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Socioeconomic factors and regional differences in mental disorder-based disability pensioning in Finland

Published online by Cambridge University Press:  01 September 2022

T. Karolaakso ,
R. Autio ,
T. Näppilä ,
K. Nurmela ,
H. Leppänen ,
P. Rissanen ,
M. Tuomisto ,
S. Karvonen  and
S. Pirkola
T. Karolaakso*
Affiliation:
Tampere University, Faculty Of Social Sciences, Tampere, Finland
R. Autio
Affiliation:
Tampere University, Faculty Of Social Sciences, Tampere, Finland
T. Näppilä
Affiliation:
Tampere University, Faculty Of Social Sciences, Tampere, Finland
K. Nurmela
Affiliation:
Tampere University, Faculty Of Social Sciences, Tampere, Finland
H. Leppänen
Affiliation:
Tampere University, Medicine And Health Technology, Tampere, Finland
P. Rissanen
Affiliation:
Tampere University, Faculty Of Social Sciences, Tampere, Finland
M. Tuomisto
Affiliation:
Tampere University, Faculty Of Social Sciences, Tampere, Finland
S. Karvonen
Affiliation:
The Finnish Institute for Health and Welfare (THL), Health And Welfare, Helsinki, Finland
S. Pirkola
Affiliation:
Tampere University, Faculty Of Social Sciences, Tampere, Finland
*
*Corresponding author.

Abstract

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Introduction

Prior literature has indicated low socioeconomic status (SES) and regional differences as epidemiological risk factors for disability pension (DP) due to mental disorders.

Objectives

Our studies aimed to examine these associations and differences in greater detail, with separate consideration of the risk factors for mood disorders (F30–39) and non-affective psychotic disorder (F20–29) DP.

Methods

Subjects (N = 36 879) were all those granted DP due to a mental disorder for the first time between 2010 and 2015 in Finland. All the subjects were matched with three controls. Education, income and occupational status were used as measures of SES. Conditional logistic regression models were used to study SES differences. Negative binomial regression analysis was used to study the levels of DP risk in the Finnish hospital districts.

Results

DP recipients had low educational and income levels and often lived alone. The risk of DP was greater in white-collar occupational groups compared with blue-collar workers. Students had the greatest risk of DP for all mental and mood disorders. Significant differences in the regional mental disorder DP risks did not appear to follow the traditional Finnish health differences.

Conclusions

We found evidence of SES factors and regional variation associating with mental disorder-related severe loss of working and studying ability in a disorder-specific way. The increased risk of white-collar worker DP could be related to the psychosocially demanding contemporary working life. Regional variation in DP may at least partly relate to differences in regional mental health service systems.

Disclosure

No significant relationships.

Keywords

Disability pensionSocioeconomicMental health servicesRegional differences
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S590
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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