Socioeconomic status and disability retirement in Finland: Causes, changes over time and mortality

SUMMARY Anu Pol inen Socioeconomic s a us and disabili y e i emen in Finland 05/2016 FINNISH CENTRE FOR PENSIONS, STUDIES In ecen yea s he longe wo king li es and he pos poning o he e i emen age ha e been opics o ex ensi e discussion in Finland. Disabili y pensions play an impo an ole in his deba e. Wo king li es will leng hen i he incidence o disabili y e i emen diminishes. E icien ac ions can be ocused on p e en ing disabili y e i emen , i he g oups a isk o disabili y e i emen a e iden i ied. Acco ding o ea lie s udies, he e a e la ge socioeconomic inequali ies in disabili y e i emen . Manual wo ke s ha e been ound o be a a highe isk o disabili y e i emen compa ed o uppe non-manual employees. Howe e , b oade knowledge o socioeconomic di e ences in disabili y e i emen due o di e en diseases would be use ul in o de o leng hen wo king li es. This s udy examined he socioeconomic di e ences in disabili y e i emen due o di e en diseases o e he pe iod 1988–2009. The s udy also aimed a inding he con ibu ion o ill-heal h, heal h beha iou s and wo king condi ions on hese di e ences. Socioeconomic di e ences in mo ali y a e disabili y e i emen due o di e en diseases we e also s udied. The s udy u ilized, longi udinal egis e da a o he Finnish popula ion aged 30 and o e and he na ionally ep esen a i e Heal h 2000 Su ey wi h linked egis e -based e i emen da a. The esul s indica ed ha socioeconomic di e ences in disabili y e i emen a y by cause o disabili y. La ge inequali ies we e ound in disabili y e i emen due o musculoskele al diseases, psychoac i e subs ance use and ca dio ascula diseases. Socioeconomic di e ences due o dep ession we e small o non-exis en , and we e la ge in younge compa ed o olde age g oups. Musculoskele al diseases con ibu ed mos o he o e all socioeconomic Causes, changes o e ime and mo ali y Socioeconomic s a us and disabili y e i emen in Finland – Causes, changes o e ime and mo ali y 2 di e ences in disabili y e i emen . The incidence o disabili y e i emen has dec eased in all socioeconomic classes om he ea ly 1990s on. The dec ease has been no able, especially in disabili y e i emen due o musculoskele al and ca dio ascula diseases. Socioeconomic di e ences due o all causes and musculoskele al diseases we e la gely media ed h ough wo king condi ions and ill-heal h. In musculoskele al diseases, he con ibu ion o wo king condi ions was especially clea . Socioeconomic di e ences in mo ali y a e e i emen we e smalle han in he gene al popula ion. Modes socioeconomic di e ences in mo ali y a e disabili y e i emen due o men al diso de s and ca dio ascula diseases we e ound o all causes o dea h. Socioeconomic di e ences in disabili y e i emen due o musculoskele al diseases ha e been la ge du ing he pas decades. P e en ion o musculoskele al diseases among manual wo ke s may educe socioeconomic di e ences in disabili y e i emen . The con ibu ion o men al diso de s o o e all socioeconomic di e ences was smalle han he con ibu ion o musculoskele al diseases. The impo ance o wo king condi ions should be obse ed when ying o dec ease he numbe o disabili y e i emen s. Smalle socioeconomic di e ences in mo ali y a e disabili y e i emen may indica e ha he disabili y p ocess can accu a ely iden i y ch onic heal h p oblems ega dless o socioeconomic s a us. O de ing o publica ion: www.e k. i > Publica ions > S udies > Socioeconomic s a us and disabili y e i emen in Finland: Causes, changes o e ime and mo ali y o aineis o ilauk[email p o ec ed] ISBN 978-951-691-244-1 (s-b) ISBN 978-951-691-245-8 (PDF) ISSN 1236-3049 (p in ed) ISSN 1798-7482 (online) Finnish Cen e o Pensions FI-00065 Eläke u akeskus Finland Telephone +358 29 411 20 Fax +358 9 148 1172 Pensionsskyddscen alen 00065 PENSIONSSKYDDSCENTRALEN Tele on 029 411 20 Fax 09 148 1172 Eläke u akeskus 00065 ELÄKETURVAKESKUS Puhelin 029 411 20 Faksi 09 148 1172 www.e k. i > Publica ions