Employment and Gainful Earnings Among Those With Multiple Sclerosis
Employment and Gainful Earnings Among Those With Multiple Sclerosis
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DOI：
10.1016/j.apmr.2018.11.005
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发表时间：
2019-05-01
影响因子：
4.3
通讯作者：
Rumrill, Phillip
中科院分区：
文献类型：
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作者：
Krause, James S.;Dismuke-Greer, Clara E.;Rumrill, Phillip
目的：为了确定人口统计学，教育和疾病相关的特征与就业和收入的几率与多发性硬化症（MS）的参与者之间的设计：横断面使用通过邮件或在线获得的自我报告评估。设置：在美国东南部的医科大学。参与者：参与者与MS（N = 1059）从美国东南部的专科医院注册。所有的成年人年龄小于65岁的时间assessments.Interventions：不适用。主要成果措施：目前的就业状况和earnings.Results：MS因素与就业高度相关，但没有强烈的有条件的收入。那些没有症状的人报告的就业几率比那些有严重症状的人高6.25。与进展型MS患者相比，复发或缓解型MS患者的就业几率更大（比值比[OR] = 2.24）。没有感知认知障碍的参与者比那些有中度至重度认知障碍的参与者的就业几率高1.83。自诊断以来已有20年的人。没有问题的疲劳是高度相关的就业概率（OR = 5.01）和较高的条件收入（14,454美元），而其余的MS变量无关的条件收入。对于非MS变量，教育与就业状况和有条件收入高度相关，因为那些拥有研究生学位的人比那些不超过高中证书的人有2.87的就业机会和44，346美元的有条件收入。非西班牙裔白人有2.22更大的就业机会和16,118美元的有条件的收入比非西班牙裔黑人，和男性报告30,730美元以上的有条件的收入比women.Conclusions：MS指标显着相关的就业状况，包括自诊断以来的时间，疲劳，症状的严重程度，并存在认知障碍。然而，在就业者中，有条件收入与这些因素的相关程度较低，与教育程度的相关程度较高。(C)2018年美国康复医学大会
Objective: To identify demographic, educational, and disease-related characteristics associated with the odds of employment and earnings among participants with multiple sclerosis (MS).Design: Cross-sectional using self-report assessment obtained by mail or online.Setting: Medical university in the southeastern United States.Participants: Participants with MS (N = 1059) were enrolled from a specialty hospital in the southeastern United States. All were adults younger than 65 years at the time of assessment.Interventions: Not applicable.Main Outcome Measures: Current employment status and earnings.Results: MS factors were highly related to employment, yet not as strongly to conditional earnings. Those with no symptoms reported 6.25 greater odds of employment than those with severe current symptoms. Compared with those with progressive MS, those with relapsing or remitting had greater odds of employment (odds ratio [OR] = 2.24). Participants with no perceived cognitive impairment had 1.83 greater odds of employment than those with moderate to severe perceived cognitive impairment. Those with 20 years since diagnosis. An absence of problematic fatigue was highly related to the probability of employment (OR = 5.01) and higher conditional earnings ($14,454), whereas the remaining MS variables were unrelated to conditional earnings. For non-MS variables, education was highly related to employment status and conditional earnings, because those with a postgraduate degree had 2.87 greater odds of employment and $44,346 greater conditional earnings than those with no more than a high school certificate. Non-Hispanic whites had 2.22 greater odds of employment and $16,118 greater conditional earnings than non-Hispanic blacks, and men reported $30,730 more in conditional earnings than women.Conclusions: MS indicators were significantly associated with employment status including time since diagnosis, fatigue, symptom severity, and presence of cognitive impairment. However, among those who were employed, conditional earnings were less highly related to these factors and more highly related to educational attainment. (C) 2018 by the American Congress of Rehabilitation Medicine