The impact of rheumatoid arthritis on work capacity in Chinese patients: a cross-sectional study
| Autor: | Xiuyan Yang, Xiuru Wang, Ci-Bo Huang, Wang Jx, Cai-Hong Wang, Dan Ke, Liufu Cui, Mei-Qiu Wei, Haiying Chen, Liu Xy, Bin Jia, Ming Gao, Lin Sun, Guochun Wang, Xiaoyuan Wang, Xiaoying Zhang, Li-Jun Song, Yin Su, Xing-Fu Li, Yongfu Wang, Bai-Lu Liu, Guangtao Li, Ping Zhu, Fengxiao Zhang, Jing Yang, Hongtao Jin, Xiaofeng Li, Jinying Lin, Yi Wang, Cong Ye, Liu Jt, Shuling Han, Rong Yang, Ping Wei, Pei Lai, Wang Lz, Yuan An, Junfang Li, Chuanhui Xu, Li-na Chen, Rong Shu, Tianjiao Duan, Shaoxian Hu, Xin Lu, Zhen-Bin Li, Zhuoli Zhang, Jie-Mei Tao, Zhanguo Li, Hao Li, Xiaomin Liu, Rong Mu |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male China medicine.medical_specialty Cross-sectional study Work Capacity Evaluation Disease Logistic regression Arthritis Rheumatoid Asian People Rheumatology Interquartile range Internal medicine Absenteeism Prevalence medicine Humans Pharmacology (medical) Age of Onset Aged business.industry Odds ratio Middle Aged medicine.disease Manual labour Cross-Sectional Studies Socioeconomic Factors Rheumatoid arthritis Physical therapy Regression Analysis Population study Female Health Impact Assessment business |
| Zdroj: | Rheumatology. 54:1478-1487 |
| ISSN: | 1462-0332 1462-0324 |
| DOI: | 10.1093/rheumatology/kev014 |
| Popis: | Objective To evaluate the impact of RA on work capacity and identify factors related to work capacity impairment in patients with RA. Methods A cross-sectional multicentre study was performed in 21 tertiary care hospitals across China. A consecutive sample of 846 patients with RA was recruited, of which 589 patients of working age at disease onset constituted the study population. Information on the socio-demographic, clinical, working and financial conditions of the patients was collected. Logistic regression analyses were used to identify factors associated with work capacity impairment. Results The rate of work capacity impairment was 48.0% in RA patients with a mean disease duration of 60 months (interquartile range 14-134 months), including 11.7% leaving the labour force early, 33.6% working reduced hours and 2.7% changing job. Multivariable logistic regression analysis showed that reduced working hours was significantly related to current smoking [odds ratio (OR) 2.07 (95% CI 1.08, 3.97)], no insurance [OR 1.94 (95% CI 1.20, 3.12)], in manual labour [OR 2.66 (95% CI 1.68, 4.20)] and higher HAQ score [OR 2.22 (95% CI 1.36, 3.60)]. There was an association of current smoking [OR 3.75 (95% CI 1.54, 9.15)], in manual labour [OR 2.33 (95% CI 1.17, 4.64)], longer disease duration [OR 1.01 (95% CI 1.00, 1.01)] and lower BMI [OR 0.90 (95% CI 0.82, 0.99)] with leaving the labour force early. Conclusion There is a substantial impact of RA on the work capacity of patients in China. Social-demographic, disease- and work-related factors are all associated with work capacity impairment. |
| Databáze: | OpenAIRE |
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