Prevalence and correlates of arthritis‐attributable work limitation in the US population among persons ages 18–64: 2002 National Health Interview Survey Data
Open Access
- 29 March 2007
- journal article
- research article
- Published by Wiley in Arthritis Care & Research
- Vol. 57 (3), 355-363
- https://doi.org/10.1002/art.22622
Abstract
Objective To estimate the national prevalence of arthritis‐attributable work limitation (AAWL) among persons ages 18–64 with doctor‐diagnosed arthritis and examine correlates of AAWL. Methods Using the 2002 National Health Interview Survey, we estimated the prevalence of AAWL (limited in whether individuals work, the type of work they do, or the amount of work they do) and correlates of AAWL in univariable and multivariable‐adjusted logistic regression analyses. Survey data were analyzed in SAS and SUDAAN to account for the complex sample design. Results A total of 5.3% of all US adults ages 18–64 reported AAWL; in this age group, AAWL is reported by ∼30% of those who report arthritis. The prevalence of AAWL was highest among people ages 45–64 years (10.2%), women (6.3%), non‐Hispanic blacks (7.7%), people with less than a high school education (8.6%), and those with an annual household income <$20,000 (12.6%). AAWL was substantially increased among people with arthritis‐attributable activity limitations (multivariable‐adjusted odds ratio [OR] 9.1, 95% confidence interval [95% CI] 7.1–11.6). The multivariable‐adjusted likelihood of AAWL was moderately higher among non‐Hispanic blacks (OR 1.6, 95% CI 1.2–2.3), Hispanics (OR 1.8, 95% CI 1.2–2.6), and people with high levels of functional/social/leisure limitations (OR 1.8, 95% CI 1.4–2.3) and was decreased among those with a college education (OR 0.6, 95% CI 0.4–0.8). Conclusion AAWL is highly prevalent, affecting millions of Americans and one‐third of adults with doctor‐diagnosed arthritis. Findings suggest the need for more targeted research to better understand the natural history, success of interventions, and effects of policy on AAWL. Public health interventions, including self‐management education programs, may be effective in countering AAWL.This publication has 31 references indexed in Scilit:
- Extent of occupational hand use among persons with rheumatoid arthritisArthritis Care & Research, 2006
- Work disability and its economic effect on 55-64-year-old adults with rheumatoid arthritisArthritis & Rheumatism, 2005
- Arthritis and employment: An examination of behavioral coping efforts to manage workplace activity limitationsArthritis & Rheumatism, 2005
- Validity and reliability of self-reported arthritis: Georgia Senior Centers, 2000–2001American Journal of Preventive Medicine, 2005
- Medical care expenditures and earnings losses of persons with arthritis and other rheumatic conditions in the United States in 1997: Total and incremental estimatesArthritis & Rheumatism, 2004
- Overview of work disability in rheumatoid arthritis patients as observed in cross‐sectional and longitudinal surveysArthritis Care & Research, 2004
- Overview of Disease Management ApproachesDisease Management and Health Outcomes, 2004
- Reduction of job loss in persons with rheumatic diseases receiving vocational rehabilitation: A randomized controlled trialArthritis & Rheumatism, 2003
- A national survey of health-related work limitations among employed persons in the United StatesDisability and Rehabilitation, 2000
- Work disability among persons with musculoskeletal conditionsArthritis & Rheumatism, 1986