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

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 Afte...

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Published in:European journal of public health 2023-08, Vol.33 (4), p.601-605
Main Authors: Andersen, Lars Louis, Vinstrup, Jonas, Calatayud, Joaquín, López-Bueno, Rubén, Clausen, Thomas, Manniche, Claus
Format: Article
Language:English
Subjects:
Analgesics
Ashes
Disability
Disability pensions
Disabled Persons
Disorders
Drugs
Female
Frequency response
Health risks
Humans
Hypnotics and Sedatives
Mental disorders
Mental health
Mental health services
Mortality
Mortality risk
Pensions
Prospective Studies
Risk
Risk Factors
Sweden - epidemiology
Work and Health
Workers
Working women
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Summary: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.
ISSN:1101-1262
1464-360X
DOI:10.1093/eurpub/ckad064