Institute for Work & Health and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
British Columbia Children's Hospital and University of British Columbia,, Vancouver, British Columbia, Canada.
Arthritis Care Res (Hoboken). 2021 Aug;73(8):1146-1152. doi: 10.1002/acr.24617. Epub 2021 Jun 30.
The COVID-19 pandemic has had considerable economic repercussions for young workers. The current study was undertaken to examine the impact of the pandemic on the employment of young adults with rheumatic disease and on perceptions of work and health.
Surveys were administered to young adults with rheumatic disease prior to and following the onset of the COVID-19 pandemic. Surveys asked about employment status and collected information on sociodemographic, disease/health, and work-context factors. Items also asked about the perceived impact of the COVID-19 pandemic on work and health. A generalized estimating equation model was fitted to examine the effect of the pandemic on employment.
In total, 133 young adults completed the pre-COVID-19 pandemic survey (mean age 28.9 years, 82% women). When compared to the pre-COVID-19 pandemic period, employment decreased from 86% to 71% following the pandemic, but no other changes were identified in sociodemographic, disease/health, or work-context factors. The time period following the COVID-19 pandemic was associated with a 72% lower odds of employment compared to the pre-pandemic period (odds ratio 0.28 [95% confidence interval 0.11-0.71]). Those with a postsecondary education or who reported more mental job demands were more likely to be employed following the onset of the pandemic. Also, a majority of participants reported that the pandemic affected health care (83%), treatment access (54%), working conditions (92%), and occupational health and safety (74%).
The onset of the COVID-19 pandemic had socioeconomic implications for young people with rheumatic disease. To support economic recovery for individuals with rheumatic disease, strategies to promote employment should be designed that account for the young adult life phase and occupational characteristics.
COVID-19 大流行对年轻工人造成了相当大的经济影响。本研究旨在探讨大流行对患有风湿性疾病的年轻成年人就业的影响，以及对工作和健康的看法。
在 COVID-19 大流行之前和之后，向患有风湿性疾病的年轻成年人进行了调查。调查询问了就业状况，并收集了社会人口统计学、疾病/健康和工作环境因素的信息。项目还询问了 COVID-19 大流行对工作和健康的影响。拟合了广义估计方程模型，以检验大流行对就业的影响。
共有 133 名年轻成年人完成了 COVID-19 大流行前的调查（平均年龄 28.9 岁，82%为女性）。与 COVID-19 大流行前相比，大流行后就业人数从 86%降至 71%，但社会人口统计学、疾病/健康或工作环境因素没有其他变化。与大流行前相比，COVID-19 大流行后的时期与就业的可能性降低 72%相关（优势比 0.28 [95%置信区间 0.11-0.71]）。具有中学后教育或报告更多精神工作要求的人更有可能在大流行后就业。此外，大多数参与者报告称，大流行影响了医疗保健（83%）、治疗机会（54%）、工作条件（92%）和职业健康与安全（74%）。
COVID-19 大流行对患有风湿性疾病的年轻人产生了社会经济影响。为了支持风湿性疾病患者的经济复苏，应设计促进就业的战略，这些战略应考虑到年轻成年人的生活阶段和职业特点。
