Employment Exit and Entry among U.S. Adults with and without Arthritis during the Great Recession, a Longitudinal Study: 2007-2009, NHIS/MEPS

Details

• Alternative Title:
  Work
• Personal Author:
  Theis, K.A. ; Roblin, D. ; Helmick, C.G. ; Luo, R.
• Description:
  BACKGROUND:
  
  Negative employment consequences of arthritis are known but not fully understood. Examining transitions in and out of work can provide valuable information.
  
  OBJECTIVE:
  
  To examine associations of arthritis with employment during the Great Recession and predictors of employment transitions.
  
  METHODS:
  
  Data were for 3,277 adults ages 30-62 years with and without arthritis from the 2007 National Health Interview Survey followed in the Medical Expenditure Panel Survey 2008-2009. Employment (working vs. not working) was ascertained at baseline and five follow-ups. We estimated Kaplan Meier survival curves with 95% confidence intervals (CI) separately for time to stopping work (working at baseline) and starting work (not working at baseline) using Cox proportional hazards regression models with hazard ratios (HR).
  
  RESULTS:
  
  Arthritis was significantly associated with greater risk of stopping work (HR = 1.7, 95% CI = 1.3-2.2; adjusted HR = 1.5, 95% CI = 1.1-2.0) and significantly associated with 40% lower chance of starting work (HR = 0.6, 95% CI = 0.4-0.8); which reversed on adjustment (HR = 1.5, 95% CI = 1.0-2.2). Employment predictors were mixed by outcome.
  
  CONCLUSIONS:
  
  During the Great Recession, adults with arthritis stopped work at higher rates and started work at lower rates than those without arthritis.
  
  
• Subjects:
  Adult Arthritis Cohort Studies Economic Recession Employment Female Humans Longitudinal Studies Male Middle Aged Surveys And Questionnaires United States

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• Keywords:
  Economic Impact Population-based Public Health Rheumatic Disease Work
• Source:
  Work. 60(2):303-318
• Pubmed ID:
  29865104
• Pubmed Central ID:
  PMC11131973
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  60
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:fd22c73c4f24bc98e2c3544c2ecdea5da7d43fd3b61b3da41157fef4b956a4d3
• Download URL:
  https://stacks.cdc.gov/view/cdc/157046/cdc_157046_DS1.pdf
• File Type:
  [PDF - 670.33 KB ]