Understanding occupation, sick leave and disability pension due to knee and hip osteoarthritis from a gender perspective. Hubertsson, J., Turkiewicz, A., Petersson, I. F., & Englund, M.
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OBJECTIVE: To investigate the association between occupation and risk for sick leave or disability pension due to knee or hip osteoarthritis (OA) from a gender perspective. METHODS: Population-based study including residents aged 40-70 years in the Skane region, Sweden (2007) and working in the included job sectors (n=165 179). We retrieved data on cause-specific sick leave and disability pension (2007-2012) and linked to individual information on occupation and education (2007). Occupations were classified into job sectors. We calculated gender-specific, age-adjusted odds ratio (OR) of sick leave and disability pension due to OA in traditionally female-dominated job sectors (health care, child care, cleaning) and traditionally male-dominated job sectors (construction, farming, metal work or transportation) compared to business and administration. RESULTS: Of all eligible subjects, 2445 had sick leave or disability pension due to knee or hip OA. Adjusted for age, the risk of sick leave due to knee OA was increased for women working in health care OR 3.3 (95% CI 2.6-4.2), child care OR 2.9 (2.2-3.8) and cleaning OR 3.0 (2.2-4.1), as was the risk for disability pension. The risk was increased also for persons working in occupations with higher educational requirements. The risk was similarly increased in male-dominated sectors. In female-dominated job sectors the risk of sick leave and disability pension due to knee OA, but not hip OA, was higher than that for other musculoskeletal diseases. CONCLUSION: Traditionally female-dominated occupational sectors are associated with an increased risk of sick leave and disability pension due to knee OA. This article is protected by copyright. All rights reserved.
@article{hubertsson_understanding_2016,
	title = {Understanding occupation, sick leave and disability pension due to knee and hip osteoarthritis from a gender perspective.},
	rights = {(c) 2016, American College of Rheumatology.},
	issn = {2151-4658 2151-464X},
	doi = {10.1002/acr.22909},
	abstract = {{OBJECTIVE}: To investigate the association between occupation and risk for sick leave or disability pension due to knee or hip osteoarthritis ({OA}) from a gender  perspective. {METHODS}: Population-based study including residents aged 40-70 years in the Skane region, Sweden (2007) and working in the included job sectors (n=165 179). We retrieved data on cause-specific sick leave and disability pension (2007-2012) and linked to individual information on occupation and education (2007). Occupations were classified into job sectors. We calculated gender-specific, age-adjusted odds ratio ({OR}) of sick leave and disability pension due to {OA} in traditionally female-dominated job sectors (health care, child care, cleaning) and traditionally male-dominated job sectors (construction, farming, metal work or transportation) compared to business and administration. {RESULTS}: Of all eligible subjects, 2445 had sick leave or disability pension due  to knee or hip {OA}. Adjusted for age, the risk of sick leave due to knee {OA} was increased for women working in health care {OR} 3.3 (95\% {CI} 2.6-4.2), child care {OR} 2.9 (2.2-3.8) and cleaning {OR} 3.0 (2.2-4.1), as was the risk for disability pension. The risk was increased also for persons working in occupations with higher educational requirements. The risk was similarly increased in male-dominated sectors. In female-dominated job sectors the risk of sick leave and disability pension due to knee {OA}, but not hip {OA}, was higher than that for other musculoskeletal diseases. {CONCLUSION}: Traditionally female-dominated occupational sectors are associated with an increased risk of sick leave and disability pension due to knee {OA}. This article is protected by copyright. All rights reserved.},
	journaltitle = {Arthritis care \& research},
	shortjournal = {Arthritis Care Res (Hoboken)},
	author = {Hubertsson, Jenny and Turkiewicz, Aleksandra and Petersson, Ingemar F. and Englund, Martin},
	date = {2016-04-25},
	pmid = {27110664},
	keywords = {Disability pension, Disability pension, Occupation, Occupation, Osteoarthritis, Osteoarthritis, Sick leave, Sick leave, women, Women}
}
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