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Inequity in disability pension: an intersectional analysis of the co-constitution of gender, education and age. The Hordaland Health Study

Artikel i vetenskaplig tidskrift
Författare Inger Haukenes
Jesper Löve
Gunnel Hensing
Ann Kristin Knudsen
Simon Øverland
Jussi Vahtera
Børge Sivertsen
Grethe S. Tell
Jens Christoffer Skogen
Publicerad i Critical Public Health
Volym 29
Nummer/häfte 3
Sidor 302-313
ISSN 09581596
Publiceringsår 2019
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Sidor 302-313
Språk en
Ämnesord Disability pension, epidemiology, gender, inequity, intersectionality
Ämneskategorier Folkhälsomedicinska forskningsområden, Samhällsmedicin, Folkhälsovetenskap, Epidemiologi

Sammanfattning

© 2018 Informa UK Limited, trading as Taylor & Francis Group Social position, education, gender and increasing age are all identified as important risk factors for disability pension. This study takes an intersectionality approach and examines their co-constitution, in relation to inequity in disability pension. The population included 22,203 middle-aged men and women participating in the community-based Hordaland Health Study, Western Norway (1997–1999). The participants were categorised in four exposure groups: higher educated men, higher educated women, lower educated men and lower educated women. The outcome was disability pension from 1992 to end of 2007, from a national registry. Using recommendations for intersectionality-informed quantitative research, we estimated the main effects of gender and educational attainment on disability pension, and potential statistical multiplicative interactions between gender and education in relation to cause-specific and all-cause disability pension. For all-cause disability pension, men with higher education had the lowest risk for disability pension (rate per 1000 person-years: 2.01) during the course of working life (from age 35 to 57), followed by higher educated women (rate 3.56), and lower educated men (rate 4.59). Finally, women with lower education had a substantially increased risk already in early middle age (rate 8.39). We found a statistical multiplicative effect of lower education and female gender on all-cause disability pension and disability pension with musculoskeletal disorders compared with men with higher education. The discussion highlights that inequity in disability pension is not only about defining vulnerable groups, but also about understanding how privileges and disadvantages are unequally distributed.

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