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糖尿病员工的临床和人口统计学参数与病假之间的相关性

The Correlation between Clinical and Demographic Parameters and Sickness Absence in Diabetic Employees.

作者信息

Zack Oren, Golob Irena, Chodick Gabriel, Perluk Idan, Raanan Rachel, Moshe Shlomo

机构信息

Department of Environmental and Occupational Health, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.

The Department of Occupational Medicine, Central District, Maccabi Healthcare Services, Tel Aviv 7662029, Israel.

出版信息

Healthcare (Basel). 2021 Sep 30;9(10):1309. doi: 10.3390/healthcare9101309.

Abstract

Diabetes mellitus is one of the most significant and prevalent chronic diseases. Individuals with diabetes can still encounter substantial difficulties in finding and keeping their job because of their condition. The purpose of this study was to examine the scope of diabetes-related absence from work and its relationship with variables such as type of employer, workload, the severity of illness, and type of treatment. We conducted a case-control study, including 220 diabetic patients and 230 controls. Information regarding absence from work was obtained by reviewing medical records, and general patient information was retrieved by conducting telephone interviews. Patients with diabetes had, annually, more days of absence than non-diabetic patients (8.5 vs. 2.7, respectively p and lt; 0.001). Among diabetic patients, public-sector employees were absent more than private-sector employees (9.0 vs. 7.2 days, respectively, p and lt; 0.05). A positive correlation was found between workload (measured by stamina) and absence (Pearson correlation = 0.098, = 0.04). Concerning the clinical variables, we found that employees suffering from diabetic complications exhibited higher absence rates (15.5 vs. 5.7 days, respectively, p and lt; 0.003). Parameters like HbA1c levels, patient age, disease duration, and type of treatment did not differ significantly amongst the groups with regards to absence rates. The main variables affecting absence from work were not medical but rather sociodemographic: education, workload, and type of employer. The results of this study reinforce the perception that well-controlled diabetic employees can be combined in most types of occupations without fear of increased absence from work.

摘要

糖尿病是最严重且最普遍的慢性病之一。糖尿病患者由于自身病情,在求职和保住工作方面仍会遇到诸多困难。本研究旨在探讨与糖尿病相关的缺勤情况及其与雇主类型、工作量、疾病严重程度和治疗类型等变量之间的关系。我们进行了一项病例对照研究,包括220名糖尿病患者和230名对照者。通过查阅病历获取缺勤信息,通过电话访谈获取患者一般信息。糖尿病患者每年的缺勤天数比非糖尿病患者多(分别为8.5天和2.7天,p<0.001)。在糖尿病患者中,公共部门员工的缺勤天数多于私营部门员工(分别为9.0天和7.2天,p<0.05)。发现工作量(以耐力衡量)与缺勤之间存在正相关(Pearson相关系数=0.098,p=0.04)。关于临床变量,我们发现患有糖尿病并发症的员工缺勤率更高(分别为15.5天和5.7天,p<0.003)。糖化血红蛋白水平、患者年龄、病程和治疗类型等参数在各分组的缺勤率方面无显著差异。影响缺勤的主要变量并非医学因素,而是社会人口统计学因素:教育程度、工作量和雇主类型。本研究结果强化了这样一种观念,即血糖控制良好的糖尿病员工可以从事大多数类型的职业,而无需担心缺勤率会增加。

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