Neighborhood social participation, use of anxiolytic-hypnotic drugs, and women's propensity for disability pension: a multilevel analysis

Aims: The increasing number of people on disability pension in Sweden is of concern for Swedish policy-makers, and there is a need for a better understanding of the mechanisms behind disability pension. We investigated (i) whether women living in the same neighborhood have a similar propensity for d...

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Published in:	Scandinavian journal of public health 2006, Vol.34 (1), p.41-48
Main Authors:	JOHNELL, KRISTINA, MÅNSSON, NILS-OVE, SUNDQUIST, JAN, MELANDER, ARNE, BLENNOW, GÖRAN, MERLO, JUAN
Format:	Article
Language:	eng
Subjects:	Anti-Anxiety Agents - administration & dosage anxiolytic-hypnotic drugs Biological and medical sciences Cohort Studies Disability Allowances Disability Evaluation disability pension Drugs Female Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Health Sciences Humans Hypnotics Hypnotics and Sedatives - administration & dosage Hälsovetenskap Medical and Health Sciences Medical sciences Medicin och hälsovetenskap Middle Aged Miscellaneous multilevel analysis neighborhood social participation Neighbourhoods ORIGINAL ARTICLES Pensions - statistics & numerical data Public Health, Global Health, Social Medicine and Epidemiology Public health. Hygiene Public health. Hygiene-occupational medicine Social Isolation Social Participation Social Support Socioeconomic Factors Surveys and Questionnaires Sweden Women Women's Health
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Summary:	Aims: The increasing number of people on disability pension in Sweden is of concern for Swedish policy-makers, and there is a need for a better understanding of the mechanisms behind disability pension. We investigated (i) whether women living in the same neighborhood have a similar propensity for disability pension that relates to neighborhood social participation, and (ii) whether there is an association between anxiolytic-hypnotic drug (AHD) use and disability pension in women that is modified by the neighborhood context. Methods: We used multilevel logistic regression with 12,156 women aged 45 to 64 (first level) residing in 95 neighborhoods (second level) in the city of Malmö (250,000 inhabitants), Sweden, who participated in the Malmö Diet and Cancer Study (1991-96). Results: Both AHD use (OR=2.09, 95% CI 1.65, 2.65) and neighborhood rate of low socia participation (OR= 11.85, 95% CI 5.09, 27.58) were associated with higher propensity for disability pension. The interval odds ratio indicated that the influence of neighborhood social participation was large compared with the unexplained variance between the neighborhoods. The association between AHD use and disability pension was not modified by the neighborhood context. The median odds ratio was 1.44 after adjusting for individual characteristics and 1.27 after the additional adjusting for neighborhood social participation. Conclusions: Women living in the same neighborhood appear to have a similar propensity fo disability pension, beyond individual characteristics, and this contextual effect seems largely explained by neighborhood social participation. In addition, AHD use might increase the propensity for disability pension in women.
ISSN:	1403-4948 1651-1905 1651-1905