工作参与和COVID-19大流行:在患有炎症性类风湿性疾病和人口控制的人群中进行的一项观察性研究
Maarten Butink1,2,3, Laura Boekel4, Annelies Boonen1,3
1Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Rheumatology advances in practice
|April 3, 2024
概括
在COVID-19大流行期间,患有炎症性类风湿性疾病 (iRDs) 的人面临更多不利的工作结果. 虽然COVID-19很少是病因,但女性患者,并发病症患者或体力苛刻的工作最容易受到伤害.
科学领域:
- 类风湿病学 类风湿病学
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
背景情况:
- 随着COVID-19的流行,炎症性类风湿性疾病 (iRDs) 患者面临着独特的挑战,可能会增加他们对不利工作结果 (AWOs) 的脆弱性,并影响工作能力.
- 了解这些影响对于制定针对这一群体的有针对性的支持策略至关重要.
研究的目的:
- 在COVID-19大流行期间,将iRD患者和对照者之间的不良工作结果 (AWOs) 和当前的工作能力进行比较.
- 为了确定患者的特征与增加的易受伤害的AWO.
- 探索远程工作特征对iRD患者工作表现的影响.
主要方法:
- 荷兰一项COVID-19队列研究收集了iRD患者和人口对照的回顾性 (2020年3月) 和当前 (2022年3月) 工作参与数据.
- 工资补贴包括退出工作,减少工作时间或长期病假.
- 使用多变量回归分析来比较不同组的结果,并确定iRD患者组内的风险因素.
主要成果:
- 与对照组相比,患有iRD的患者更有可能经历任何原因的AWO (OR范围为1.63-3.34),尽管COVID-19是不常见的原因 (15%).
- 易受伤害的iRD群体中的弱势子组包括女性,患有并发病的人以及体力苛刻的工作人员.
- 与对照组相比,女性iRD患者的当前工作能力明显较低 (β = -0.66).
- 远程工作因素,如照顾孩子和缺乏同事,具有混合的影响,而雇主支持和减少通勤时间对工作绩效产生了主要的积极影响.
结论:
- 患有iRD的个人在疫情期间面临着不良工作结果的高风险,独立于直接的COVID-19感染.
- 特定的患者人口统计学和工作特征预测了对工作中断的更高脆弱性.
- 远程工作安排既带来了挑战,也带来了机遇,雇主支持是积极工作表现的关键推动者.
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