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The indirect costs of arthritis resulting from unemployment, reduced performance, and occupational changes while at work.

Abstract：

OBJECTIVE:The objective of this study was to assess the cost attributable to lost productivity from arthritis and the association between the degree of loss and demographic, disease-related, occupational, and psychosocial variables for people. METHODS:In a prospective study, 383 employed individuals with arthritis were recruited from southwestern Ontario, Canada. Respondents completed structured questionnaires assessing demographic, disease-related, workplace, and psychosocial variables as well as employment-related transitions at 2 time points 18 months apart. Indirect costs resulting from arthritis-related absences, reduced performance, decreased work hours, job change, and work disability were estimated. A proportional odds model was used to assess the impact of the various variables on lost productivity. RESULTS:The average cost attributable to arthritis was CAN Dollars 11,553(Dollars CAN = 0.75 Dollars US) per person per year. The largest component of the loss was the result of reduced performance at work, which accounted for 41% (Dollars 4724) of the total loss. This was followed by wage loss resulting from stopping working or changing jobs, which comprised 37% (Dollars 4309) of the total. Another 12% (Dollars 1398) and 10% (Dollars 1121) of the loss were the result of the decrease in hours of work and absenteeism, respectively. Four variables were associated with the productivity loss: greater symptom severity (odds ratio [OR] = 1.11), low or medium control over the work schedule (OR = 0.55 and 0.60, respectively), greater workspace limitation (OR = 1.10), and higher depression (OR = 1.04). CONCLUSIONS:Indirect arthritis-related costs are substantial. Our results show that not only the disease itself, but also psychosocial and work-related factors affect the magnitude of the costs.

journal_name

Med Care

journal_title

Medical care

authors

Li X,Gignac MA,Anis AH

doi

10.1097/01.mlr.0000204257.25875.04

keywords:

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

304-10

issue

eissn

0025-7079

issn

1537-1948

pii

00005650-200604000-00003

journal_volume

pub_type

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The indirect costs of arthritis resulting from unemployment, reduced performance, and occupational changes while at work.