Milidonis Mary K, Greene Brenda L
Cleveland State University, Department of Health Sciences, Cleveland, OH, USA.
Work. 2005;24(1):71-6.
Arthritis is one of the most common diseases and a leading cause of disability in adults. Returning injured workers to work and preventing work disability is the primary mission of occupational health professionals. The purpose of this study was to identify risk factors associated with work disability and intervention strategies. This study is a retrospective cohort analysis of secondary individual level data. The data for the study were collected by the National Health Interview Survey, Disability Supplement (NHIS-D) 1995. Community dwelling disabled persons with functional limitations due to arthritic conditions were included in this analysis. A total of 286 records were available for logistic regression analysis. The outcome variable was work status, either working or not working. The significant predictors of working status were ability to lift 10 pounds (OR = 1.64), college education (OR = 0.21), age (OR = 1.03), and less than high school education (OR = 2.48). Thirty-four percent of the variance in working status was explained by the model that also included health status, difficulty standing, difficulty walking up steps, difficulty walking 1/4 mile, ethnicity, and gender. Younger disabled persons with arthritis, who have little difficulty lifting 10 pounds, and have some college education have better odds of working. Occupational health professionals need to look for ways to improve the educational status and functional lifting ability of disabled individuals with arthritis.
关节炎是最常见的疾病之一,也是成年人残疾的主要原因。让受伤工人重返工作岗位并预防工作残疾是职业健康专业人员的首要任务。本研究的目的是确定与工作残疾相关的风险因素和干预策略。本研究是对二级个体层面数据的回顾性队列分析。研究数据由1995年全国健康访谈调查残疾补充调查(NHIS-D)收集。本分析纳入了因关节炎导致功能受限的社区居住残疾人士。共有286条记录可用于逻辑回归分析。结果变量是工作状态,即工作或不工作。工作状态的显著预测因素是能举起10磅重物的能力(OR = 1.64)、大学学历(OR = 0.21)、年龄(OR = 1.03)以及高中以下学历(OR = 2.48)。工作状态中34%的方差由该模型解释,该模型还包括健康状况、站立困难、上楼梯困难、行走1/4英里困难、种族和性别。患有关节炎且能轻松举起10磅重物并有一定大学学历的年轻残疾人士工作的几率更高。职业健康专业人员需要寻找方法来提高患有关节炎的残疾人士的教育水平和功能性举重能力。