Lower workforce participation is associated with more severe persisting breathlessness.
Lower workforce participation is associated with more severe persisting breathlessness.
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DOI：
10.1186/s12890-022-01861-y
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发表时间：
2022-03-18
影响因子：
3.1
通讯作者：
Currow DC
中科院分区：
文献类型：
--
作者：
Clark J;Chang S;Kinchin I;Ferreira D;Kochovska S;Morgan D;Poulos LM;Johnson MJ;Ekström M;Currow DC
无法工作会对健康、社会和经济产生负面影响。持续的呼吸困难在工作年龄的人中很普遍。它与劳动力参与率较低有关吗？这项研究，使用南澳大利亚州健康综合，旨在探讨有偿劳动力参与和持续呼吸困难强度之间的关联，以及对工作年龄人群收入的经济影响。这项横断面研究进行了面对面的采访，随机抽样的成年人在南澳（n = 8916）。问题包括关键的人口统计数据，劳动力参与以及持续呼吸困难的存在和强度。从工作年龄的受访者（20-65岁）的数据进行了标准化的人口普查回归分析。工作被编码为有报酬的全职或兼职工作或“其他”。持续性呼吸困难（过去6个月中超过3个月）使用改良的医学研究理事会呼吸困难量表（总计为0、1、2-4）。机会成本估值比较了持续呼吸困难的严重程度所放弃的年收入。在接受采访的人中，6，608人处于工作年龄（49.9%为男性; 67.5%具有大专学历; 70.9%从事有偿全职或兼职工作; 1.7%的mMRC评分为2-4）。劳动力参与率在工作年龄人群中下降，呼吸困难增加：mMRC 0，70.6%; mMRC 1，51.7%; mMRC 2-4，20.3%。在回归模型中，呼吸困难最严重的人不太可能工作（OR 0.14; 95% CI 0.09，0.22）。持续呼吸困难的人放弃的年收入为107亿澳元（全职工作为91亿澳元，兼职工作为16亿澳元;范围为59亿澳元，497亿澳元）。持续性呼吸困难的恶化与较低的劳动力参与率有关，并有直接的经济后果，对老年男性影响最大。在线版本包含补充材料，可在10.1186/s12890-022-01861-y获得。
Not being able to work has negative health, social and financial consequences. Persisting breathlessness is prevalent in working-aged people. Is it associated with lower workforce participation? This study, using the South Australian Health Omnibus, aimed to explore associations between paid workforce participation and persisting breathlessness intensity, and economic impacts on income in people of working age. This cross-sectional study conducted face-to-face interviews with a random sample of adults in South Australia (n = 8916). Questions included key demographic data, workforce participation and the presence and intensity of persisting breathlessness. Data from working-aged respondents (20–65 years of age) were standardised to the census for regression analyses. Work was coded to paid full- or part-time work or ‘other’. Persisting breathlessness (more than three of the last six months) used the modified Medical Research Council breathlessness scale (aggregated to 0, 1, 2–4). Opportunity cost valuations compared annual income foregone by persisting breathlessness severity. Of people interviewed, 6,608 were working-aged (49.9% male; 67.5% had post-secondary qualifications; 70.9% were in paid full- or part-time work; and 1.7% had mMRC score 2–4). Workforce participation dropped in working aged people with increasing breathlessness: mMRC 0, 70.6%; mMRC 1, 51.7%; mMRC 2–4, 20.3%. In the regression model, people with the most severe breathlessness were much less likely to work (OR 0.14; 95% CI 0.09, 0.22). Annual income foregone by people with persisting breathlessness was AU$10.7 billion (AU$9.1b for full-time and AU$1.6b for part-time work; range AU$5.9b, AU$49.7b). Worsening persisting breathlessness is associated with lower workforce participation with direct financial consequences, greatest for older males. The online version contains supplementary material available at 10.1186/s12890-022-01861-y.
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影响因子：
3.3
作者：
Goodwin E;Hawton A;Whitty JA;Green C
通讯作者：
Green C
影响因子：
4.5
作者：
Bowden, Jacqueline A.;To, Timothy H. M.;Currow, David C.
通讯作者：
Currow, David C.
影响因子：
4.7
作者：
Currow, David C.;Plummer, John L.;Abernethy, Amy P.
通讯作者：
Abernethy, Amy P.
影响因子：
2.8
作者：
Johnson, Miriam J.;Bowden, Jacqueline A.;Currow, David C.
通讯作者：
Currow, David C.
影响因子：
1.9
作者：
Saunders, Carla;Brown, James J.;Lapkin, Sam
通讯作者：
Lapkin, Sam