Working while unwell: Workplace impairment in people with severe asthma
| Autor: | Helen K. Reddel, Paul N. Reynolds, Peter G. Middleton, Michael Sutherland, Lata Jayaram, Peter A. B. Wark, Sarah A. Hiles, Aldoph Nanguzgambo, Francis Thien, Vanessa M. McDonald, Ian A. Yang, A. Lara Rivero, Li Ping Chung, Guy B. Marks, Gregory Katsoulotos, Vicky Kritikos, Gloria Foxley, Janet Rimmer, John W. Upham, Philip G. Bardin, Naghmeh Radhakrishna, David Langton, Melissa Baraket, Mark Hew, E. Yap, Peter G. Gibson, A.M. Southcott, Erin S. Harvey, Mariko Siyue Koh, J. Garrett, Matthew J. Peters, Constance H. Katelaris, Christine Jenkins, Ben Brockway, J. Bowden, Belinda Cochrane, Zaheerodin Bhikoo, Marina Lambert |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Activities of daily living Immunology macromolecular substances Efficiency Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Quality of life immune system diseases Surveys and Questionnaires Severity of illness Absenteeism Activities of Daily Living medicine Immunology and Allergy Humans 030212 general & internal medicine Registries Workplace Asthma Aged business.industry musculoskeletal neural and ocular physiology Middle Aged medicine.disease Mental health respiratory tract diseases nervous system 030228 respiratory system Presenteeism Emergency medicine Quality of Life Observational study Female business |
| Zdroj: | Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology. 48(6) |
| ISSN: | 1365-2222 |
| Popis: | Severe asthma affects quality of life; however, its impact on workplace productivity is poorly understood.To compare workplace productivity-absenteeism and presenteeism-and impairment in daily activities in severe and non-severe asthma over time and identify characteristics associated with presenteeism in severe asthma.The Severe Asthma Web-based Database is an ongoing observational registry from Australia, New Zealand and Singapore. At April 2017, 434 patients with severe asthma and 102 with non-severe asthma were enrolled (18-88 years; 59% female). Participants provided comprehensive clinical and questionnaire data at baseline and were followed-up every 6 months for 24 months. Absenteeism (percentage of time not at work), presenteeism (self-reported impairment at work) and impairment in daily activities outside work due to health problems in the last week were calculated.At baseline, 61.4% of participants with severe asthma and 66.2% with non-severe asthma under 65 years were employed. At younger ages (30-50 years), fewer severe asthma participants were employed (69% vs 100%). Presenteeism and impairment in daily activity were more frequently reported in severe asthma and in participants with poorer asthma control, poorer lung function and more past-year exacerbations (P .01). Over time, deteriorating asthma control was associated with increasing presenteeism. Although absenteeism was not different between severe and non-severe asthma, worse asthma control was associated with absenteeism (P .001). In participants with severe asthma, presenteeism was reported more frequently in those with poorer asthma control, poorer asthma-related quality of life and symptoms of depression or anxiety (P .01).Severe asthma was associated with impairment at work and outside the workplace. Improving asthma control and mental health may be important targets for optimizing workplace productivity in severe asthma. Presenteeism and absenteeism may represent key metrics for assessing intervention efficacy in people with severe asthma of working age. |
| Databáze: | OpenAIRE |
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