Work disability in rheumatoid arthritis: effects of disease, social, and work factors.
Work disability in rheumatoid arthritis: effects of disease, social, and work factors.
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DOI：
10.7326/0003-4819-93-4-551
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发表时间：
1980-10
影响因子：
39.2
通讯作者：
E. Yelin;R. Meenan;M. Nevitt;W. Epstein
中科院分区：
文献类型：
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作者：
E. Yelin;R. Meenan;M. Nevitt;W. Epstein
我们在这里探讨了选定的疾病、社会和工作相关因素对类风湿性关节炎人群残疾状态的相对贡献。我们的研究不同于以往的研究，因为它仅限于一个诊断实体，但同时评估了广泛的社会和工作相关因素的残疾。从19个社会不同的实践环境中抽样的180名类风湿性关节炎患者进行了一项关于他们的医疗和工作历史以及社会背景的结构化调查。我们发现疾病的阶段和持续时间对继续就业有显着影响，但选定的治疗方法没有积极影响。社会和工作因素相结合，对工作能力的影响远远大于所有疾病因素。在工作因素中，对工作节奏和活动的控制以及自营职业状况对继续就业的影响最大，这表明时间控制问题对疾病发作后维持工作至关重要。
We explore here the relative contribution of selected disease, social, and work-related factors to disability status in a population of persons with rheumatoid arthritis. Our study differs from previous studies in that it is limited to one diagnostic entity, yet at the same time evaluates a broad range of social and work-related factors in disability. One hundred-eighty persons with rheumatoid arthritis sampled from 19 socially diverse practice settings were given a structured survey about their medical and work histories and social backgrounds. We found significant effects of stage and duration of illness on continued employment but no positive effect of selected therapies. Social and work factors combined had a far larger effect on work disability than all disease factors. Among work factors, control over the pace and activities of work and self-employment status had the greatest effect on continued employment, suggesting that time control issues are crucial to the maintenance of one's job after onset of this illness.