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Predictors of Presenteeism and Activity Impairment Outside Work in Patients with Spondyloarthritis
Spenshult Research and Development Center, Halmstad, Sweden.ORCID iD: 0000-0002-1445-5247
Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden.
Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine. Spenshult Research and Development Center, Halmstad, Sweden & Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden.ORCID iD: 0000-0002-8081-579X
Spenshult Research and Development Center, Halmstad, Sweden & Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden.ORCID iD: 0000-0002-6294-538X
2015 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 25, no 2, p. 288-295Article in journal (Refereed) Published
Abstract [en]

Purposes To assess predictors of presenteeism (reduced productivity at work) and activity impairment outside work in patients with spondyloarthritis (SpA). Methods Multivariate logistic regression analysis was used to study predictors of presenteeism and activity impairment in 1,253 patients with SpA based on a 2.5 year follow-up questionnaire. The Work Productivity and Activity Impairment (WPAI) questionnaire was used as main outcome. Age, gender, lifestyle factors, subgroups, disease duration, and different patient reported outcome measures (PROMs) were studied as possible predictors. The association between presenteeism and WPAI activity impairment outside work was assessed. Results Out of 1,253 patients, 757 reported being in work and of these 720 responded to the WPAI questionnaire. The mean (confidence interval, CI) reported presenteeism was 25 % (23-27 %) and mean activity impairment 33 % (31-35 %) (0-100 %, 0 = no reduction). Significant predictors of presenteeism and activity impairment at follow-up (controlled for gender, age, spondyloarthritis subgroups and presenteeism at baseline) were presenteeism at baseline, poor quality of life, worse disease activity, decreased physical function, lower self-efficacy pain and symptom, higher scores of anxiety, depression, smoking and low education level, and for activity impairment also female sex. There was a strong association between presenteeism and activity impairment outside work (OR 16.7; 95 % CI 11.6-24.3; p < 0.001). Conclusions Presenteeism and activity impairment were not only predicted by presenteeism at baseline, but also by several PROMs commonly used in clinical rheumatology practice. Impaired activity outside work could indicate problems also at work suggesting why both areas need to be addressed in the clinical situation. © 2014, Springer Science+Business Media New York.

Place, publisher, year, edition, pages
New York, NY: Springer-Verlag New York, 2015. Vol. 25, no 2, p. 288-295
Keyword [en]
Activity impairment, Ankylosing spondylitis, Predictors, Presenteeism, Spondyloarthritis, Work productivity
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-26339DOI: 10.1007/s10926-014-9537-2ISI: 000354718500004PubMedID: 25173795Scopus ID: 2-s2.0-84929409334OAI: oai:DiVA.org:hh-26339DiVA: diva2:742409
Note

This study was funded by Region Skåne and with research, grants from the Faculty of Medicine at Lund University, Sweden, the Norrbacka-Eugenia Foundation, Swedish, the Swedish Rheumatism Association, the Maggie Stephens Foundation, Sweden and with unrestricted research grants from Abbvie and Pfizer.

Available from: 2014-09-01 Created: 2014-09-01 Last updated: 2017-12-05Bibliographically approved

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Haglund, EmmaBremander, AnnBergman, Stefan

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