145 Inability to work fulltime and the association with paid employment one year after assessment As inability to work fulltime was significantly moderated by disease groups (a variable with more than two categories) for both the applicants working and not working at baseline, multivariable logistic regression analyses stratified to disease groups were conducted. For applicants working at baseline and having a disease of the musculoskeletal system, being assessed with inability to work fulltime showed increased odds (OR 2.19, 95%CI 1.20-4.00) for having paid employment one year after the assessment. Furthermore, for applicants assessed with neoplasms, being assessed with inability to work fulltime was significant at the level of p<.10 to having decreased odds for having paid employment one year after the assessment (OR 0.40, 95%CI 0.13-1.19). For applicants not working at baseline, within none of the disease groups inability to work fulltime was significantly associated with having paid employment one year later. However, inability to work fulltime showed a significant association at the p-level <.10 to having decreased odds of having paid employment within the group diseases of the respiratory system (OR 0.15, 95%CI 0.02-1.12). See Table 3 for more details. DISCUSSION Our aim was to examine the association of being assessed with inability to work fulltime with having paid employment one year after the disability assessment, separately for applicants working and not working at the time of assessment. Our results showed that for the total sample, inability to work fulltime was not associated with having paid employment one year later when adjusted for socio-demographic and disease-related factors. However, our results showed that the type of chronic disease moderated the associations between the inability to work fulltime and paid employment. The inability to work fulltime increased the odds of having paid employment one year later for those working at baseline with musculoskeletal diseases. For those working at baseline with a neoplasm, and those not working at baseline with a disease of the respiratory system, inability to work fulltime decreased the odds of having paid employment one year later. Socio-demographic factors did not moderate the association between the inability to work fulltime and employment one year later. In our study population, 44.9% of the applicants who were granted a partial disability two years after sick leave, were assessed with inability to work fulltime. We did not find evidence that being assessed with inability to work fulltime supports or hinders workers with residual work capacity to remain or re-enter in paid employment in the total samples, but did find associations within specific disease groups. We found a beneficial effect of inability to work fulltime on having paid employment one year later for those applicants who worked at the time of assessment and were diagnosed with a musculoskeletal 7
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