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Disability in society--medical and non-medical determinants for disability pension in a Norwegian total county population study

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  • Krokstad, Steinar
  • Westin, Steinar

Abstract

The objective of this study was to describe sociomedical determinants and developments for the medically based disability pension in Norway by linking individual based data from a county health survey to data on disability from the National Insurance Administration. Two cross-sectional total population health surveys with an approximate 10-year interval were conducted in Nord-Trøndelag county, HUNT I (1984-86) and HUNT II (1995-97), which allows for analyses of changes over time, supplied with official incidence data on disability pension. The large-scale variations and overall increasing incidence rates of disability pension in Norway during the last 20 years also applied to the county of Nord-Trøndelag. The prevalence of disability pension generally increased in the population from the mid-1980s to the mid-1990s. A striking finding was a consistent pattern of increasing prevalence of disability pension with decreasing socio-economic status and education. A geographic pattern for disability pension prevalence on a municipality level suggested that structural and cultural factors were important in determining the level of disability in society. Medical determinants alone cannot explain either the dramatic variations or the overall increased incidence rates of disability pension in the last two decades in Norway. The results demonstrate the importance of social, non-medical and contextual determinants for disability pension, how these determinants result in important prevalence differences by socio-economic status, and their impact on the level of disability in society.

Suggested Citation

  • Krokstad, Steinar & Westin, Steinar, 2004. "Disability in society--medical and non-medical determinants for disability pension in a Norwegian total county population study," Social Science & Medicine, Elsevier, vol. 58(10), pages 1837-1848, May.
    • Handle: RePEc:eee:socmed:v:58:y:2004:i:10:p:1837-1848
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    Cited by:

    1. Siegrist, Johannes & Dragano, Nico, 2007. "Rente mit 67 - Probleme und Herausforderungen aus gesundheitswissenschaftlicher Sicht," Arbeitspapiere 147, Hans-Böckler-Stiftung, Düsseldorf.
    2. Marijana Badun, 2017. "Determinants of disability pensions in Croatia: the role of institutions," Public Sector Economics, Institute of Public Finance, vol. 41(1), pages 109-128.
    3. Angelov, Nikoay & Eliason, Marcus, 2014. "Factors associated with occupational disability classification," Working Paper Series 2014:25, IFAU - Institute for Evaluation of Labour Market and Education Policy.
    4. Lee, Min-Ah, 2011. "Disparity in disability between native-born non-Hispanic white and foreign-born Asian older adults in the United States: Effects of educational attainment and age at immigration," Social Science & Medicine, Elsevier, vol. 72(8), pages 1249-1257, April.
    5. Arnhild Myhr & Monica Lillefjell & Geir Arild Espnes & Thomas Halvorsen, 2017. "Do family and neighbourhood matter in secondary school completion? A multilevel study of determinants and their interactions in a life-course perspective," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-21, February.
    6. Davin, Bérengère & Paraponaris, Alain & Verger, Pierre, 2009. "Socioeconomic determinants of the need for personal assistance reported by community-dwelling elderly: Empirical evidence from a French national health survey," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 38(1), pages 138-146, January.
    7. Hartz, Ingeborg & Tverdal, Aage & Skille, Eivind & Skurtveit, Svetlana, 2010. "Disability pension as predictor of later use of benzodiazepines among benzodiazepine users," Social Science & Medicine, Elsevier, vol. 70(6), pages 921-925, March.

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