ArticleBMJ open2019
To what extent do education and physical work load factors explain occupational differences in disability retirement due to knee OA? A nationwide register-based study in Finland.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Biopsychosocial, work-related, and environmental factors affecting work participation in people with Osteoarthritis: a systematic review.BMC musculoskeletal disorders · 2023Pooled it
- Occupational advice to help people return to work following lower limb arthroplasty: the OPAL intervention mapping study.Health technology assessment (Winchester, England) · 2020Trial
- Burden and Temporal Trends of Osteoarthritis in Germany from 1990 to 2021, with Projections to 2041: Findings from the Global Burden of Disease Study.Orthopedic research and reviews · 2026Article
- Does Knee Arthroplasty Have a Beneficial Effect on Return to Work in Patients with Knee Osteoarthritis who Receive Long-Term Disability Benefits in the Netherlands?Journal of occupational rehabilitation · 2025Article
- Article
- Bilateral Asymmetry in Knee and Hip Musculoskeletal Loading During Stair Ascending/Descending in Individuals with Unilateral Mild-to-Moderate Medial Knee Osteoarthritis.Annals of biomedical engineering · 2023Article
- Labour market trajectories after part-time sickness absence: a nationwide cohort study from Finland.BMJ open · 2023Article
- Disability Retirement After First Admission with Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Danish Nationwide Registry Cohort Study Using a Retrospective Follow-Up Design.International journal of chronic obstructive pulmonary disease · 2022Article
- Sickness absence and return to work among employees with knee osteoarthritis with and without total knee arthroplasty: a prospective register linkage study among Finnish public sector employees.Scandinavian journal of work, environment & health · 2021Article
- Muscle and bone mass in middle-aged women: role of menopausal status and physical activity.Journal of cachexia, sarcopenia and muscle · 2020Article
- Physical and psychosocial work exposures as risk factors for disability retirement due to a shoulder lesion.Occupational and environmental medicine · 2019Article
- The Relationship Between Financial Stressors, Chronic Pain, and High-Impact Chronic Pain: Findings From the 2019 National Health Interview Survey.Public health reports (Washington, D.C. : 1974)Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine the association of education and physical work load factors on the occupational differences in disability retirement due to knee osteoarthritis (OA).
designLongitudinal study.
settingLinkage of several nationwide registers and a job exposure matrix in Finland.
participantsA total of 1 135 654 Finns aged 30-60 years in gainful employment were followed from 2005 to 2013 for full disability retirement due to knee OA. PRIMARY AND SECONDARY OUTCOME MEASURES: We calculated age-adjusted incidence rates and examined the association of occupation, education and physical work load factors with disability retirement using competing risk regression model. Disability retirement due to other causes than knee OA, old-age retirement and death were treated as competing risk.
resultsA total of 6117 persons had disability retirement due to knee OA. Women had a higher age-adjusted incidence rate than men (72 vs 60 per 100 000 person-years, respectively). In men, a very high risk of disability retirement was found among construction workers, electricians and plumbers (HR 16.6, 95% CI 12.5 to 22.2), service workers (HR 12.7, 95% CI 9.2 to 17.4) and in women among building caretakers, cleaners, assistant nurses and kitchen workers (HR 15.5, 95% CI 11.7 to 20.6), as compared with professionals. The observed occupational differences were largely explained by educational level and noticeably mediated by physical work load factors in both genders.
conclusionOur observational study suggests that the risk of disability retirement among manual workers is strongly attributed to the physically heavy work.
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