Can a Healthy Lifestyle Prevent Disability Pension among Female Healthcare Workers with Good and Poor Self-Rated Health? Prospective Cohort Study with 11-Year Register Follow-Up
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Population
2.2. Outcome
2.3. Lifestyle Factors and Self-Rated Physical Activity
2.4. Confounders
2.5. Statistical Analyses
3. Results
4. Discussion
Limitations and Future Research Directions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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How Would You Say Your Overall Health Is? | Disability Pension during 11-Year Follow-Up | ||
---|---|---|---|
No | Yes | Total | |
Good health % | 6611 | 604 | 7215 |
91.6% | 8.4% | ||
Poor health % | 611 | 333 | 944 |
64.7% | 35.3% | ||
Total | 7222 | 937 | 8159 |
88.5% | 11.5% |
Good Health | Poor Health | |||||||
---|---|---|---|---|---|---|---|---|
N | Mean | SD | % | N | Mean | SD | % | |
Age | 7215 | 44.9 | 10.1 | 944 | 47.9 | 9.0 | ||
Smoking | ||||||||
No | 4551 | 63.1 | 570 | 60.4 | ||||
Yes | 2664 | 36.9 | 374 | 39.6 | ||||
Body Mass Index (kg/m2) | ||||||||
Underweight | 142 | 2.0 | 23 | 2.4 | ||||
Normal weight | 4190 | 58.1 | 458 | 48.5 | ||||
Overweight | 2051 | 28.4 | 305 | 32.3 | ||||
Obesity | 832 | 11.5 | 158 | 16.7 | ||||
Physical activity level during leisure | ||||||||
Low | 3253 | 45.1 | 544 | 57.6 | ||||
Moderate | 3613 | 50.1 | 369 | 39.1 | ||||
High | 349 | 4.8 | 31 | 3.3 | ||||
Physical exertion during work (1–7) | 7215 | 3.8 | 1.2 | 944 | 4.3 | 1.3 | ||
Psychosocial work factors (0–100) | ||||||||
Emotional demands | 7215 | 45.4 | 18.2 | 944 | 52.0 | 19.0 | ||
Influence at work | 7215 | 45.7 | 20.3 | 944 | 39.9 | 21.4 | ||
Role conflicts | 7215 | 41.1 | 15.4 | 944 | 45.2 | 16.8 | ||
Quality of leadership | 7215 | 57.7 | 21.3 | 944 | 50.7 | 22.8 |
Hazard Ratio (95% CI) | p-Value | ||
---|---|---|---|
Good Health | Poor Health | Interaction | |
Smoking | |||
No | 1 | 1 | |
Yes | 1.64 (1.39–1.93) | 1.15 (0.90–1.46) | 0.017 |
BMI | |||
Underweight | 1.43 (0.90–2.28) | 1.38 (0.69–2.75) | |
Normal weight | 1 | 1 | 0.283 |
Overweight | 1.06 (0.88–1.28) | 1.07 (0.82–1.40) | |
Obesity | 1.53 (1.20–1.93) | 1.04 (0.74–1.45) | |
Leisure time physical activity | |||
Low | 1.36 (1.15–1.60) | 1.33 (1.04–1.70) | |
Moderate | 1 | 1 | 0.976 |
High | 0.89 (0.56–1.41) | 0.82 (0.38–1.75) |
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Morera, Á.; Calatayud, J.; López-Bueno, R.; Casaña, J.; Vinstrup, J.; Bláfoss, R.; Clausen, T.; Andersen, L.L. Can a Healthy Lifestyle Prevent Disability Pension among Female Healthcare Workers with Good and Poor Self-Rated Health? Prospective Cohort Study with 11-Year Register Follow-Up. Int. J. Environ. Res. Public Health 2022, 19, 10631. https://doi.org/10.3390/ijerph191710631
Morera Á, Calatayud J, López-Bueno R, Casaña J, Vinstrup J, Bláfoss R, Clausen T, Andersen LL. Can a Healthy Lifestyle Prevent Disability Pension among Female Healthcare Workers with Good and Poor Self-Rated Health? Prospective Cohort Study with 11-Year Register Follow-Up. International Journal of Environmental Research and Public Health. 2022; 19(17):10631. https://doi.org/10.3390/ijerph191710631
Chicago/Turabian StyleMorera, Álvaro, Joaquín Calatayud, Rubén López-Bueno, José Casaña, Jonas Vinstrup, Rúni Bláfoss, Thomas Clausen, and Lars Louis Andersen. 2022. "Can a Healthy Lifestyle Prevent Disability Pension among Female Healthcare Workers with Good and Poor Self-Rated Health? Prospective Cohort Study with 11-Year Register Follow-Up" International Journal of Environmental Research and Public Health 19, no. 17: 10631. https://doi.org/10.3390/ijerph191710631