PMID- 27389466
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220131
IS  - 1651-1905 (Electronic)
IS  - 1403-4948 (Linking)
VI  - 44
IP  - 7
DP  - 2016 Nov
TI  - Educational attainment, labour market position and mental ill health as pathways 
      from adversities in adolescence to disability pension in early adulthood: A 
      Finnish cohort study using register data.
PG  - 678-687
LID - 10.1177/1403494816655945 [doi]
AB  - BACKGROUND: We investigated whether social adversities (parents' receipt of 
      income support and care placement) in adolescence were associated with the 
      receipt of work disability pension (DP) in early adulthood. A further aim was to 
      examine whether and to what extent individual educational attainment, labour 
      market position and mental disorders during the period of transition to adulthood 
      operate as underlying mechanisms in this relationship. METHODS: This was a 
      nationwide cohort study of a 60% representative sample of Finnish young adults 
      born between 1983 and 1985 with no prior DP at entry to the study ( N=116,788). 
      Data from several nationwide registers were used with a follow-up time from 2004 
      to 2010. The age range of the cohort was 19-21 years at the beginning of the 
      follow-up period. Hazards ratios (HRs) with 95% confidence intervals (CIs) were 
      calculated using a Cox regression. Mediation analyses for educational attainment, 
      labour market position and purchases of psychotropic drugs were performed. 
      RESULTS: A total of 1597 (1.37%) people were granted a DP during the follow-up 
      period of 687,429 years at risk. After adjustment for mediators, the HR (95% CI) 
      of DP for those whose parents had received income support was 1.36 (1.21-1.53) 
      for men and 1.21 (1.07-1.36) for women. The corresponding figures for those with 
      a history of care placement were 1.23 (1.00-1.51) and 1.58 (1.29-1.92), 
      respectively. CONCLUSIONS: Social adversities in adolescence increase the risk of 
      DP in early adulthood. The intergenerational social determination of disability 
      could be addressed through interventions promoting mental health and improving 
      educational and employment opportunities for young people.
FAU - Harkko, Jaakko
AU  - Harkko J
AD  - 1 Department of Social Research, University of Helsinki, Finland.
AD  - 2 Rehabilitation Foundation, Finland.
FAU - Kouvonen, Anne
AU  - Kouvonen A
AD  - 1 Department of Social Research, University of Helsinki, Finland.
AD  - 3 SWPS University of Social Sciences and Humanities, Faculty in Wroclaw, Poland.
AD  - 4 UKCRC Centre of Excellence for Public Health, Queen's University Belfast, UK.
FAU - Virtanen, Marianna
AU  - Virtanen M
AD  - 5 Finnish Institute of Occupational Health, Finland.
LA  - eng
GR  - MR/K023241/1/MRC_/Medical Research Council/United Kingdom
PT  - Journal Article
DEP - 20160711
PL  - Sweden
TA  - Scand J Public Health
JT  - Scandinavian journal of public health
JID - 100883503
OTO - NOTNLM
OT  - Cox regression
OT  - Disability pension
OT  - adversities in adolescence
OT  - work disability
OT  - young adults
EDAT- 2016/07/09 06:00
MHDA- 2016/07/09 06:01
CRDT- 2016/07/09 06:00
PHST- 2016/07/09 06:00 [pubmed]
PHST- 2016/07/09 06:01 [medline]
PHST- 2016/07/09 06:00 [entrez]
AID - 1403494816655945 [pii]
AID - 10.1177/1403494816655945 [doi]
PST - ppublish
SO  - Scand J Public Health. 2016 Nov;44(7):678-687. doi: 10.1177/1403494816655945. 
      Epub 2016 Jul 11.