Advanced

Heterogeneity in the associations between common mental disorders and labour outcomes - a population study from southern Sweden

Jarl, Johan LU ; Linder, Anna LU ; Busch, Hillevi ; Nyberg, Anja and Gerdtham, Ulf-G LU (2020) In BMC Public Health 20(1).
Abstract

BACKGROUND: Previous research has shown that Common Mental Disorders (CMD) are unequally distributed between population subgroups, but we know less about how labour outcomes following such disorders are distributed. Our aim is to investigate how the labour outcomes following a CMD diagnosis differ over sex, age, schooling and country of birth.

METHODS: We use a population sample from southern Sweden of patients diagnosed with CMD during calendar years 2009-2011, and a matched general population control group, to study labour market outcomes three years following diagnosis. Logistic regression is used to study the associations between a CMD diagnosis and outcomes in employment, sick leave, and disability pension. Interaction... (More)

BACKGROUND: Previous research has shown that Common Mental Disorders (CMD) are unequally distributed between population subgroups, but we know less about how labour outcomes following such disorders are distributed. Our aim is to investigate how the labour outcomes following a CMD diagnosis differ over sex, age, schooling and country of birth.

METHODS: We use a population sample from southern Sweden of patients diagnosed with CMD during calendar years 2009-2011, and a matched general population control group, to study labour market outcomes three years following diagnosis. Logistic regression is used to study the associations between a CMD diagnosis and outcomes in employment, sick leave, and disability pension. Interaction analysis is used to study heterogeneity in these associations.

RESULTS: CMD diagnosis is associated with reduced employment and increased odds of sick leave and disability pension. Following a CMD diagnosis, men and higher educated individuals have higher odds of non-employment and sick leave compared to women and the lower educated. Foreign-born individuals have higher odds of non-employment and lower odds of sick leave, compared to individuals born in Sweden. Heterogeneity appears to be present also based on age. Younger age is associated with higher odds of non-employment and disability pension and lower odds of sick leave, following a CMD diagnosis.

CONCLUSIONS: Heterogeneity in labour outcomes following a CMD diagnosis sometimes contributes to and sometimes mitigates inequalities in employment, sick leave and disability pension between population subgroups. When developing new strategies to tackle mental ill-health in the population, it may therefore be motivated to consider not only inequalities in the prevalence of mental disorders but also heterogeneity in associated adverse labour outcomes.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Inequality, Labour outcomes, Mental disorders, Sweden
in
BMC Public Health
volume
20
issue
1
article number
1285
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85089926634
  • pmid:32843020
ISSN
1471-2458
DOI
10.1186/s12889-020-09348-3
language
English
LU publication?
yes
id
cc4ebcdd-53e3-4e82-8f00-d5b7be440232
date added to LUP
2020-08-28 12:25:55
date last changed
2020-09-09 06:06:06
@article{cc4ebcdd-53e3-4e82-8f00-d5b7be440232,
  abstract     = {<p>BACKGROUND: Previous research has shown that Common Mental Disorders (CMD) are unequally distributed between population subgroups, but we know less about how labour outcomes following such disorders are distributed. Our aim is to investigate how the labour outcomes following a CMD diagnosis differ over sex, age, schooling and country of birth.</p><p>METHODS: We use a population sample from southern Sweden of patients diagnosed with CMD during calendar years 2009-2011, and a matched general population control group, to study labour market outcomes three years following diagnosis. Logistic regression is used to study the associations between a CMD diagnosis and outcomes in employment, sick leave, and disability pension. Interaction analysis is used to study heterogeneity in these associations.</p><p>RESULTS: CMD diagnosis is associated with reduced employment and increased odds of sick leave and disability pension. Following a CMD diagnosis, men and higher educated individuals have higher odds of non-employment and sick leave compared to women and the lower educated. Foreign-born individuals have higher odds of non-employment and lower odds of sick leave, compared to individuals born in Sweden. Heterogeneity appears to be present also based on age. Younger age is associated with higher odds of non-employment and disability pension and lower odds of sick leave, following a CMD diagnosis.</p><p>CONCLUSIONS: Heterogeneity in labour outcomes following a CMD diagnosis sometimes contributes to and sometimes mitigates inequalities in employment, sick leave and disability pension between population subgroups. When developing new strategies to tackle mental ill-health in the population, it may therefore be motivated to consider not only inequalities in the prevalence of mental disorders but also heterogeneity in associated adverse labour outcomes.</p>},
  author       = {Jarl, Johan and Linder, Anna and Busch, Hillevi and Nyberg, Anja and Gerdtham, Ulf-G},
  issn         = {1471-2458},
  language     = {eng},
  month        = {08},
  number       = {1},
  publisher    = {BioMed Central (BMC)},
  series       = {BMC Public Health},
  title        = {Heterogeneity in the associations between common mental disorders and labour outcomes - a population study from southern Sweden},
  url          = {http://dx.doi.org/10.1186/s12889-020-09348-3},
  doi          = {10.1186/s12889-020-09348-3},
  volume       = {20},
  year         = {2020},
}