Long-term exposure to heavy physical work, disability pension due to musculoskeletal disorders and all-cause mortality: 20-year follow-up—introducing Helsinki Health Study job exposure matrix

Jenni Ervasti , Olli Pietiläinen , Ossi Rahkonen , Eero Lahelma , Anne Kouvonen Piotrowska , Tea Lallukka , Minna Mänty


Purpose We developed a job exposure matrix (JEM) to study the association between long-term exposure to heavy physical effort or heavy lifting and carrying at work with disability pension due to musculoskeletal disorders and premature all-cause mortality. Methods Exposure to heavy physical effort at work during 1996–2005 was estimated with JEM developed for this study population, where the exposure was based on occupational titles of the participants. We included all employees of the City of Helsinki, Finland, who had annual data of exposure for 8–10 years (1996–2005, n = 18387). The outcome variables were register-based, and the follow-up was from 2006 until 2015. The risk estimates were evaluated using competing risk survival analysis. Results There were 530 (3%) disability pension events due to musculoskeletal disorders during the 10-year follow-up. After adjustment for sex, age, education and chronic diseases, employees in the second (SHR = 1.46, 95% CI 1.05–2.05), third (SHR = 2.73, 95% CI 2.00–2.29), and the highest exposure quartile (SHR = 2.56, 95% CI 1.88–3.50) had a higher risk of musculoskeletal disability pension than employees in the lowest quartile. A total of 110 (4%) men and 266 (2%) women died during the follow-up. Men in the third quartile (SHR = 2.29, 95% CI 1.23–4.24), and women in the highest exposure quartile (SHR = 1.54, 95% CI 0.99–2.41) had a higher risk of premature mortality than those in the lowest quartile. Conclusions Eight to ten years of exposure to heavy physical effort at work is strongly associated with disability pension due to musculoskeletal disorders. This exposure also increases the risk of premature mortality, particularly among men.
Author Jenni Ervasti
Jenni Ervasti,,
, Olli Pietiläinen
Olli Pietiläinen,,
, Ossi Rahkonen
Ossi Rahkonen,,
, Eero Lahelma
Eero Lahelma,,
, Anne Kouvonen Piotrowska (Filia we Wrocławiu)
Anne Kouvonen Piotrowska,,
- Filia we Wrocławiu
, Tea Lallukka
Tea Lallukka,,
, Minna Mänty
Minna Mänty,,
Journal seriesInternational Archives of Occupational and Environmental Health, ISSN 0340-0131, e-ISSN 1432-1246, (N/A 100 pkt)
Issue year2019
Publication size in sheets0.5
Keywords in EnglishDisability pension, Job exposure matrix, Mortality, Physical job demands
ASJC Classification2739 Public Health, Environmental and Occupational Health
Languageen angielski
long-term_tekst.pdf 1.27 MB
Long_oswiadczenie.pdf 668.08 KB
Score (nominal)100
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2018 = 1.267; WoS Impact Factor: 2018 = 2.025 (2) - 2018=2.407 (5)
Citation count*
Share Share

Get link to the record

* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.
Are you sure?