Analgesics and ASH medications in workers increase the risk of disability pension and mortality: prospective cohort

Lars Louis Andersen, Jonas Vinstrup, Joaquín Calatayud, Rubén López-Bueno, Thomas Clausen, Claus Manniche

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Abstract

BACKGROUND: Relying on medication for musculoskeletal and mental disorders are common, but may have long-term consequences. This study investigates whether use of analgesics and anxiolytic/sedative/hypnotic (ASH) medication increases the risk of disability pension and mortality.

METHODS: After completing a survey in 2005, 7773 female eldercare workers were followed for 11 years in a national register. We estimated hazard ratios (HRs) for disability pension and mortality from using analgesics and ASH.

RESULTS: During follow-up, 10.3% obtained disability pension and 2.4% died. For use of analgesics, a frequency-response association for the risk of disability pension existed with HR's (95% confidence interval) of 1.30 (1.07-1.57), 2.00 (1.62-2.46) and 3.47 (2.69-4.47) for monthly, weekly and daily use, respectively. For ASH, an increased risk of disability pension also existed (HR's between 1.51 and 1.64). For mortality risk, only daily use of analgesics and ASH remained significant. Population attributable fractions of analgesics and ASH, respectively, were 30% and 3% for disability pension and 5% and 3% for mortality.

CONCLUSIONS: Frequent use of analgesics and ASH medication in workers increase the risk of disability pension and early death. Better management of musculoskeletal and mental health conditions, without excessive medication use, is necessary.

Original languageEnglish
JournalEuropean Journal of Public Health
Volume33
Issue number4
Pages (from-to)601-605
ISSN1101-1262
DOIs
Publication statusPublished - 1. Aug 2023

Keywords

  • Humans
  • Female
  • Prospective Studies
  • Risk Factors
  • Disabled Persons
  • Pensions
  • Analgesics
  • Hypnotics and Sedatives
  • Sweden/epidemiology

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