-04-01 15:59:18
- date last changed
- 2022-01-28 08:33:18
@article{8e76e587-8d17-4d7b-b48a-4f74ce2b6150,
abstract = {{Aims: The increasing number of people on disability pension in Sweden is of concern for Swedish policy-makers, and there is a need for a better understanding of the mechanisms behind disability pension. We investigated ( i) whether women living in the same neighborhood have a similar propensity for disability pension that relates to neighborhood social participation, and ( ii) whether there is an association between anxiolytic-hypnotic drug ( AHD) use and disability pension in women that is modified by the neighborhood context. Methods: We used multilevel logistic regression with 12,156 women aged 45 to 64 ( first level) residing in 95 neighborhoods ( second level) in the city of Malmo ( 250,000 inhabitants), Sweden, who participated in the Malmo Diet and Cancer Study ( 1991 - 96). Results: Both AHD use ( OR=2.09, 95% CI 1.65, 2.65) and neighborhood rate of low social participation ( OR=11.85, 95% CI 5.09, 27.58) were associated with higher propensity for disability pension. The interval odds ratio indicated that the influence of neighborhood social participation was large compared with the unexplained variance between the neighborhoods. The association between AHD use and disability pension was not modified by the neighborhood context. The median odds ratio was 1.44 after adjusting for individual characteristics and 1.27 after the additional adjusting for neighborhood social participation. Conclusions: Women living in the same neighborhood appear to have a similar propensity for disability pension, beyond individual characteristics, and this contextual effect seems largely explained by neighborhood social participation. In addition, AHD use might increase the propensity for disability pension in women.}},
author = {{Johnell, K and Månsson, Nils-Ove and Sundquist, J and Melander, Arne and Blennow, G and Merlo, Juan}},
issn = {{1651-1905}},
keywords = {{anxiolytic-hypnotic drugs; neighborhood social participation; multilevel analysis; disability pension}},
language = {{eng}},
number = {{1}},
pages = {{41--48}},
publisher = {{SAGE Publications}},
series = {{Scandinavian Journal of Public Health}},
title = {{Neighborhood social participation, use of anxiolytic-hypnotic drugs, and women's propensity for disability pension: a multilevel analysis}},
url = {{http://dx.doi.org/10.1080/14034940510032185}},
doi = {{10.1080/14034940510032185}},
volume = {{34}},
year = {{2006}},
}