Arthritis-related work transitions: A prospective analysis of reported productivity losses, work changes, and leaving the labor force
Article first published online: 26 NOV 2008
Copyright © 2008 by the American College of Rheumatology
Arthritis Care & Research
Volume 59, Issue 12, pages 1805–1813, 15 December 2008
How to Cite
Gignac, M. A. M., Cao, X., Lacaille, D., Anis, A. H. and Badley, E. M. (2008), Arthritis-related work transitions: A prospective analysis of reported productivity losses, work changes, and leaving the labor force. Arthritis & Rheumatism, 59: 1805–1813. doi: 10.1002/art.24085
- Issue published online: 26 NOV 2008
- Article first published online: 26 NOV 2008
- Manuscript Accepted: 15 AUG 2008
- Manuscript Received: 19 MAY 2008
- Canadian Institutes of Health Research. Grant Number: MOP-49532
- Canadian Arthritis Network (part of the Networks of Centres of Excellence)
- Ontario Ministry of Health
- Health System-Linked
- Arthritis Community Research & Evaluation Unit
To prospectively examine arthritis-related productivity losses, work changes, and leaving employment, the relationships among these work transitions, and the factors associated with them.
Participants with inflammatory arthritis or osteoarthritis were interviewed at 4 time points, 18 months apart, using a structured questionnaire. At baseline (T1), all participants (n = 490; 381 women, 109 men) were employed. At T2, T3, and T4, the sample decreased to 413, 372, and 349 participants, respectively. Respondents were recruited using community advertising and from rheumatology and rehabilitation clinics. Work transitions considered were productivity losses (absenteeism, job disruptions), work changes (reduced hours, changing jobs), and leaving employment. Also measured were demographic, illness, work context, and psychological variables. Generalized estimation equations modeled predictors of work transitions over time.
Although 63.1% of respondents remained employed throughout the study, work transitions were common (reported by 76.5% of participants). Productivity losses, especially job disruptions such as being unable to take on extra work, were the most frequently reported. Work transitions were related to subsequently making other work transitions, including leaving employment. Age, sex, education, activity limitations, control, depression, and arthritis-work spillover were also associated with work transitions.
This study sheds light on a process of diverse employment changes that may occur in the lives of many individuals with arthritis. It emphasizes the interrelationships among work transitions, as well as other factors in predicting work transitions, and it provides insight into work changes that may signal impending difficulties with remaining employed.