The University of Queensland, School of Health and Rehabilitation Sciences, Physiotherapy, Brisbane, QLD, Australia.
College of Applied Medical Sciences, Majmaah University, Al Majmaah, Saudi Arabia.
BMC Public Health. 2023 Sep 29;23(1):1885. doi: 10.1186/s12889-023-16723-3.
While osteoarthritis (OA) affects people who are still participating in the workforce, there is limited data about the impact of OA on work. The aim of this study was to compare work participation in individuals with and without lower limb OA.
This cross-sectional study included workers with (n = 124) and without (n = 106) lower limb OA. Work participation was assessed as work status (full/part time work), work ability (Work Ability Index (WAI)), absenteeism and presenteeism (World Health Organization's Health and Work Performance Questionnaire (WHO-HPQ)), and perceived difficulties meeting work demands (Work Role Functioning Questionnaire (WRFQ)). The data were analyzed using an analysis of covariance with age, body mass index and physical job demands included as covariates.
Work ability was poorer (p < 0.001) and loss of work performance (p < 0.001) was higher among workers with OA than healthy controls. There was no statistical difference in absenteeism or overall ability to meet work demands between participants with and without lower limb OA. However, workers with lower limb OA had more difficulty with work scheduling demands (p = 0.05) and physical demands (p = 0.003) than healthy workers.
Lower limb OA was associated with poorer work ability, loss of work performance and difficulty in meeting physical and work scheduling demands. Health professionals and employers should consider these challenges when managing individuals with lower limb OA and supporting them to remain in the workforce.
骨关节炎(OA)会影响仍在工作的人群,但关于 OA 对工作影响的数据有限。本研究旨在比较下肢 OA 患者和无下肢 OA 患者的工作参与情况。
本横断面研究纳入了下肢 OA 患者(n=124)和无下肢 OA 患者(n=106)。通过工作状态(全职/兼职工作)、工作能力(工作能力指数(WAI))、缺勤和在职病假(世界卫生组织健康和工作表现问卷(WHO-HPQ))以及感知工作需求困难程度(工作角色功能问卷(WRFQ))来评估工作参与情况。采用协方差分析,将年龄、体重指数和体力工作需求作为协变量进行分析。
OA 患者的工作能力较差(p<0.001),工作表现下降(p<0.001)的比例较高。下肢 OA 患者与健康对照组之间,缺勤率或总体工作需求满足能力无统计学差异。然而,下肢 OA 患者在工作安排需求(p=0.05)和体力需求(p=0.003)方面较健康工作者更困难。
下肢 OA 与工作能力下降、工作表现下降以及难以满足体力和工作安排需求有关。当管理下肢 OA 患者并支持他们继续工作时,健康专业人员和雇主应考虑这些挑战。