Evidence map›Paper›PMID 29236136›Full record

ArticleSocial psychiatry and psychiatric epidemiology2018

Occupational class and the changing patterns of hospitalization for affective and neurotic disorders: a nationwide register-based study of the Finnish working-age population, 1976-2010.

Pekka Varje, Anne Kouvonen, Lauri Kokkinen, Aki Koskinen, Ari Väänänen

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Article in Social psychiatry and psychiatric epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Pekka VarjeWork Disability Prevention Centre, Finnish Institute of Occupational Health, PO Box 40, 00032, Helsinki, Finland. pekka.varje@ttl.fi.ORCID 0000-0002-7554-0621
Anne KouvonenFaculty of Social Sciences, University of Helsinki, Helsinki, Finland.
Lauri KokkinenWork Disability Prevention Centre, Finnish Institute of Occupational Health, PO Box 40, 00032, Helsinki, Finland.
Aki KoskinenWork Disability Prevention Centre, Finnish Institute of Occupational Health, PO Box 40, 00032, Helsinki, Finland.
Ari VäänänenWork Disability Prevention Centre, Finnish Institute of Occupational Health, PO Box 40, 00032, Helsinki, Finland.

Funding

Economic and Social Research Council ES/L007509/1Kulttuurin ja Yhteiskunnan Tutkimuksen Toimikunta 267172Medical Research Council MR/K023241/1
6 · The paper itself

Abstract

purposeThis study aimed to examine the long-term changes and socioeconomic disparities in hospitalization for affective and neurotic disorders among the Finnish working-age population from 1976 to 2010.

methodsRegister-based study, consisting of a 5-year follow-up of 3,223,624 Finnish working-age (18-64-year old) individuals in seven consecutive cohorts. We calculated the hazard ratios of psychiatric hospitalization for different occupational classes using Cox regression models.

resultsThe risk of hospitalization for affective and neurotic disorders increased in all occupational classes after the economic recession in the 1990s, and then decreased in the 2000s. Before the 2000s, the risk was the highest among manual workers. In the 2000s the disparities between upper-level non-manual employees and other occupational classes increased. Hospitalization rates remained high among female manual workers and non-manual lower-level employees.

conclusionsThis study revealed important similarities and differences between occupational classes in terms of long-term changes in hospitalization for affective and neurotic disorders. The results suggest that the labor market changes and healthcare reforms during the 1990s and 2000s in Finland have been more beneficial for higher than for lower occupational classes.

Indexed as

AdolescentAdultAgedFemaleFinlandHospitalizationHumansMaleMiddle AgedMood DisordersNeurotic DisordersOccupational DiseasesOccupationsProportional Hazards ModelsRegistriesYoung AdultFinlandHealth disparitiesMental healthSocioeconomic statusTime trends

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.