Labour market attachment dynamics in patients with concussion: a Danish nationwide register-based cohort study

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Standard

Labour market attachment dynamics in patients with concussion : a Danish nationwide register-based cohort study. / Graff, Heidi Jeannet; Siersma, Volkert; Møller, Anne; Waldorff, Frans Boch; Modin, Frederikke Agerbo; Rytter, Hana Malá.

In: BMC Public Health, Vol. 23, No. 1, 2493, 2023.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Graff, HJ, Siersma, V, Møller, A, Waldorff, FB, Modin, FA & Rytter, HM 2023, 'Labour market attachment dynamics in patients with concussion: a Danish nationwide register-based cohort study', BMC Public Health, vol. 23, no. 1, 2493. https://doi.org/10.1186/s12889-023-17364-2

APA

Graff, H. J., Siersma, V., Møller, A., Waldorff, F. B., Modin, F. A., & Rytter, H. M. (2023). Labour market attachment dynamics in patients with concussion: a Danish nationwide register-based cohort study. BMC Public Health, 23(1), [2493]. https://doi.org/10.1186/s12889-023-17364-2

Vancouver

Graff HJ, Siersma V, Møller A, Waldorff FB, Modin FA, Rytter HM. Labour market attachment dynamics in patients with concussion: a Danish nationwide register-based cohort study. BMC Public Health. 2023;23(1). 2493. https://doi.org/10.1186/s12889-023-17364-2

Author

Graff, Heidi Jeannet ; Siersma, Volkert ; Møller, Anne ; Waldorff, Frans Boch ; Modin, Frederikke Agerbo ; Rytter, Hana Malá. / Labour market attachment dynamics in patients with concussion : a Danish nationwide register-based cohort study. In: BMC Public Health. 2023 ; Vol. 23, No. 1.

Bibtex

@article{9a173ffc559c44ebac5f94ed813b78f9,
title = "Labour market attachment dynamics in patients with concussion: a Danish nationwide register-based cohort study",
abstract = "Background: Concussion may lead to persisting post-concussive symptoms affecting work ability and employment. This study examined the transitions between labour market states an individual can experience after the acute phase of concussion. The aim was to describe the incidence of favourable and adverse transitions between different labour market states (e.g., employment, sick leave) in relation to socioeconomic and health characteristics in individuals with concussion relative to matched controls. Methods: This Danish nationwide register-based cohort study extracted 18–60-year-old individuals between 2003–2007 with concussion from the Danish National Patient Register (ICD-10 S06.0). Controls were matched on age, sex, and municipality. Patients and controls were followed for 5 years starting three months after injury. Exclusion criteria were neurological injuries and unavailability to the labour market in the inclusion period (2003–2007) and 5-years before injury (1998–2002). Labour market states were defined from transfer income data in the Danish Register for Evaluation of Marginalization. Incidence rates of transitions between these labour market states were analysed in multistate models. Transitions were bundled in favourable and adverse transitions between labour market states and the difference in incidence rates between individuals with concussion relative to matched controls were assessed with hazard ratios from Cox regression models. Results: Persons with concussion (n = 15.580) had a lower incidence of favourable transitions (HR 0.88, CI 0.86–0.90) and a higher incidence of adverse transitions (HR 1.30, CI 1.27–1.35), relative to matched controls (n = 16.377). The effect of concussion differed depending on health and socioeconomic characteristics. Notably, individuals between 30–39 years (HR 0.83, CI 0.79–0.87), individuals with high-income (200.000–300.000 DKK) (HR 0.83, CI 0.80–0.87), and wage earners with management experience (HR 0.60, CI 0.44–0.81) had a markedly lower incidence of favourable transitions compared to controls. Additionally, individuals with high income also had a higher incidence of adverse transitions (HR 1.46, CI 1.34–1.58) compared to controls. Conclusions: Concussion was associated with enhanced risk of adverse transitions between labour market states and lower occurrence of favourable transitions, indicating work disability, potentially due to persistent post-concussive symptoms. Some age groups, individuals with high income, and employees with management experience may be more affected.",
keywords = "Concussion, Disability pension, Employment, Mild traumatic brain injury, Post-concussive symptoms, Reduced work ability, Retirement, Sickness absence, Unemployment",
author = "Graff, {Heidi Jeannet} and Volkert Siersma and Anne M{\o}ller and Waldorff, {Frans Boch} and Modin, {Frederikke Agerbo} and Rytter, {Hana Mal{\'a}}",
note = "Publisher Copyright: {\textcopyright} 2023, The Author(s).",
year = "2023",
doi = "10.1186/s12889-023-17364-2",
language = "English",
volume = "23",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Labour market attachment dynamics in patients with concussion

T2 - a Danish nationwide register-based cohort study

AU - Graff, Heidi Jeannet

AU - Siersma, Volkert

AU - Møller, Anne

AU - Waldorff, Frans Boch

AU - Modin, Frederikke Agerbo

AU - Rytter, Hana Malá

N1 - Publisher Copyright: © 2023, The Author(s).

PY - 2023

Y1 - 2023

N2 - Background: Concussion may lead to persisting post-concussive symptoms affecting work ability and employment. This study examined the transitions between labour market states an individual can experience after the acute phase of concussion. The aim was to describe the incidence of favourable and adverse transitions between different labour market states (e.g., employment, sick leave) in relation to socioeconomic and health characteristics in individuals with concussion relative to matched controls. Methods: This Danish nationwide register-based cohort study extracted 18–60-year-old individuals between 2003–2007 with concussion from the Danish National Patient Register (ICD-10 S06.0). Controls were matched on age, sex, and municipality. Patients and controls were followed for 5 years starting three months after injury. Exclusion criteria were neurological injuries and unavailability to the labour market in the inclusion period (2003–2007) and 5-years before injury (1998–2002). Labour market states were defined from transfer income data in the Danish Register for Evaluation of Marginalization. Incidence rates of transitions between these labour market states were analysed in multistate models. Transitions were bundled in favourable and adverse transitions between labour market states and the difference in incidence rates between individuals with concussion relative to matched controls were assessed with hazard ratios from Cox regression models. Results: Persons with concussion (n = 15.580) had a lower incidence of favourable transitions (HR 0.88, CI 0.86–0.90) and a higher incidence of adverse transitions (HR 1.30, CI 1.27–1.35), relative to matched controls (n = 16.377). The effect of concussion differed depending on health and socioeconomic characteristics. Notably, individuals between 30–39 years (HR 0.83, CI 0.79–0.87), individuals with high-income (200.000–300.000 DKK) (HR 0.83, CI 0.80–0.87), and wage earners with management experience (HR 0.60, CI 0.44–0.81) had a markedly lower incidence of favourable transitions compared to controls. Additionally, individuals with high income also had a higher incidence of adverse transitions (HR 1.46, CI 1.34–1.58) compared to controls. Conclusions: Concussion was associated with enhanced risk of adverse transitions between labour market states and lower occurrence of favourable transitions, indicating work disability, potentially due to persistent post-concussive symptoms. Some age groups, individuals with high income, and employees with management experience may be more affected.

AB - Background: Concussion may lead to persisting post-concussive symptoms affecting work ability and employment. This study examined the transitions between labour market states an individual can experience after the acute phase of concussion. The aim was to describe the incidence of favourable and adverse transitions between different labour market states (e.g., employment, sick leave) in relation to socioeconomic and health characteristics in individuals with concussion relative to matched controls. Methods: This Danish nationwide register-based cohort study extracted 18–60-year-old individuals between 2003–2007 with concussion from the Danish National Patient Register (ICD-10 S06.0). Controls were matched on age, sex, and municipality. Patients and controls were followed for 5 years starting three months after injury. Exclusion criteria were neurological injuries and unavailability to the labour market in the inclusion period (2003–2007) and 5-years before injury (1998–2002). Labour market states were defined from transfer income data in the Danish Register for Evaluation of Marginalization. Incidence rates of transitions between these labour market states were analysed in multistate models. Transitions were bundled in favourable and adverse transitions between labour market states and the difference in incidence rates between individuals with concussion relative to matched controls were assessed with hazard ratios from Cox regression models. Results: Persons with concussion (n = 15.580) had a lower incidence of favourable transitions (HR 0.88, CI 0.86–0.90) and a higher incidence of adverse transitions (HR 1.30, CI 1.27–1.35), relative to matched controls (n = 16.377). The effect of concussion differed depending on health and socioeconomic characteristics. Notably, individuals between 30–39 years (HR 0.83, CI 0.79–0.87), individuals with high-income (200.000–300.000 DKK) (HR 0.83, CI 0.80–0.87), and wage earners with management experience (HR 0.60, CI 0.44–0.81) had a markedly lower incidence of favourable transitions compared to controls. Additionally, individuals with high income also had a higher incidence of adverse transitions (HR 1.46, CI 1.34–1.58) compared to controls. Conclusions: Concussion was associated with enhanced risk of adverse transitions between labour market states and lower occurrence of favourable transitions, indicating work disability, potentially due to persistent post-concussive symptoms. Some age groups, individuals with high income, and employees with management experience may be more affected.

KW - Concussion

KW - Disability pension

KW - Employment

KW - Mild traumatic brain injury

KW - Post-concussive symptoms

KW - Reduced work ability

KW - Retirement

KW - Sickness absence

KW - Unemployment

U2 - 10.1186/s12889-023-17364-2

DO - 10.1186/s12889-023-17364-2

M3 - Journal article

C2 - 38093210

AN - SCOPUS:85179738826

VL - 23

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 2493

ER -

ID: 378743888