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Biomedical subjects

N E Astrand

Publications and source records attributed to N E Astrand.

6 recordsLinked to original sources
PubMed1989

Job demands, job decision latitude, job support, and social network factors as predictors of mortality in a Swedish pulp and paper company.

Three hundred and ninety one male employees aged 35-65 in a Swedish pulp and paper company were followed up for 22 years; 151 deaths were recorded by 31 December 1983. On the basis of data from 1961, indices for job decision latitude, job support, and other work related psychosocial factors were constructed as were five indices for non-work related social network factors. All indices were checked by life table analysis in respect of mortality. Job decision latitude and a combined index for job decision latitude and job support showed significant associations with mortality. These two indices were investigated by multivariate analysis with scale for evaluation of neuroticism and known somatic risk factors such as smoking, cholesterol, and systolic and diastolic blood pressure. Age, educational level, occupational status, physically heavy work, and general health state were also included in the multivariate analysis. Age, systolic blood pressure, the combined index for job decision latitude and job support, smoking, and neuroticism were shown to be independent predictors of mortality.

Actuarial Analysis↗
PubMed1988

Back pain, back abnormalities, and competing medical, psychological, and social factors as predictors of sick leave, early retirement, unemployment, labour turnover and mortality: a 22 year follow up of male employees in a Swedish pulp and paper company.

A total of 391 male employees in a Swedish pulp and paper company were followed up for 22 years. As a part of a health examination in 1961 back pain reported by the subjects and abnormalities of the back as judged by the physicians were investigated with respect to predictive power regarding sick leave, early retirement, unemployment, labour turnover, and mortality during the follow up period. Univariate analysis showed that abnormalities of the back were better than back pain for predicting early retirement. Neither back pain nor back abnormalities had any predictive power with respect to long term sick leave, labour turnover, or mortality. Multivariate analyses of 26 variables were performed. Both self assessment of general health and back abnormalities were predictive for early retirement with a diagnosis of back disorder on the retirement certificate but self assessed health was a stronger predictor. Age, smoking, and neuroticism were predictors regarding early retirement for all diagnoses. Education had a negative association; neuroticism did not predict early retirement with a diagnosis of back disorder.

Absenteeism↗
PubMed1988

Prediction of early retirement on the basis of a health examination. An 11-year follow-up of 264 male employees in a Swedish pulp and paper company.

In a Swedish pulp and paper company 264 men in the age groups 36, 46, and 56 years underwent a health examination in 1972. An 11-year follow-up in respect of early retirement was performed. On the basis of collected data, five scales to assess work ability were established. The scales were (i) self-assessment of health and work capacity, (ii) the doctor's evaluation of general medical work capacity, (iii) the doctor's assessment of medical adaptation to work, (iv) aerobic work capacity, predicted from a submaximal bicycle test, and (v) work performance, determined from an interview with the subject's nearest superior. Multivariate analysis of the five scales and about 30 other variables showed that general medical work capacity was one of the strongest predictors of early retirement. It was also shown that the medical variables were better predictors of early retirement than the psychological and sociological ones. It was concluded that it is possible to predict early retirement on the basis of a health examination within an occupational health organization.

Adult↗
PubMed1987

Medical, psychological, and social factors associated with back abnormalities and self reported back pain: a cross sectional study of male employees in a Swedish pulp and paper industry.

A medical, psychological, and sociological study of 391 male employees in a Swedish pulp and paper industry was performed in 1961. Factors associated with back pain and back abnormality were investigated. Univariate analyses showed associations of back pain with occupational status, low education, duration of employment, low performance on cognitive tests, and neuroticism. Back abnormalities evaluated on the basis of physical examination showed in principle the same associations but the strength as well as the significances were stronger. Multiple logistic regression analyses using data for manual workers showed that neuroticism and duration of employment were directly associated with back pain. The same two variables and low performance on one of the psychological tests were directly associated with back abnormalities. Age showed no direct association with back pain or back abnormalities. Strong associations between back pain and back abnormalities with both perceived health and general working capacity and the doctor's evaluation in the same areas were demonstrated.

Absenteeism↗