Occupational class and the changing patterns of hospitalization for affective and neurotic disorders: a nationwide register-based study of the Finnish working-age population, 1976–2010

Pekka Varje , Anne Kouvonen , Lauri Kokkinen , Aki Koskinen , Ari Väänänen


Purpose This study aimed to examine the long-term changes and socioeconomic disparities in hospitalization for affective and neurotic disorders among the Finnish working-age population from 1976 to 2010. Methods Register-based study, consisting of a 5-year follow-up of 3,223,624 Finnish working-age (18–64-year old) individuals in seven consecutive cohorts. We calculated the hazard ratios of psychiatric hospitalization for different occupational classes using Cox regression models. Results The risk of hospitalization for affective and neurotic disorders increased in all occupational classes after the economic recession in the 1990s, and then decreased in the 2000s. Before the 2000s, the risk was the highest among manual workers. In the 2000s the disparities between upper-level non-manual employees and other occupational classes increased. Hospitalization rates remained high among female manual workers and non-manual lower-level employees. Conclusions This study revealed important similarities and differences between occupational classes in terms of long-term changes in hospitalization for affective and neurotic disorders. The results suggest that the labor market changes and healthcare reforms during the 1990s and 2000s in Finland have been more beneficial for higher than for lower occupational classes.
Author Pekka Varje
Pekka Varje,,
, Anne Kouvonen (Filia we Wrocławiu / II Wydział Psychologii we Wrocławiu)
Anne Kouvonen,,
- II Wydział Psychologii we Wrocławiu
, Lauri Kokkinen
Lauri Kokkinen,,
, Aki Koskinen
Aki Koskinen,,
, Ari Väänänen
Ari Väänänen,,
Journal seriesSocial Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, (A 30 pkt)
Issue year2018
Publication size in sheets0.5
Keywords in EnglishFinland Health disparities Mental health Socioeconomic status Time trends
ASJC Classification2738 Psychiatry and Mental health; 3207 Social Psychology; 3306 Health(social science); 2713 Epidemiology
URL https://link.springer.com/article/10.1007%2Fs00127-017-1472-z
Languageen angielski
62. Kouvonen_Varje SPPE 2017.pdf 750.74 KB
Additional file
62a. Oświadczenie_publ_SPPE_2017.pdf 483.91 KB
Score (nominal)30
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2016 = 1.145; WoS Impact Factor: 2017 = 2.918 (2) - 2017=3.215 (5)
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