J Drugs Dermatol. 2024 Aug 1;23(8):640-644. doi: 10.36849/JDD.7550.
Psoriasis patients experience physical and emotional burdens, which may lead to work-related productivity loss. This loss carries professional and financial repercussions. It is unknown whether the extent of psoriasis affects work absenteeism.
This study aims to compare work absenteeism between employed adults with mild versus moderate-to-severe psoriasis.
A national, cross-sectional study using the 2009 to 2019 Medical Expenditure Panel Survey evaluated 5,209,956 (weighted) adults aged ≥ 22 years. Work absenteeism was compared between adults with mild (4,521,687 weighted) and moderate-to-severe psoriasis (688,269 weighted).
Work absenteeism, as measured by the average number of episodes per year that someone was absent from work for at least a half day, was significantly higher in patients with moderate-to-severe psoriasis than in patients with mild disease (4.4 episodes vs 2.8 episodes, P=0.002). Multivariable logistic regression models showed moderate-to-severe patients were 2.68 times more likely (95% CI:1.72-4.21; P<0.001) to take a half-day or more off from work than those with mild disease after adjusting for age, sex, race, ethnicity, poverty, cognitive limitations, insurance, education, and comorbidities.
Disease severity directly impacts work absenteeism in psoriasis patients. Early diagnosis and treatment with appropriate therapies are needed to reduce disease severity and limit economic loss and professional ramifications associated with psoriasis. J Drugs Dermatol. 2024;23(8):640-644. doi:10.36849/JDD.7550.
银屑病患者承受着身体和情感的双重负担，这可能导致与工作相关的生产力损失。这种损失会带来职业和经济方面的影响。目前尚不清楚银屑病的严重程度是否会影响旷工情况。
本研究旨在比较轻度与中重度银屑病患者的工作缺勤情况。
一项使用 2009 年至 2019 年医疗支出面板调查（MEPS）的全国性横断面研究，评估了 5209956 名（加权）年龄≥22 岁的成年人。将轻度（4521687 名加权）和中重度银屑病（688269 名加权）患者的工作缺勤情况进行比较。
以每年至少旷工半天的平均缺勤次数衡量，中重度银屑病患者的工作缺勤率明显高于轻度疾病患者（4.4 次 vs 2.8 次，P=0.002）。多变量逻辑回归模型显示，中重度患者旷工半天或更长时间的可能性是轻度疾病患者的 2.68 倍（95%CI：1.72-4.21；P<0.001），校正年龄、性别、种族、民族、贫困、认知障碍、保险、教育和合并症后。
疾病严重程度直接影响银屑病患者的工作缺勤情况。需要早期诊断和采用适当的治疗方法来减轻疾病严重程度，以减少与银屑病相关的经济损失和职业影响。J 皮肤病药物学杂志。2024；23(8)：640-644。doi：10.36849/JDD.7550.
