Institute for Work & Health and University of Toronto, Toronto, Ontario, Canada.
University of British Columbia and British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
Arthritis Care Res (Hoboken). 2023 Jan;75(1):14-21. doi: 10.1002/acr.24982. Epub 2022 Sep 14.
Workplace and labor market conditions are associated with the health of the working population. A longitudinal study was conducted among young adults with rheumatic disease to examine workplace activity limitations and job insecurity and their relationship with disease symptom trajectories.
Three online surveys were administered to young adults with rheumatic disease over 27 months. Self-reported data on pain, fatigue, and disease activity were collected. Workplace activity limitations and job insecurity were measured. Group-based discrete mixture models determined pain, fatigue, and disease activity trajectory groups. Robust Poisson regression models were fitted to examine the relationship among workplace activity limitations, job insecurity, and trajectory group membership.
In total, 124 participants (mean ± SD age 29 ± 4.5 years) with rheumatic disease were recruited. At baseline, participants reported considerable workplace activity limitations (10.35 ± 5.8), and 36% of participants indicated experiencing job insecurity. We identified 2 latent rheumatic disease symptom trajectory groups. The first group had high persistent pain, fatigue, or disease activity; the second group had low persistent disease symptoms over time. Greater workplace activity limitations were associated with an increased relative risk (RR) of being in the high persistent severe pain (RR 1.02 [95% confidence interval (95% CI) 1.01, 1.03]), fatigue (RR 1.02 [95% CI 1.01, 1.03]), and disease activity trajectory groups (RR 1.02 [95% CI 1.01, 1.03]). Job insecurity was associated with an increased RR of membership in the high persistent pain (RR 1.14 [95% CI 1.04, 1.25]) and disease activity trajectory groups (RR 1.11 [95% CI 1.00, 1.22]).
Workplace activity limitations and job insecurity represent working conditions that are associated with the health of young adults with rheumatic disease and should be examined as potential targets for intervention.
工作场所和劳动力市场条件与劳动人口的健康状况有关。对患有风湿性疾病的年轻成年人进行了一项纵向研究，以检查工作场所活动受限和工作不安定性及其与疾病症状轨迹的关系。
在 27 个月的时间里，对患有风湿性疾病的年轻成年人进行了 3 次在线调查。收集了自我报告的疼痛、疲劳和疾病活动数据。测量了工作场所活动受限和工作不安全感。基于群组的离散混合模型确定了疼痛、疲劳和疾病活动轨迹组。拟合稳健泊松回归模型以检验工作场所活动受限、工作不安全感与轨迹组成员之间的关系。
共有 124 名（平均年龄 29±4.5 岁）患有风湿性疾病的参与者入组。在基线时，参与者报告了相当大的工作场所活动受限（10.35±5.8），36%的参与者表示经历了工作不安定性。我们确定了 2 个潜在的风湿性疾病症状轨迹组。第一组的持续性疼痛、疲劳或疾病活动较高；第二组的持续性疾病症状较低。更大的工作场所活动受限与更高的相对风险（RR）相关，即处于高持续性严重疼痛（RR 1.02[95%置信区间（95%CI）1.01，1.03]）、疲劳（RR 1.02[95%CI 1.01，1.03]）和疾病活动轨迹组（RR 1.02[95%CI 1.01，1.03]）。工作不安定性与高持续性疼痛（RR 1.14[95%CI 1.04，1.25]）和疾病活动轨迹组（RR 1.11[95%CI 1.00，1.22]）的成员身份的 RR 增加相关。
工作场所活动受限和工作不安定性是与年轻风湿性疾病患者健康相关的工作条件，应作为潜在的干预目标进行检查。
