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Magnus Helgesson - One of the best experts on this subject based on the ideXlab platform.
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the role of refugee status and mental disorders regarding subsequent labour market marginalisation a register study from sweden
Social Psychiatry and Psychiatric Epidemiology, 2020Co-Authors: Thomas Niederkrotenthaler, Ellenor Mittendorferrutz, Fredrik Saboonchi, Magnus HelgessonAbstract:This study aimed to assess the role of refugee status and specific mental disorders regarding subsequent labour market marginalisation. Prospective cohort study of all refugees (n = 216,930) and Swedish-borns (n = 3,841,788), aged 19–60 years, and resident in Sweden in 2009. Hazard ratios (HRs) with 95% Confidence Intervals (CIs) for Long-Term Unemployment (> 180 days) and disability pension (DP) were calculated with Cox regression analyses. Mental disorders were more prevalent in refugees compared to Swedish-born individuals, with greatest differences seen for post-traumatic stress disorder (PTSD; refugees 1.3%; Swedish-born individuals 0.1%). Regarding Long-Term Unemployment, refugees without a mental disorder had an adjusted HR (aHR) of 2.68 (95% CI 2.65–2.71) compared to Swedish-born individuals without mental disorders, which was above the aHR of refugees (aHR 2.33, 95% CI 2.29–2.38) and Swedish-born individuals (aHR 1.44, 95% CI 1.43–1.45) with mental disorders. Regarding DP, compared to Swedish-born individuals without mental disorders, the aHRs were 1.44 (95% CI 1.34–1.54) for refugees without, but 6.11 (95% CI 5.84–6.39) for refugees with mental disorders. Swedish-born individuals with mental disorder had an aHR of 3.96 (95% CI 3.85–4.07). With regard to specific disorders, the aHRs for refugees, as compared to Swedish-born individuals without mental disorders, were markedly increased for all disorders (e.g. PTSD: Long-Term Unemployment aHR: 2.03 (95% CI 1.89–2.18); DP 7.07 (95% CI 6.42–7.78). Mental disorders are more prevalent in refugees than in Swedish-born individuals but do not appear to increase their risk of Long-Term Unemployment. Refugee status and mental disorders strongly contribute to the risk of DP, indicating that factors beyond medical considerations contribute to their granting of DP.
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labour market marginalisation in obsessive compulsive disorder a nationwide register based sibling control study
Psychological Medicine, 2019Co-Authors: Ana Perezvigil, Ellenor Mittendorferrutz, Magnus Helgesson, Lorena Fernandez De La Cruz, David MataixcolsAbstract:Background The impact of obsessive-compulsive disorder (OCD) on objective indicators of labour market marginalisation has not been quantified. Methods Linking various Swedish national registers, we estimated the risk of three labour market marginalisation outcomes (receipt of newly granted disability pension, Long-Term sickness absence and Long-Term Unemployment) in individuals diagnosed with OCD between 2001 and 2013 who were between 16 and 64 years old at the date of the first OCD diagnosis (n = 16 267), compared with matched general population controls (n = 157 176). Hazard ratios (HR) with 95% confidence intervals (CI) were calculated using Cox regression models, adjusting for a number of covariates (e.g. somatic disorders) and stratifying by sex. To adjust for potential familial confounders, we further analysed data from 7905 families that included full siblings discordant for OCD. Results Patients were more likely to receive at least one outcome of interest [adjusted HR = 3.63 (95% CI 3.53-3.74)], including disability pension [adjusted HR = 16.36 (95% CI 15.34-17.45)], being on Long-Term sickness absence [adjusted HR = 3.07 (95% CI 2.95-3.19)] and being on Long-Term Unemployment [adjusted HR = 1.72 (95% CI 1.63-1.82)]. Results remained similar in the adjusted sibling comparison models. Exclusion of comorbid psychiatric disorders had a minimal impact on the results. Conclusions Help-seeking individuals with OCD diagnosed in specialist care experience marked difficulties to participate in the labour market. The findings emphasise the need for cooperation between policy-makers, vocational rehabilitation and mental health services in order to design and implement specific strategies aimed at improving the patients' participation in the labour market.
Tomas Hemmingsson - One of the best experts on this subject based on the ideXlab platform.
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the association between self assessed future work ability and long term sickness absence disability pension and Unemployment in a general working population a 7 year follow up study
Journal of Occupational Rehabilitation, 2016Co-Authors: Katarina Kjellberg, Andreas Lundin, Tomas Hemmingsson, Ola Leijon, Laura PunnettAbstract:Purpose Work ability is commonly measured with self-assessments, in the form of indices or single items. The validity of these assessments lies in their predictive ability. Prospective studies have reported associations between work ability and sickness absence and disability pension, but few examined why these associations exist. Several correlates of work ability have been reported, but their mechanistic role is largely unknown. This study aims to investigate to what extent individual’s own prognosis of work ability predicts labor market participation and whether this was due to individual characteristics and/or working conditions. Methods Self-assessed prognosis of work ability, 2 years from “now,” in the Stockholm Public Health Questionnaire (2002–2003) was linked to national registers on sickness absence, disability pension and Unemployment up to year 2010. Effects were studied with Cox regression models. Results Of a total of 12,064 individuals 1466 reported poor work ability. There were 299 cases of disability pension, 1466 Long-Term sickness absence cases and 765 Long-Term unemployed during follow-up. Poor work ability increased the risk of Long-Term sickness absence (HR 2.25, CI 95 % 1.97–2.56), disability pension (HR 5.19, CI 95 % 4.07–6.62), and Long-Term Unemployment (HR 2.18, CI 95 % 1.83–2.60). These associations were partially explained by baseline health conditions, physical and (less strongly) psychosocial aspects of working conditions. Conclusions Self-assessed poor ability predicted future Long-Term sickness absence, disability pension and Long-Term Unemployment. Self-assessed poor work ability seems to be an indicator of future labor market exclusion of different kinds, and can be used in public health monitoring.
Josef Zweimuller - One of the best experts on this subject based on the ideXlab platform.
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market externalities of large Unemployment insurance extension programs
The American Economic Review, 2015Co-Authors: Rafael Lalive, Camille Landais, Josef ZweimullerAbstract:We provide evidence that Unemployment insurance affects equilibrium conditions in the labor market, which creates significant "market externalities." We provide a framework for identification of such equilibrium effects and implement it using the Regional Extension Benefit Program (REBP) in Austria which extended the duration of UI benefits for a large group of eligible workers in selected regions of Austria. We show that non-eligible workers in REBP regions have higher job finding rates, lower Unemployment durations, and a lower risk of Long-Term Unemployment. We discuss the implications of our results for optimal UI policy. (JEL E24, J64, J65, R23)
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market externalities of large Unemployment insurance extension programs
LSE Research Online Documents on Economics, 2015Co-Authors: Rafael Lalive, Camille Landais, Josef ZweimullerAbstract:We provide evidence that Unemployment insurance affects equilibrium conditions in the labor market, which creates significant market externalities. We provide a framework for identification of such equilibrium effects and implement it using the Regional Extension Benefit Program in Austria which extended the duration of UI benefits for a large group of eligible workers in selected regions of Austria. We show that non-eligible workers in REBP regions have higher job finding rates, lower Unemployment durations, and a lower risk of Long-Term Unemployment. We discuss the implications of our results for optimal UI policy.
Jette Moller - One of the best experts on this subject based on the ideXlab platform.
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is there an association between long term sick leave and disability pension and Unemployment beyond the effect of health status a cohort study
PLOS ONE, 2012Co-Authors: Hanna Hultin, Christina Lindholm, Jette MollerAbstract:Background Studies have shown that Long-Term sick leave is a strong predictor of disability pension. However, few have aimed to disentangle the effect of sick leave and of health status. The objective of this study was to investigate whether there is an association between Long-Term sick leave and disability pension and Unemployment, when taking health status into account. Methods/Principal Findings The study was based on the Stockholm Public Health Cohort, restricted to 13,027 employed individuals (45.9% men) aged 18–59 in 2002 and followed until 2007. Hazard ratios (HR) with 95% Confidence Interval (CI) were estimated by Cox regression models adjusting for socio-demographic factors and five measures of health status. Having been on Long-Term sick leave increased the risk of disability pension (HR 4.01; 95% CI 3.19–5.05) and Long-Term Unemployment (HR 1.45; 95% CI 1.05–2.00), after adjustment for health status. The analyses of Long-Term sick leave due to specific illness showed that the increased risk for Long-Term Unemployment was confined to the group on sick leave due to musculoskeletal (HR 1.70 95% CI 1.00–2.89) and mental illness (HR 1.80 95% CI 1.13–2.88) and further that there was an increased risk for short-term Unemployment in the group on sick leave due to mental illness (HR1.57 95%CI 1.09–2.26). Conclusions/Significance Long-Term sick leave increases the risks of both disability pension and Unemployment even when taking health status into account. The results support the hypothesis that Long-Term sick leave may start a process of marginalization from the labor market.
Ellenor Mittendorferrutz - One of the best experts on this subject based on the ideXlab platform.
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the role of refugee status and mental disorders regarding subsequent labour market marginalisation a register study from sweden
Social Psychiatry and Psychiatric Epidemiology, 2020Co-Authors: Thomas Niederkrotenthaler, Ellenor Mittendorferrutz, Fredrik Saboonchi, Magnus HelgessonAbstract:This study aimed to assess the role of refugee status and specific mental disorders regarding subsequent labour market marginalisation. Prospective cohort study of all refugees (n = 216,930) and Swedish-borns (n = 3,841,788), aged 19–60 years, and resident in Sweden in 2009. Hazard ratios (HRs) with 95% Confidence Intervals (CIs) for Long-Term Unemployment (> 180 days) and disability pension (DP) were calculated with Cox regression analyses. Mental disorders were more prevalent in refugees compared to Swedish-born individuals, with greatest differences seen for post-traumatic stress disorder (PTSD; refugees 1.3%; Swedish-born individuals 0.1%). Regarding Long-Term Unemployment, refugees without a mental disorder had an adjusted HR (aHR) of 2.68 (95% CI 2.65–2.71) compared to Swedish-born individuals without mental disorders, which was above the aHR of refugees (aHR 2.33, 95% CI 2.29–2.38) and Swedish-born individuals (aHR 1.44, 95% CI 1.43–1.45) with mental disorders. Regarding DP, compared to Swedish-born individuals without mental disorders, the aHRs were 1.44 (95% CI 1.34–1.54) for refugees without, but 6.11 (95% CI 5.84–6.39) for refugees with mental disorders. Swedish-born individuals with mental disorder had an aHR of 3.96 (95% CI 3.85–4.07). With regard to specific disorders, the aHRs for refugees, as compared to Swedish-born individuals without mental disorders, were markedly increased for all disorders (e.g. PTSD: Long-Term Unemployment aHR: 2.03 (95% CI 1.89–2.18); DP 7.07 (95% CI 6.42–7.78). Mental disorders are more prevalent in refugees than in Swedish-born individuals but do not appear to increase their risk of Long-Term Unemployment. Refugee status and mental disorders strongly contribute to the risk of DP, indicating that factors beyond medical considerations contribute to their granting of DP.
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labour market marginalisation in obsessive compulsive disorder a nationwide register based sibling control study
Psychological Medicine, 2019Co-Authors: Ana Perezvigil, Ellenor Mittendorferrutz, Magnus Helgesson, Lorena Fernandez De La Cruz, David MataixcolsAbstract:Background The impact of obsessive-compulsive disorder (OCD) on objective indicators of labour market marginalisation has not been quantified. Methods Linking various Swedish national registers, we estimated the risk of three labour market marginalisation outcomes (receipt of newly granted disability pension, Long-Term sickness absence and Long-Term Unemployment) in individuals diagnosed with OCD between 2001 and 2013 who were between 16 and 64 years old at the date of the first OCD diagnosis (n = 16 267), compared with matched general population controls (n = 157 176). Hazard ratios (HR) with 95% confidence intervals (CI) were calculated using Cox regression models, adjusting for a number of covariates (e.g. somatic disorders) and stratifying by sex. To adjust for potential familial confounders, we further analysed data from 7905 families that included full siblings discordant for OCD. Results Patients were more likely to receive at least one outcome of interest [adjusted HR = 3.63 (95% CI 3.53-3.74)], including disability pension [adjusted HR = 16.36 (95% CI 15.34-17.45)], being on Long-Term sickness absence [adjusted HR = 3.07 (95% CI 2.95-3.19)] and being on Long-Term Unemployment [adjusted HR = 1.72 (95% CI 1.63-1.82)]. Results remained similar in the adjusted sibling comparison models. Exclusion of comorbid psychiatric disorders had a minimal impact on the results. Conclusions Help-seeking individuals with OCD diagnosed in specialist care experience marked difficulties to participate in the labour market. The findings emphasise the need for cooperation between policy-makers, vocational rehabilitation and mental health services in order to design and implement specific strategies aimed at improving the patients' participation in the labour market.
