School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia.
Occup Environ Med. 2021 Apr;78(4):225-236. doi: 10.1136/oemed-2020-106640. Epub 2020 Aug 26.
The aim of this review was to systematically identify, appraise and synthesise evidence on work-related outcomes experienced by younger to middle-aged adults (aged 16-50 years) with arthritis.
Eligible studies were identified in Medline, PsycINFO, Embase and CINAHL in January 2020. Quantitative and qualitative studies containing self-reported data on work-related outcomes on younger/middle-aged adults with arthritis were included. Quality assessment was undertaken using validated quality appraisal tools from the Joanna Briggs Institute.
Thirty-four studies were identified for inclusion. Work outcomes were organised around five themes: (1) arthritis-related work productivity outcomes, (2) arthritis-related work participation outcomes, (3) other arthritis-related workplace outcomes, (4) barriers to work participation associated with arthritis and (5) enablers to work participation associated with arthritis. Arthritis was associated with work limitations on the Workplace Activity Limitations Scale (average scores ranging from 5.9 (indicating moderate workplace difficulty) to 9.8 (considerable workplace difficulty)), and higher work disability prevalence rates (range: 6%-80%) relative to healthy populations. Arthritis was not associated with decreased absenteeism on the Work Productivity and Activity Impairment Questionnaire (mean (SD) 7.9% (14.0%)), indicating low levels of absenteeism, similar to healthy populations. As work outcomes were commonly binary, person-centred (qualitative) perspectives on barriers and enablers augmented the quantitative findings.
Arthritis is commonly associated with poorer work outcomes for younger/middle-aged adults relative to healthy populations. Additional research focusing solely on the workplace needs of younger/middle-aged population groups is required to inform tailored interventions and workplace support initiatives to maximise productive working years.
本综述的目的是系统地识别、评价和综合 16-50 岁关节炎患者的与工作相关的结局的证据。
2020 年 1 月，我们在 Medline、PsycINFO、Embase 和 CINAHL 中检索合格的研究。纳入包含关节炎年轻/中年成年人自我报告的与工作相关的结果的定量和定性研究。使用 Joanna Briggs 研究所的验证质量评估工具进行质量评估。
确定了 34 项符合纳入标准的研究。工作结果围绕五个主题组织：（1）关节炎相关的工作生产力结果，（2）关节炎相关的工作参与结果，（3）其他关节炎相关的工作场所结果，（4）与关节炎相关的工作参与障碍，（5）与关节炎相关的工作参与促进因素。关节炎与工作场所活动限制量表（平均得分范围从 5.9（表示中度工作困难）到 9.8（表示相当大的工作困难））上的工作限制有关，并且与健康人群相比，更高的工作残疾患病率（范围：6%-80%）。关节炎与工作生产力和活动障碍问卷上的缺勤率无关（平均（SD）为 7.9%（14.0%）），表明缺勤率较低，与健康人群相似。由于工作结果通常是二分的，因此障碍和促进因素的以人为本（定性）观点补充了定量发现。
与健康人群相比，关节炎通常与年轻/中年成年人较差的工作结果相关。需要对年轻/中年人群组的工作场所需求进行专门的研究，以制定有针对性的干预措施和工作场所支持计划，最大限度地延长他们的生产性工作年限。
