To evaluate the potential for long-term or delayed onset health effects, we extended a previous cohort study of disability separation from the army associated with vaccination against anthrax. Analyses included stratified Cox proportional hazards and multiple logistic regression models. Forty-one percent of 1,001,546 soldiers received at least one anthrax vaccination; 5.21% were evaluated for d...

BACKGROUND Understanding the difficulties and needs of the family carers in taking care of a person with ID can facilitate the development of appropriate intervention programmes and services to strengthen their caring capacity and empower them to continue with their caring roles. This study aims to explore ageing family carers' caregiving experiences and the plans they have to provide care for ...

Disability assessments of patients are among the most common nontherapeutic evaluations requested of treating psychiatrists. Yet, there has been relatively little empirical analysis of how psychiatrists approach these evaluations in real clinical practice. Treating psychiatrists, those both with and without forensic expertise, struggle with the challenge of dual agency and overlapping therapeut...

In recent years the longer working lives and the postponing of the retirement age have been topics of extensive discussion in Finland. Disability pensions play an important role in this debate. Working lives will lengthen if the incidence of disability retirement diminishes. Efficient actions can be focused on preventing disability retirement, if the groups at risk of disability retirement are ...

PURPOSE To assess the validity of dimensions of disability in the Episodic Disability Framework, a conceptual framework derived from the perspective of adults living with HIV. METHODS We conducted confirmatory factor analyses with 913 adults living with HIV in an observational cohort study called the Ontario HIV Treatment Network Cohort Study (OCS). We tested hypotheses that dimensions of dis...

Functioning and disability (D&F) are two related domains of a single health construct key to understand the relationship between the individual and the disease, where social support plays an effect modifier role [2]. Therefore, D&F is regarded as a key domain in the recent models of diagnosis (i.e. person-centered medicine) [3] and intervention (i.e. Integrated Care as a complex adaptive system...

Although functional outcome is frequently discussed and written about, it is often not clear what functional outcome is and how it can be measured. This paper introduces the concept of latent and observed measures of functional disability, and distinguishes between disability as a process measure and disability as an outcome measure. Using the Health Assessment Questionnaire as the main functio...