2023-09-28 14:46:10 +00:00
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abstract: 'Although work performance has become an important outcome in
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cost-of-illness studies, little is known about the comparative effects
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of different commonly occurring chronic conditions on work impairment in
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general population samples. Such data are presented here from a
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large-scale nationally representative general population survey. The
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data are from the MacArthur Foundation Midlife Development in the United
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States (MIDUS) survey, a nationally representative telephone-mail survey
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of 3032 respondents in the age range of 25 to 74 years. The 2074 survey
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respondents in the age range of 25 to 54 years are the focus of the
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current report. The data collection included a chronic-conditions
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checklist and questions about how many days out of the past 30 each
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respondent was either totally unable to work or perform normal
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activities because of health problems (work-loss days) ol had to cut
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back on these activities because of health problems (work-cutback days).
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Regression analysis was used to estimate the effects of conditions on
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work impairments, controlling for sociodemographics. At least one
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illness-related work-loss or work-cutback day in the past 30 days was
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reported by 22.4\% of respondents, with a monthly average of 6.7 such
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days among those with any work impairment. This is equivalent to an
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annualized national estimate of over 2.5 billion work-impairment days in
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the age range of the sample. Cancer is associated with by far the
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highest reported prevalence of any impairment (66.2\%) and the highest
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conditional number of impairment days in the past 30 (16.4 days). Other
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conditions associated with high odds of any impairment include ulcers,
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major depression, and panic disorder, whereas other conditions
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associated with a large conditional number of impairment days include
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heart disease and high blood pressure. Comorbidities involving
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combinations of arthritis, ulcers, mental disorders, and substance
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dependence are associated with higher impairments than expected on the
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basis of an additive model. The effects of conditions do not differ
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systematically across subsamples defined on the basis of age, sex,
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education, or employment status. The enormous magnitude of the work
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impairment associated with chronic conditions and the economic
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advantages of interventions for ill workers that reduce work impairments
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should be factored into employer cost-benefit calculations of expanding
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health insurance coverage. Given the enormous work impairment associated
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with cancer and the fact that the vast majority of employed people who
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are diagnosed with cancer stay in the workforce through at least part of
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their course of treatment, interventions aimed at reducing the workplace
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costs of this illness should be a priority.'
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affiliation: 'Kessler, RC (Corresponding Author), Harvard Univ, Sch Med, Dept Hlth
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Care Policy, 180 Longwood Ave, Boston, MA 02115 USA.
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Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA.
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Kent State Univ, Dept Psychol, Kent, OH 44242 USA.
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Brigham \& Womens Hosp, Div Pharmacoepidemiol \& Pharmacoecon, Boston, MA 02115
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USA.'
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author: Kessler, RC and Greenberg, PE and Mickelson, KD and Meneades, LM and Wang,
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PS
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author_list:
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- family: Kessler
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given: RC
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- family: Greenberg
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given: PE
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- family: Mickelson
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given: KD
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- family: Meneades
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given: LM
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- family: Wang
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given: PS
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da: '2023-09-28'
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doi: 10.1097/00043764-200103000-00009
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files: []
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issn: 1076-2752
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journal: JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
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keywords-plus: 'QUALITY-OF-LIFE; BREAST-CANCER; DEPRESSION; IMPACT; PREVALENCE;
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DISABILITY; WORKPLACE'
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language: English
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month: MAR
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number: '3'
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number-of-cited-references: '24'
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orcid-numbers: 'Mickelson, Kristin/0000-0001-8946-2356
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Mickelson, Kristin/0000-0002-1833-9147'
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pages: 218-225
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papis_id: 69364979556e3cd5b6f97d8839ef5c92
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ref: Kessler2001effectschronic
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times-cited: '336'
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title: The effects of chronic medical conditions on work loss and work cutback
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000167682700009
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usage-count-last-180-days: '0'
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usage-count-since-2013: '33'
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volume: '43'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2001'
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