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© 1988 Oxford University Press

research-article

Medical Consequences of a Factory Closure: Illness and Disability in a Four-Year Follow-Up Study

STEINAR WESTIN*, DAG NORUM{dagger} and JAMES J SCHLESSELMAN{ddagger}

* Department of Community Medicine and General Practice, University of Trondheim Eirik Jarls gate 10, N-7000 Trondheim, Norway
{dagger} Department of Psychiatry County Hospital of Osfold, N-1600 Fredrikstad, Norway
{ddagger} Department of Preventive Medicine and Biometrics. Uniformed Services University of the Health Sciences 4301 Jones Bridge Road, Bethesda, Maryland 20814, USA

The effect of a factory shut-down on sick leave and disability pensions was investigated in a four-year controlled follow-up study in a general practice setting. The study population consisted of 85 people, 72 women and 13 men, who lost their jobs when a sardine factory near Bergen in Norway was shut down in 1975. The employees of a nearby ‘sister factory’ within the same company were chosen as a control population, consisting of 87 people, 66 women and 21 men. The average amount of sick leave for the study group within the first year of follow-up showed a twofold increase compared to the controls. The rate of disability pensions, estimated by the life table method with appropriate adjustments, was more than three times higher in the study group than in the control group from the second through the fourth year of follow-up. The results of this investigation provide further evidence in support of a causal relationship between job loss and illness.

Revised 1 May 1987


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