影响日本椎炎 (AS) 患者就业的因素
Hoshiko Furusawa1, Kurisu Tada2,3, Eri Hayashi1
1Department of Internal Medicine and Rheumatology, Juntendo University School of Medicine, Tokyo, Japan.
BMC rheumatology
|November 26, 2025
概括
日本结脊柱炎患者的就业率为71.6%. 患者报告的功能限制,而不是客观措施,是影响其工作状态的关键因素.
科学领域:
- 风湿病学和免疫学
- 职业健康 职业健康 职业健康
- 卫生经济学 卫生经济学
背景情况:
- 结节性脊柱炎 (AS) 显著影响到工作年龄的个人.
- 日本AS患者的就业因素仍未得到充分研究.
- 这项研究考察了这一人口群的就业状况和相关因素.
研究的目的:
- 调查被诊断患有结性脊柱炎的日本患者的就业率.
- 确定与就业状况相关的关键因素,包括疾病活动和功能限制.
- 了解AS对日本劳动生产率的影响.
主要方法:
- 一项涉及81名符合修改的纽约标准的日本AS患者的横截面研究.
- 数据收集包括患者特征,疾病活动和就业状态 (≥20小时/周).
- 工作生产力和活动减弱 (WPAI) 问卷评估了工作生产力; 曼-惠特尼U和千平方/费舍尔的精确测试被用于分析.
主要成果:
- 就业率为71.6%,占全国人口的71.6%.
- 根据WPAI得分,缺勤率为2.1%,出席率为21.6%,工作障碍为22.2%,活动障碍为32.7%.
- 较高的浴室结脊柱炎疾病活动指数 (BASDAI) 和浴室结脊柱炎功能指数 (BASFI) 分数与失业率有显著的相关性 (p < 0.01).
结论:
- 与全球数据相比,日本AS患者的就业率相对较高.
- 患者报告的结果,如BASDAI和BASFI,与就业状况比客观疾病标志物更有联系.
- 解决功能限制对于改善AS患者的工作结果至关重要.
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