Stjernbrandt Albin, Wahlström Jens
Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, 901 87, Umeå, Sweden.
J Occup Med Toxicol. 2022 Jun 8;17(1):12. doi: 10.1186/s12995-022-00354-2.
To determine if having Raynaud's phenomenon (RP) affects the work ability, job retainment, or occurrence of sick leave.
Surveys on the working-age general population of northern Sweden were conducted in 2015 and 2021, gathering data on RP, occupation and sick leave. Work ability was assessed using the Work Ability Score.
The study population consisted of 2,703 women and 2,314 men, among which 390 women and 290 men reported RP at follow-up. For women, the mean [standard deviation (SD)] Work Ability Score was 8.02 (2.24) for subjects reporting RP and 7.68 (2.46) for those without RP. For men, the corresponding numbers were 7.37 (2.03) and 7.61 (2.14), respectively. Multiple linear regression did not show an association between RP status and work ability (p = 0.459 for women and p = 0.254 for men), after adjusting for age, body mass index, physical workload, cardiovascular disease, and perceived stress. Having retained the same main livelihood since baseline was reported by 227 (58.5%) women with RP, 1,163 (51.2%) women without RP, 152 (52.6%) men with RP, and 1,075 (54.1%) men without RP (p = 0.002 for women and p = 0.127 for men). At follow-up, any occurrence of sick leave during the last year was reported by 80 (21.4%) women with RP, 410 (18.6%) women without RP, 48 (17.1%) men with RP, and 268 (13.7%) men without RP (p = 0.208 for women and p = 0.133 for men). Among those reporting sick leave, the mean (SD) duration in months was 2.93 (3.76) for women with RP, 3.00 (4.64) for women without RP, 2.77 (3.79) for men with RP, and 2.91 (12.45) for men without RP (p = 0.849 for women and p = 0.367 for men).
For neither women nor men was there a significant effect of having RP on work ability. Women with RP reported a slightly higher job retainment compared to those without the condition, while there was no difference in job retainment among men. For neither gender did the presence of RP influence the occurrence of recent sick leave, nor did it affect the length of time away from work.
确定患有雷诺现象（RP）是否会影响工作能力、工作保留率或病假的发生情况。
于2015年和2021年对瑞典北部工作年龄的普通人群进行调查，收集有关RP、职业和病假的数据。使用工作能力得分评估工作能力。
研究人群包括2703名女性和2314名男性，其中390名女性和290名男性在随访时报告患有RP。对于女性，报告患有RP的受试者的平均[标准差（SD）]工作能力得分为8.02（2.24），未患RP的受试者为7.68（2.46）。对于男性，相应数字分别为7.37（2.03）和7.61（2.14）。在调整年龄、体重指数、体力工作量、心血管疾病和感知压力后，多元线性回归未显示RP状态与工作能力之间存在关联（女性p = 0.459，男性p = 0.254）。自基线以来保持相同主要生计的情况，报告如下：患有RP的女性中有227名（58.5%），未患RP的女性中有1163名（51.2%），患有RP的男性中有152名（52.6%），未患RP的男性中有1075名（54.1%）（女性p = 0.002，男性p = 0.127）。在随访时，报告在过去一年中曾有过病假的情况如下：患有RP的女性中有80名（21.4%），未患RP的女性中有410名（18.6%），患有RP的男性中有48名（17.1%），未患RP的男性中有268名（13.7%）（女性p = 0.208，男性p = 0.133）。在报告病假的人群中，患有RP的女性的平均（SD）病假时长为2.93（3.76）个月，未患RP的女性为3.00（4.64）个月，患有RP的男性为2.77（3.79）个月，未患RP的男性为2.91（12.45）个月（女性p = 0.849，男性p = 0.367）。
对于男性和女性而言，患有RP对工作能力均无显著影响。患有RP的女性报告的工作保留率略高于未患该疾病的女性，而男性在工作保留率方面没有差异。对于任何性别，RP的存在既不影响近期病假的发生，也不影响缺勤时间的长短。
