发生性类风湿性关节炎对收入的影响:全国性兄弟姐妹对比研究
Heather Miller1, Martin Neovius1, Johan Askling1
1Clinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Rheumatology (Oxford, England)
|October 16, 2024
概括
风湿性关节炎 (RA) 患者在诊断后与兄弟姐妹相比,年收入下降了5.4%. 对于那些最近被诊断出来的人来说,这种财务影响减少了,特别是在受教育程度较低的老年人中.
科学领域:
- 类风湿病学 类风湿病学
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 类风湿性关节炎 (RA) 显著影响工作能力,但之前的研究往往使用过时的比较.
- 现有的研究无法解释现代RA管理,也无法将RA的影响与社会经济因素区分开来.
研究的目的:
- 评估类风湿性关节炎 (RA) 诊断对患者收入的影响.
- 使用瑞典最近的数据,将RA患者的收入与诊断前和诊断后的兄弟姐妹进行比较.
主要方法:
- 利用瑞典国家登记数据 (2001-2019) 针对RA患者 (30-60岁) 和他们的同性兄弟姐妹.
- 分析了诊断前5年至诊断后5年的收入数据.
- 雇佣的兄弟姐妹与对照对照对先前存在的社会经济状况进行比较.
主要成果:
- 在诊断后,RA患者的年收入比兄弟姐妹低5.4% (平均为-1430欧元).
- 与2011-2017年 (-1.5%,不显著) 相比,那些在2006-2010年被诊断的收入差距更大 (-8.2%).
- 老年患者和受教育程度较低的患者对收入产生了更大的负面影响.
结论:
- 患有RA的诊断与收入的减少有关,特别是在弱势子组中.
- 随着时间的推移,RA对工资的经济负担有所减少.
- 兄弟对比提供了一种可靠的方法来评估RA对工作能力的影响.
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