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A 6-year follow-up study of 122 patients attending a multiprofessional rehabilitation programme for persistent musculoskeletal-related pain.

https://arctichealth.org/en/permalink/ahliterature78830
Source
Int J Rehabil Res. 2007 Mar;30(1):9-18
Publication Type
Article
Date
Mar-2007
Author
Norrefalk Jan-Rickard
Linder Jürgen
Ekholm Jan
Borg Kristian
Author Affiliation
Department of Public Health Sciences, Division of Rehabilitation Medicine, Karolinska University Hospital, Stockholm, Sweden. norrefalk@hotmail.com
Source
Int J Rehabil Res. 2007 Mar;30(1):9-18
Date
Mar-2007
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adult
Age Factors
Analgesics - therapeutic use
Case-Control Studies
Employment - statistics & numerical data
Female
Follow-Up Studies
Humans
Interviews
Male
Middle Aged
Musculoskeletal Diseases - rehabilitation
Pain - rehabilitation
Pain Measurement
Sick Leave
Sweden
Abstract
The aim of the study was to evaluate the outcome 6 years after completing a multiprofessional 8-week rehabilitation programme regarding the following objectives: (1) return to work, (2) level of activity and (3) pain intensity. Of 149 patients attending a rehabilitation programme, 122 were followed up after 6 years, through a structured telephone interview, and their present work situation, level of activity, sleeping habits, their estimated pain intensity and consumption of analgesics were recorded. The questions presented were the same as they had answered before entering the programme. The return-to-work rate was compared to 79 patients in a control group. At the 6-year follow-up, compared to before entering the programme, 52% had returned to work (P
PubMed ID
17293715 View in PubMed
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A 15-year series analysis of caries development related to a socioeconomic variable. A study of the year group leaving the organised dental care in Göteborg, Sweden.

https://arctichealth.org/en/permalink/ahliterature75752
Source
Swed Dent J. 2003;27(3):151-8
Publication Type
Article
Date
2003
Author
Yngve Swedberg
Jörgen G Norén
Author Affiliation
Department of Pedodontics, Faculty of Odontology, Göteborg, Sweden. ynsw@home.se
Source
Swed Dent J. 2003;27(3):151-8
Date
2003
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Cohort Studies
DMF Index
Dental Caries - epidemiology
Dental Restoration, Permanent - statistics & numerical data
Employment - statistics & numerical data
Humans
Incidence
Longitudinal Studies
Middle Aged
Prevalence
State Dentistry
Sweden - epidemiology
Tooth Loss - epidemiology
Abstract
In a long-term series analysis the study had the aim of detecting how the used socioeconomic variables were related to the caries status development in the year group leaving the organised dental care. The study included caries epidemiological records of individuals at the Public Dental Service of Göteborg, leaving the organised dental care during 1986-2000. The City of Göteborg was divided into four districts. One incidence and one prevalence caries index was used, each presented in two subgroups: individuals with no caries record and patients with 20% of the highest index values. The socio-economical variable was individuals 18-64 years of age, seeking employment, as a percentage of the corresponding group of all inhabitants. The registered values were divided into three time sections of five years each. In the first, the socio-economic value curves were almost horizontal, in the second they showed a considerable increasing and in the third a declining tendency. The result curves for the caries-free patient groups and for patients with 20% of the highest caries index values compared to the three socioeconomical time sector results, showed an almost horizontal level concerning the incidence index values, and for the prevalence index values an inclined curve structure to the incidence curves. The result curves for the incidence index with respect to the caries-free patient group showed an almost horizontal structure, while the prevalence curves inclined towards the incidence curves during the study period. The linear structure of these curves deviated considerably from the result curves for the socio-economic time series. No correlation existed between the socio-economic data and the studied caries index values. The need for determining the time length concerning caries index observations was discussed. It must be of special interest to maintain the dental health of the studied patient group and the individuals' relation to regular dental care, when as adults they meet the dental care economy.
PubMed ID
14608971 View in PubMed
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2020 healthcare management in Canada: a new model home next door.

https://arctichealth.org/en/permalink/ahliterature184152
Source
Healthc Manage Forum. 2003;16(1):6-10, 44-9
Publication Type
Article
Date
2003
Author
D Wayne Taylor
Author Affiliation
Michael G. DeGroote School of Business, McMaster University.
Source
Healthc Manage Forum. 2003;16(1):6-10, 44-9
Date
2003
Language
English
French
Publication Type
Article
Keywords
Canada
Cost Sharing
Efficiency
Employment - statistics & numerical data - trends
Health Care Reform
Health Expenditures - trends
Health Services Needs and Demand - trends
Humans
Models, organizational
National Health Programs - economics - organization & administration - trends
Politics
Population Dynamics
Social Change
Social Values
Taxes - trends
Abstract
The Commission on the Future of Health Care in Canada asked whether Medicare is sustainable in its present form. Well, Medicare is not sustainable for at least six reasons. Given a long list of factors, such as Canada's changing dependency ratio, the phenomenon of diminishing returns from increased taxation, competing provincial expenditure needs, low labour and technological productivity in government-funded healthcare, the expectations held by baby boomers, and the evolving value sets of Canadians--Medicare will impoverish Canada within the next couple of decades if not seriously recast. As distasteful as parallel private-pay, private-choice healthcare may be to some policy makers and providers who grew up in the 1960s, the reality of the 2020s will dictate its necessity as a pragmatic solution to a systemic problem.
PubMed ID
12908160 View in PubMed
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Absence from work due to occupational and non-occupational accidents.

https://arctichealth.org/en/permalink/ahliterature118455
Source
Scand J Public Health. 2013 Feb;41(1):18-24
Publication Type
Article
Date
Feb-2013
Author
Kirsten Jørgensen
Bjarne Laursen
Author Affiliation
Department of Management Engineering, The Technical University of Denmark, Kgs. Lyngby, Denmark. kirj@man.dtu.dk
Source
Scand J Public Health. 2013 Feb;41(1):18-24
Date
Feb-2013
Language
English
Publication Type
Article
Keywords
Absenteeism
Accidents - statistics & numerical data
Accidents, Occupational - statistics & numerical data
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Denmark
Employment - statistics & numerical data
Female
Humans
Infant
Male
Middle Aged
Qualitative Research
Registries
Young Adult
Abstract
The aim of the present study was to investigate absence from work in Denmark due to occupational and non-occupational accidents.
Since the beginning of the last decade, political focus has been placed on the population's working capacity and the scope of absence due to illness. Absence from work is estimated at between 3% and 6% of working hours in the EU and costs are estimated at approximately 2.5% of GNP.
Victims of accidents treated at two emergency departments were interviewed regarding absence for the injured, the family and others. All answers were linked to the hospital information on the injury, so that it was possible to examine the relation between absence and injury type, and cause of the accident.
In total, 1,479 injured persons were interviewed. 36% of these reported absence from work by themselves or others. In mean, an injury caused 3.21 days of absence. Based on this the total absence due to injuries in Denmark was estimated to 1,822,000 workdays, corresponding to approximately 6% of the total absence from work due to all types of illness. Non-occupational injuries resulted in more absence than did occupational injuries.
Absence due to accidents contributed to a considerable part of the total absence from work, and non-occupational accidents caused more absence than did occupational accidents.
PubMed ID
23208299 View in PubMed
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Abstaining from alcohol and labour market underperformance--have we forgotten the 'dry' alcoholics?

https://arctichealth.org/en/permalink/ahliterature168259
Source
Alcohol Alcohol. 2006 Sep-Oct;41(5):574-9
Publication Type
Article
Author
Edvard Johansson
Hannu Alho
Urpo Kiiskinen
Kari Poikolainen
Author Affiliation
The Research Institute of the Finnish Economy, Lönnrotinkatu 4B, 00120 Helsinki, Finland. edvard.johansson@etla.fi
Source
Alcohol Alcohol. 2006 Sep-Oct;41(5):574-9
Language
English
Publication Type
Article
Keywords
Adult
Aged
Alcoholism - epidemiology
Cross-Sectional Studies
Employment - statistics & numerical data
Finland - epidemiology
Humans
Male
Middle Aged
Temperance
Abstract
To investigate whether abstainers fare worse than non-abstainers on the labour market because a subset of the abstainers are ex-drinkers with alcohol problems.
In the cross-sectional population survey 'health 2000 in Finland' (n = 10 000) carried out in 2000, alcohol dependency was measured using the DSM-IV diagnostic criteria for alcohol dependence. The CIDI (composite international diagnostic interview) was applied to ascertain lifetime DSM-IV diagnoses for substance abuse diagnoses, including alcohol dependence. Individuals were considered to be employed if they were working part-time or full-time.
Male abstainers have on average 9.5 percentage points lower employment probability than non-abstainers. However, abstainers who have never drunk alcohol do not have lower employment probability than non-abstainers. Abstainers who are diagnosed as alcohol dependent have 27 percentage points lower employment probability than non-abstainers.
The underperformance of abstainers in a labour market sense is almost entirely due to the fact that some abstainers are ex-drinkers who in our study are identified as alcohol-dependent. Otherwise abstaining does not decrease employment probability.
PubMed ID
16855004 View in PubMed
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Achieving high acceptability of HIV testing in a population-based survey among immigrants in Finland.

https://arctichealth.org/en/permalink/ahliterature265149
Source
Scand J Public Health. 2015 Jun;43(4):393-8
Publication Type
Article
Date
Jun-2015
Author
Paula J Tiittala
Pia S Kivelä
Matti A Ristola
Heljä-Marja Surcel
Päivikki M S Koponen
Mulki Mölsä
Jukka Ollgren
Kirsi Liitsola
Source
Scand J Public Health. 2015 Jun;43(4):393-8
Date
Jun-2015
Language
English
Publication Type
Article
Keywords
Adult
Communication Barriers
Counseling - statistics & numerical data
Emigrants and Immigrants - psychology - statistics & numerical data
Employment - statistics & numerical data
Female
Finland
HIV Infections - diagnosis
Humans
Language
Male
Mass Screening - utilization
Middle Aged
Patient Acceptance of Health Care - statistics & numerical data
Risk factors
Abstract
The aim of this study was to assess the acceptability of human immunodeficiency virus (HIV) testing among migrants in Finland and the factors contributing to non-acceptance.
The Finnish Migrant Health and Wellbeing Study 'Maamu' was the first national population-based Health Interview and Examination Survey (HIS/HES) among migrants in Finland. A total of 386 Kurdish, Russian and Somali immigrants in Helsinki participated in the study.
Despite the participants' different sociodemographic backgrounds, a high rate of test acceptability (92%, 95% CI 90-95) was achieved. HIV test acceptance was associated with pretest counselling, ability to understand spoken Finnish or Swedish and employment status. No participants tested positive for HIV.
The results imply that a universal HIV testing strategy is well accepted in a low-HIV prevalence immigrant population and can be included in a general health examination in immigrant population-based surveys.
PubMed ID
25788469 View in PubMed
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Activities and sources of income after a period of long-term sick leave--a population-based prospective cohort study.

https://arctichealth.org/en/permalink/ahliterature120986
Source
BMC Public Health. 2012;12:745
Publication Type
Article
Date
2012
Author
Anders Wikman
Michael Wiberg
Staffan Marklund
Kristina Alexanderson
Author Affiliation
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm SE-171 77, Sweden. anders.wikman@ki.se
Source
BMC Public Health. 2012;12:745
Date
2012
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Educational Status
Employment - statistics & numerical data
Female
Follow-Up Studies
Humans
Income - trends
Insurance, Disability - statistics & numerical data
Male
Middle Aged
Pensions - statistics & numerical data
Prospective Studies
Registries
Sick Leave - statistics & numerical data
Sweden
Time Factors
Young Adult
Abstract
There is limited knowledge about what happens to people after long-term sick leave. The aim of this report was to conduct a prospective study of individuals who were on prolonged sick leave during a particular year, considering their activities and sources of income during subsequent years. To enable comparison of different time periods, we used three cohorts of individuals with different starting years.
Using data from national registers, three separate cohorts were constructed that included all people living in Sweden who were 20-64 years of age (>5 million) in the years 1995, 2000 and 2005, respectively. The individual members of the cohorts were classified into the following groups based on their main source of income and activity in 1995-2008: on long-term sick leave, employed, old-age pensioner, long-term unemployed, disability pensioner, on parental leave, social assistance recipient, student allowance recipient, deceased, or emigrated.
Most individuals on long-term (> 6 months) sick leave in 1995 were not employed 13 years later. Only 11% of the women and 13% of the men were primarily in employment after 13 years. Instead, a wide range of alternatives existed, for example, many had been granted disability pension, and about 10% of the women and 17% of the men had died during the follow-up period. A larger proportion of those with long-term sick leave were back in employment when 2005 was the starting year for the follow-up.
The low future employment rates for people on long-term sick leave may seem surprising. There are several possible explanations for the finding: The disorders these people may have, might have entailed longstanding difficulties on the labor market. Besides, long-term absence from work, no matter what its causes were, might have worsen the chances of further employment. The economic cycles may also have been of importance. The improving labor market during later years seems to have improved the chances for employment among those earlier on long-term sick leave.
Notes
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PubMed ID
22950458 View in PubMed
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Acute alcohol-related dysfunction as a predictor of employment status in a longitudinal study of working-age men in Izhevsk, Russia.

https://arctichealth.org/en/permalink/ahliterature261674
Source
Addiction. 2014 Jan;109(1):44-54
Publication Type
Article
Date
Jan-2014
Author
Sarah Cook
Bianca L DeStavola
Lyudmila Saburova
David A Leon
Source
Addiction. 2014 Jan;109(1):44-54
Date
Jan-2014
Language
English
Publication Type
Article
Keywords
Adult
Alcohol drinking - epidemiology
Alcohol-Related Disorders - epidemiology
Alcoholic Intoxication - epidemiology
Employment - statistics & numerical data
Humans
Longitudinal Studies
Male
Middle Aged
Russia - epidemiology
Abstract
To investigate longitudinally the effect of alcohol consumption and related acute alcohol-related dysfunction on employment status.
A total of 1143 men aged 25-55 years in regular paid employment and resident in the city of Izhevsk, Russia were interviewed between 2003-06 and then re-interviewed (2008-09) and their employment status ascertained.
Exposures of interest were baseline alcohol intake (yearly total volume of ethanol consumed and non-beverage alcohols) and alcohol-related dysfunction, measured by a latent variable defined in terms of frequency of alcohol-related dysfunctional behaviours and by one or more episodes of zapoi (a period of continuous drunkenness lasting 2 or more days). The outcome of interest was whether or not men were still in regular paid employment at follow-up. The inter-relationship between these variables was investigated using structural equation modelling.
Total volume of ethanol consumed had no substantive effect on future employment status; however, taking into account education and other socio-demographic factors, there was strong evidence that loss of regular paid employment at follow-up was influenced by non-beverage alcohol consumption [odds ratio?=?2.30 for non-beverage drinkers compared with beverage-only drinkers, 95% confidence interval (CI)?=?1.21, 4.40)], latent acute alcohol-related dysfunction (odds ratio?=?1.50 per standard deviation increase in dysfunction score, 95% CI?=?1.20, 1.88) and zapoi (odds ratio?=?3.08, 95% CI?=?1.71, 5.55). Acute alcohol-related dysfunction was an important mediator of the relationship between non-beverage alcohol use and employment status.
Acute alcohol-related dysfunction is an important factor in determining whether men remain in employment and an important mediator of the effects of alcohol intake.
Notes
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PubMed ID
23941334 View in PubMed
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Addiction treatment-related employment barriers: the impact of methadone maintenance.

https://arctichealth.org/en/permalink/ahliterature127377
Source
J Subst Abuse Treat. 2012 Oct;43(3):276-84
Publication Type
Article
Date
Oct-2012
Author
Lindsey Richardson
Evan Wood
Julio Montaner
Thomas Kerr
Author Affiliation
British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada.
Source
J Subst Abuse Treat. 2012 Oct;43(3):276-84
Date
Oct-2012
Language
English
Publication Type
Article
Keywords
Adult
British Columbia
Cohort Studies
Employment - statistics & numerical data
Female
Follow-Up Studies
Humans
Male
Methadone - administration & dosage
Opiate Substitution Treatment - methods
Opioid-Related Disorders - rehabilitation
Prospective Studies
Socioeconomic Factors
Substance Abuse, Intravenous - rehabilitation
Abstract
Employment is commonly upheld as an important outcome of addiction treatment. To explore this attribution, we assessed whether treatment enrollment predicts employment initiation among participants enrolled in a community-recruited Canadian cohort of people who inject drugs (IDU; N = 1,579). Survival analysis initially found no association between addiction treatment enrollment and employment initiation. However, when methadone maintenance therapy (MMT) was separated from other treatment modalities, non-MMT treatment positively predicted employment transitions, whereas MMT was negatively associated with employment initiation. Subanalyses examining transitions into temporary, informal, and under-the-table income generation echo these results. Findings suggest that individual factors impacting employment transitions may systematically apply to MMT clients and that, in this setting, the impact of treatment on employment outcomes is contingent on treatment type and design. Treatment-specific differences underscore the need to expand low-threshold MMT, explore MMT alternatives, and evaluate the impact of treatment design on the social and economic activity of IDU.
Notes
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PubMed ID
22301085 View in PubMed
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Adolescent health and adult labor market outcomes.

https://arctichealth.org/en/permalink/ahliterature274880
Source
J Health Econ. 2014 Sep;37:25-40
Publication Type
Article
Date
Sep-2014
Author
Petter Lundborg
Anton Nilsson
Dan-Olof Rooth
Source
J Health Econ. 2014 Sep;37:25-40
Date
Sep-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Adolescent health
Adult
Aged
Employment - statistics & numerical data
Health status
Humans
Income - statistics & numerical data
Male
Mental Disorders - epidemiology
Middle Aged
Military Personnel
Siblings
Socioeconomic Factors
Sweden - epidemiology
Abstract
Whereas a large literature has shown the importance of early life health for adult socioeconomic outcomes, there is little evidence on the importance of adolescent health. We contribute to the literature by studying the impact of adolescent health status on adult labor market outcomes using a unique and large-scale dataset covering almost the entire population of Swedish males. We show that most types of major conditions have long-run effects on future outcomes, and that the strongest effects result from mental conditions. Including sibling fixed effects or twin pair fixed effects reduces the magnitudes of the estimates, but they remain substantial.
PubMed ID
24915636 View in PubMed
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446 records – page 1 of 45.