Explorative Evaluation of the Impact of Severe Premenstrual Disorders on Work Absenteeism and Productivity
| Autor: | Anna Filonenko, Kerstin Uhl-Hochgräber, Lothar A.J. Heinemann, Thai Do Minh |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Employment medicine.medical_specialty Health (social science) Adolescent Efficiency Severity of Illness Index Premenstrual Syndrome Young Adult Cost of Illness Germany Surveys and Questionnaires Absenteeism Maternity and Midwifery Severity of illness medicine Humans Young adult Psychiatry Productivity Daily routine Work productivity Public Health Environmental and Occupational Health Reproducibility of Results Obstetrics and Gynecology Odds ratio Middle Aged Confidence interval Physical therapy Women's Health Female Psychology Algorithms |
| Zdroj: | Women's Health Issues. 20:58-65 |
| ISSN: | 1049-3867 |
| DOI: | 10.1016/j.whi.2009.09.005 |
| Popis: | Purpose To assess the effects of premenstrual disorders on work productivity and absenteeism in the multinational Impact study. Methods Women aged 15–45 years were screened for suspected premenstrual dysphoric disorders (PMDD) and premenstrual syndrome (PMS) and invited to participate in this web-based study. Based on the Daily Record of Severity of Problems (DRSP) questionnaire, symptoms were assessed prospectively over 2 months. Participants were categorized as having no perceived symptoms/mild PMS or moderate-to-severe PMS/PMDD based on a validated algorithm. Work productivity impairment and absenteeism were assessed retrospectively using the Premenstrual Symptoms Screening Tool (PSST) and a modified version of the Work Productivity and Activity Impairment (WPAI) questionnaire. Work productivity impairment was also assessed prospectively over 2 months using the DRSP questionnaire. Results Overall 1,477 women started the study—of these, 822 (56%) completed the study as planned and represent the full analysis set. Employed women with moderate-to-severe PMS/PMDD had higher rate of productivity impairment on the modified version of the WPAI questionnaire (values ≥7) relative to those with no perceived symptoms/mild PMS (adjusted odds ratio, 3.12; 95% confidence interval, 1.75–5.57). Similar outcomes were obtained for impairment of working productivity or efficiency using the PSST scale (value 4). The mean number of days on the DRSP with at least moderate reduction in productivity or efficiency in daily routine was higher for women with moderate-to-severe PMS/PMDD (5.6 vs. 1.1). Women with moderate-to-severe PMS/PMDD had a higher rate of absenteeism (>8 hours per cycle; 14.2% vs. 6.0%). Conclusion Moderate-to-severe PMS/PMDD seems to be associated with work productivity impairment and increased absenteeism, and thus poses a potential economic burden. |
| Databáze: | OpenAIRE |
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