abstract: 'Background: Adults with CHD have reduced work participation rates

  compared to adults without CHD. We aimed to quantify employment rate

  among adult CHD patients in a population-based registry and to describe

  factors and barriers associated with work participation. Methods: We

  retrospectively identified adults with employment information in the

  North Carolina Congenital Heart Defects Surveillance Network. Employment

  was defined as any paid work in a given year. Logistic regression was

  used to examine patients'' employment status during each year. Results:

  The registry included 1,208 adult CHD patients with a health care

  encounter between 2009 and 2013, of whom 1,078 had >= 1 year of data

  with known employment status. Overall, 401 patients (37\%) were employed

  in their most recent registry year. On multivariable analysis, the odds

  of employment decreased with older age and were lower for Black as

  compared to White patients (odds ratio = 0.78; 95\% confidence interval:

  0.62, 0.98; p = 0.030), and single as compared to married patients (odds

  ratio = 0.50; 95\% confidence interval: 0.39, 0.63; p < 0.001).

  Conclusion: In a registry where employment status was routinely

  captured, only 37\% of adult CHD patients aged 18-64 years were

  employed, with older patients, Black patients, and single patients being

  less likely to be employed. Further work is needed to consider how

  enhancing cardiology follow-up for adults with CHD can integrate support

  for employment.'
affiliation: 'Sarno, LA (Corresponding Author), East Carolina Univ, Brody Sch Med,
  Dept Pediat, Pediat Cardiol, 115 Heart Dr, Greenville, NC 27834 USA.

  Sarno, Lauren A.; Sang, Charlie J., Jr., East Carolina Univ, Brody Sch Med, Dept
  Pediat, Pediat Cardiol, 115 Heart Dr, Greenville, NC 27834 USA.

  Cortright, Lindsay; Stanley, Tiara; Tumin, Dmitry, East Carolina Univ, Brody Sch
  Med, Dept Pediat, Greenville, NC 27858 USA.

  Li, Jennifer S., Duke Univ, Sch Med, Dept Pediat, Pediat Cardiol, Durham, NC USA.'
article-number: PII S1047951120001572
author: Sarno, Lauren A. and Cortright, Lindsay and Stanley, Tiara and Tumin, Dmitry
  and Li, Jennifer S. and Sang Jr., Charlie J.
author-email: sarnol18@ecu.edu
author_list:
- family: Sarno
  given: Lauren A.
- family: Cortright
  given: Lindsay
- family: Stanley
  given: Tiara
- family: Tumin
  given: Dmitry
- family: Li
  given: Jennifer S.
- family: Sang Jr.
  given: Charlie J.
da: '2023-09-28'
doi: 10.1017/S1047951120001572
eissn: 1467-1107
files: []
issn: 1047-9511
journal: CARDIOLOGY IN THE YOUNG
keywords: Predictors; work participation; adults with CHD
keywords-plus: 'CONGENITAL HEART-DISEASE; EMPLOYMENT STATUS; TASK-FORCE; OUTCOMES;

  TRENDS; CARE'
language: English
month: AUG
number: '8'
number-of-cited-references: '26'
orcid-numbers: 'Sarno, Lauren/0000-0001-5925-8733

  Cortright, Lindsay/0000-0002-4990-3804'
pages: 1081-1085
papis_id: 33260c0f5ed8d5b29d2c9ea3bb3a861b
ref: Sarno2020clinicalsocioeconomi
researcherid-numbers: 'Tumin, Dmitry/AAG-6295-2021

  '
times-cited: '3'
title: Clinical and socio-economic predictors of work participation in adult CHD patients
type: article
unique-id: WOS:000562473300004
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '30'
web-of-science-categories: Cardiac \& Cardiovascular Systems; Pediatrics
year: '2020'