NHMRC Clinical Trials Centre, University of Sydney, Australia.
Int J Cardiol. 2012 Apr 5;156(1):80-3. doi: 10.1016/j.ijcard.2011.03.020. Epub 2011 Apr 13.
In addition to being the leading cause of death, cardiovascular disease (CVD) also impacts upon the ability of individuals to function normally in everyday activities, which is likely to affect individuals' employment. This paper will quantify the relationship between labour force participation, CVD and being in poverty.
The 2003 Survey of Disability, Ageing and Carers (SDAC) data were used to assess the impact of having CVD on being in poverty amongst the older working aged (aged 45 to 64) population in Australia.
Those not in the labour force with no chronic health condition are 93% less likely to be in poverty than those not in the labour force due to CVD (OR 0.07, 95%CI: 0.07-0.07, p<.0001). The likelihood of being in poverty varies with labour force status for those with CVD: those who were either in full time (OR 0.04, 95% CI: 0.04-0.05, p<.0001) or part time (OR 0.19, 95% CI: 0.18-0.19) employment are significantly less likely to be in poverty than those who have had to retire because of the condition.
The efforts to increase the labour force participation of individuals with CVD, or ideally prevent the onset of the condition will likely improve their living standards. This study has shown that having CVD and not being in the labour force because of the condition drastically increases the chances of living in poverty.
心血管疾病（CVD）不仅是导致死亡的主要原因，还会影响个人在日常活动中的正常功能，这可能会影响个人的就业。本文将定量分析劳动力参与率、CVD 和贫困之间的关系。
本研究使用 2003 年残疾、老龄化和照顾者调查（SDAC）的数据，评估 CVD 对澳大利亚 45 至 64 岁劳动年龄人群贫困状况的影响。
没有慢性健康状况且不参与劳动力的人群，其贫困的可能性比因 CVD 而不参与劳动力的人群低 93%（OR 0.07，95%CI：0.07-0.07，p<.0001）。对于患有 CVD 的人群，其贫困的可能性因劳动力状况而异：那些全职（OR 0.04，95%CI：0.04-0.05，p<.0001）或兼职（OR 0.19，95%CI：0.18-0.19）就业的人群，其贫困的可能性明显低于因该疾病而不得不退休的人群。
努力增加 CVD 患者的劳动力参与率，或者理想情况下预防该疾病的发生，可能会提高他们的生活水平。本研究表明，患有 CVD 且因该疾病而不参与劳动力会大大增加贫困的可能性。
