Title
Work factors and behavioural coping in relation to withdrawal from the labour force in patients with rheumatoid arthritis
Author
Chorus, A.M.J.
Miedema, H.S.
Wevers, C.W.J.
van der Linden, S.
Publication year
2001
Abstract
Objective - To assess separate and combined effects of work factors and behavioural coping in relation to withdrawal from the labour force among patients with rheumatoid arthritis (RA). Methods - A cross sectional study was conducted in a Dutch nationwide random sample of 720 patients with RA. Information about work factors and behavioural coping was collected by a self-administered postal questionnaire. A broad variety of work factors and coping styles were evaluated separately and in combination using multivariate logistic regression analyses, controlling for sociodemographic and disease related variables. Attributable and preventable fractions were calculated from the combined analyses to assess the relative importance of the contributing factors. Results - Additional job training, equal career opportunities, letting the disease influence the choice of the current job position, and informing colleagues about having the disease were negatively associated with withdrawal from the labour force. The most relevant factor in terms of decreasing the risk was adjusting job demands which accounted for 63% of the patients still in the labour force. Decreasing activities and diverting attention in order to cope with pain, and pacing in order to cope with limitations were the coping styles which were positively associated with withdrawal from the labour force. The most relevant factor in terms of increasing the risk of withdrawal was pacing which accounted for 67% of the withdrawals. Conclusion - Work factors are potentially important modifiable risk factors for withdrawal from the labour force in patients with RA. Behavioural coping is also relevant.
Subject
Calculation
Clinical trial
Controlled clinical trial
Controlled study
Coping behavior
Major clinical study
Questionnaire
Randomized controlled trial
Regression analysis
Rheumatoid arthritis
Risk factor
Work
Adaptation, Psychological
Adult
Arthritis, Rheumatoid
Career Mobility
Confidence Intervals
Cross-Sectional Studies
Education, Continuing
Educational Status
Employment
Female
Humans
Interpersonal Relations
Logistic Models
Male
Middle Aged
Odds Ratio
Sex Factors
Work Schedule Tolerance
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http://resolver.tudelft.nl/uuid:297ad268-60ca-49f5-aa64-871681131424
DOI
https://doi.org/10.1136/ard.60.11.1025
TNO identifier
236263
ISSN
0003-4967
Source
Annals of the Rheumatic Diseases, 60 (60), 1025-1032
Document type
article