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Author (up) Nilsen, S.M.; Ernstsen, L.; Krokstad, S.; Westin, S. url  doi
  Title Educational inequalities in disability pensioning – the impact of illness and occupational, psychosocial, and behavioural factors: The Nord-Trondelag Health Study (HUNT) Type Journal Article
  Year 2012 Publication Scandinavian Journal of Public Health Abbreviated Journal Scand J Public Health  
  Volume 40 Issue 2 Pages 133-141  
  Keywords Adult; Aged; Cost of Illness; *Disability Evaluation; Disabled Persons/*statistics & numerical data; *Educational Status; Female; Humans; Male; Middle Aged; Norway; Pensions/*statistics & numerical data; Proportional Hazards Models; Psychology; Sex Distribution; Socioeconomic Factors  
  Abstract AIMS: Socioeconomic inequalities in disability pensioning are well established, but we know little about the causes. The main aim of this study was to disentangle educational inequalities in disability pensioning in Norwegian women and men. METHODS: The baseline data consisted of 32,948 participants in the Norwegian Nord-Trondelag Health Study (1995-97), 25-66 years old, without disability pension, and in paid work. Additional analyses were made for housewives and unemployed/laid-off persons. Information on the occurrence of disability pension was obtained from the National Insurance Administration database up to 2008. Data analyses were performed using Cox regression. RESULTS: We found considerable educational inequalities in disability pensioning, and the incidence proportion by 2008 was higher in women (25-49 years 11%, 50-66 years 30%) than men (25-49 years 6%, 50-66 years 24%). Long-standing limiting illness and occupational, psychosocial, and behavioural factors were not sufficient to explain the educational inequalities: young men with primary education had a hazard ratio of 3.1 (95% CI 2.3-4.3) compared to young men with tertiary education. The corresponding numbers for young women were 2.7 (2.1-3.1). We found small educational inequalities in the oldest women in paid work and no inequalities in the oldest unemployed/laid-off women and housewives. CONCLUSIONS: Illness and occupational, psychosocial, and behavioural factors explained some of the educational inequalities in disability pensioning. However, considerable inequalities remain after accounting for these factors. The higher incidence of disability pensioning in women than men and the small or non-existing educational inequalities in the oldest women calls for a gender perspective in future research.  
  Address Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway. sara.m.nilsen@ntnu.no  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1403-4948 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:22314253 Approved no  
  Call Number HUNT @ maria.stuifbergen @ Serial 1562  
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