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National policies and social inequalities in exit paths from working life in Sweden

Albin, Maria LU ; Nilsson, Kerstin LU orcid ; Östergren, Per-Olof LU ; Rylander, Lars LU orcid and Kadefors, Roland (2019) the 27th International Epidemiology in Occupational Health (EPICOH) conference 2019 p.3-5
Abstract
We investigated the impact on work life exits from reduced access to disability pension (2006), and financial incentives to extend working life.
Method and material
We used labour statistics of all employees in Sweden, Social insurance and income data, to compare occupational groups (SSYK, based on ISCO-88), and blue and white collar workers, with regard to i) lost years in working life due to death, disability pension and long-term sick-leave preceding disability pension 2007-2010, ii) granted disability pensions 2007-2011, and iii) premature age pension in 2004 and 2011.
Results
Years lost in working life were similar for men and women in the same 1-digit SSYK occupational group, somewhat higher for those born outside... (More)
We investigated the impact on work life exits from reduced access to disability pension (2006), and financial incentives to extend working life.
Method and material
We used labour statistics of all employees in Sweden, Social insurance and income data, to compare occupational groups (SSYK, based on ISCO-88), and blue and white collar workers, with regard to i) lost years in working life due to death, disability pension and long-term sick-leave preceding disability pension 2007-2010, ii) granted disability pensions 2007-2011, and iii) premature age pension in 2004 and 2011.
Results
Years lost in working life were similar for men and women in the same 1-digit SSYK occupational group, somewhat higher for those born outside Sweden, but showed a clear gradient from white to blue collar occupations, e.g. for 0.39 versus 2.40 ys lost for Legislators/senior officials/managers and in Elementary occupations, respectively (women born in Sweden).
In 2006 the prevalence of disability pension in age 50-64 was 3.61% among women and 2.49% among men, with 10/10 of the highest prevalence occupations (4-digit SSYK code) in men, and 9/10 in women, being blue collar ones. Approved applications decreased 2006-2011 by 74.4% in women, and 64.3% in men; for mental disorders (ICD-10-SE; F00-F99) 64.9% in women and 48.8% in men, for musculoskeletal disorders (M00-M99) 91.1% and 90.0%, respectively.
The prevalence of premature age pension increased between 2004 and 2011: men 2.5% to 6.4%, women 1.7% to 5.5%. Blue collar occupations were most affected.
Conclusions
The socioeconomic divide in lost years of working life between white and blue collars prevailed. There was an apparent flow from disability to premature age pension, in particular in female blue collars. The findings indicate the budgetary savings of disability pensions transferred the economic burden of disease to individuals, and mainly to female blue collar workers.
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author
; ; ; and
organization
publishing date
type
Contribution to conference
publication status
published
subject
pages
3 - 5
conference name
the 27th International Epidemiology in Occupational Health (EPICOH) conference 2019
conference location
Wellington, New Zealand
conference dates
2019-04-29 - 2019-05-02
language
English
LU publication?
yes
id
8babae09-6680-40ae-ad27-bd8f3aed99ea
date added to LUP
2019-07-18 10:03:18
date last changed
2019-07-27 02:18:25
@misc{8babae09-6680-40ae-ad27-bd8f3aed99ea,
  abstract     = {{We investigated the impact on work life exits from reduced access to disability pension (2006), and financial incentives to extend working life.  <br/>Method and material<br/>We used labour statistics of all employees in Sweden, Social insurance and income data, to compare occupational groups (SSYK, based on ISCO-88), and blue and white collar workers,  with regard to  i) lost years in working life due to death, disability pension and long-term sick-leave preceding disability pension 2007-2010, ii) granted disability pensions 2007-2011, and iii) premature age pension in 2004 and 2011.<br/>Results<br/>Years lost in working life were similar for men and women in the same 1-digit SSYK occupational group, somewhat higher for those born outside Sweden, but showed a clear gradient from white to blue collar occupations,  e.g. for 0.39 versus 2.40 ys lost for Legislators/senior officials/managers and in Elementary occupations, respectively (women born in Sweden).<br/>In 2006 the prevalence of disability pension in age 50-64 was 3.61% among women and 2.49% among men, with 10/10 of the highest prevalence occupations (4-digit SSYK code) in men, and 9/10 in women, being blue collar ones. Approved applications decreased 2006-2011 by 74.4% in women, and 64.3% in men; for mental disorders (ICD-10-SE; F00-F99) 64.9% in women and 48.8% in men, for musculoskeletal disorders (M00-M99) 91.1% and 90.0%, respectively. <br/>The prevalence of premature age pension increased between 2004 and 2011: men 2.5% to 6.4%, women 1.7% to 5.5%. Blue collar occupations were most affected.<br/>Conclusions<br/>The socioeconomic divide in lost years of working life between white and blue collars prevailed. There was an apparent flow from disability to premature age pension, in particular in female blue collars. The findings indicate the budgetary savings of disability pensions transferred the economic burden of disease to individuals, and mainly to female blue collar workers. <br/>}},
  author       = {{Albin, Maria and Nilsson, Kerstin and Östergren, Per-Olof and Rylander, Lars and Kadefors, Roland}},
  language     = {{eng}},
  month        = {{04}},
  pages        = {{3--5}},
  title        = {{National policies and social inequalities in exit paths from working life in Sweden}},
  year         = {{2019}},
}