Institute for Work and Health and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
University of British Columbia and British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
Arthritis Care Res (Hoboken). 2022 Oct;74(10):1751-1760. doi: 10.1002/acr.24620. Epub 2022 Jun 28.
Young adults with rheumatic disease face challenges communicating health needs, accessing workplace support, and sustaining productivity. Our objective was to examine whether disclosure modifies the relationship between workplace support and presenteeism.
An online survey was administered to Canadian young adults with rheumatic disease and asked about presenteeism (0 = health had no effect on work; 10 = health completely prevented working), workplace support need, availability, and use and whether health details were disclosed to an immediate supervisor. A multivariable robust linear regression model was conducted and stratified by those who did and did not disclose the details of their health to their supervisor.
A total of 306 participants completed the survey with a mean ± SD presenteeism score of 4.89 ± 2.65. More than 70% disclosed health details to their supervisor; those who disclosed reported greater presenteeism (mean ± SD 5.2 ± 2.5) when compared to those who did not disclose (mean ± SD 4.2 ± 2.61). Greater disease severity was associated with disclosure. Half of the participants reported unmet workplace support needs (53%), 32% reported that their workplace support needs were met, and 15% reported exceeded workplace support needs. The relationship between presenteeism and workplace support needs was modified by disclosure. For participants who disclosed, workplace support needs that were unmet (β = 1.59 [95% confidence interval (95% CI) 0.75, 2.43]) and that were met (β = 1.25 [95% CI 0.39, 2.11]) were associated with greater presenteeism when compared to those with exceeded workplace support needs.
To address presenteeism, strategies should be developed for young adults with rheumatic disease to foster access to available workplace supports and to navigate disclosure decisions.
患有风湿性疾病的年轻人在沟通健康需求、获得工作场所支持和维持工作效率方面面临挑战。我们的目的是研究披露是否会改变工作场所支持与出勤之间的关系。
对加拿大患有风湿性疾病的年轻成年人进行了一项在线调查，询问他们的出勤情况（0=健康对工作没有影响；10=健康完全阻止工作）、工作场所支持需求、可用性和使用情况，以及是否向直属主管透露健康细节。进行了多变量稳健线性回归模型分析，并按是否向主管透露健康细节进行了分层。
共有 306 名参与者完成了调查，平均出勤评分（±SD）为 4.89±2.65。超过 70%的人向主管透露了健康细节；与未透露的人相比，透露健康细节的人报告的出勤情况更严重（平均±SD 5.2±2.5）。疾病严重程度与披露相关。一半的参与者报告工作场所支持需求未得到满足（53%），32%的参与者报告工作场所支持需求得到满足，15%的参与者报告工作场所支持需求超过。出勤与工作场所支持需求之间的关系因披露而改变。对于披露的参与者，未得到满足的工作场所支持需求（β=1.59[95%置信区间（95%CI）0.75，2.43]）和得到满足的工作场所支持需求（β=1.25[95%CI 0.39,2.11]）与工作场所支持需求超过的参与者相比，与更高的出勤相关。
为了解决出勤问题，应为患有风湿性疾病的年轻人制定策略，以促进获得可用的工作场所支持，并帮助他们做出披露决策。
