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Cited by 106Rheumatoid Arthritis Research and TherapiesRetirement, Disability, and EmploymentMedical Practices and Rehabilitation

Work disability in rheumatoid arthritis is predicted by physical and psychological health status: a 7‐year study from the Oslo RA register

Ødegård, S., Finset, A., Kvien, T. K., Mowinckel, P., Uhlig, T.·2005·Scandinavian Journal of Rheumatology
DOI 10.1080/03009740510018633
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Abstract

OBJECTIVE: To explore the prevalence of work disability (WD) and to identify bio-psychological factors that predicts future WD in rheumatoid arthritis (RA) over a 7-year period. METHODS: Patients were selected from the Oslo RA register. The prevalence of WD was studied cross-sectionally among respondents <67 years (n = 526) in a postal survey. Mean age (SD) was 51.1 (11.9) years, mean disease duration 11.3 (9.4) years, and 49% of patients were RF-positive. The patients studied for predictive factors for WD were respondents in postal surveys both at baseline and at the 7-year follow-up, in work at baseline and still in working age (<67 years) at follow-up (n = 159). Mean age at baseline (SD) was 44.5 (9.7) years, mean disease duration 8.4 (6.6) years, mean years of formal education 12.7 (3.1) years, 48% were RF-positive. Assessments included socio-demographic variables and health status measures (MHAQ, AIMS2, SF-36, fatigue and pain on VAS 0-100 mm, self efficacy, and RAI as a measure for helplessness). RESULTS: Among the 526 respondents at baseline <67 years, the prevalence of WD was 40%. A high level of education was a predictor of reduced risk of work disability [odds ratio (OR) = 0.4, 95% confidence interval (CI) 0.1; 0.9], while female gender (OR 3.0, 95% CI 1.1; 8.0), physical disability (MHAQ-score) (OR = 3.9, 95% CI 1.2; 12.5) and helplessness over median RAI-score (OR = 3.0, 95% CI 1.4; 6.7) were independent predictors of increased risk for new work disability over 7 years. CONCLUSION: Physical disability, increased helplessness, low formal education, and female gender were found to be independent risk factors for new work disability over the 7-year study period.

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Authors
Ødegård, S., Finset, A., Kvien, T. K., Mowinckel, P., & Uhlig, T.
Affiliations
  • Diakonhjemmet Hospital (NO)
  • University of Oslo (NO)
Corresponding author
Ødegård, S.
ORCID
Venue
Scandinavian Journal of Rheumatology
Publisher
Informa UK Limited
Published
2005-12-31
Volume
34
Issue
6
Pages
441-447
ISSN
  • 0300-9742 (ISSN-L)
  • 1502-7732
DOI
10.1080/03009740510018633
OpenAlex
W2149598860
Cited by
106
References
48
Citations by year
2025: 2 · 2022: 1 · 2021: 3 · 2020: 8 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 4 · 2015: 5 · 2014: 10 · 2013: 10 · 2012: 8
FWCI
2.64
Type
journal article
Language
en
Open access
closed
Locations
  • Scandinavian Journal of Rheumatology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
  • Social Sciences › Demography › Retirement, Disability, and Employment
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords
rheumatoid arthritis, work disability, disability prediction, physical disability, helplessness, mental health, educational attainment, gender differences, fatigue, pain, self-efficacy, risk factors
MeSH terms
Adult, Arthritis, Rheumatoid, Cross-Sectional Studies, Disability Evaluation, Female, Health Status, Humans, Male, Middle Aged, Norway, Surveys and Questionnaires, Registries, Severity of Illness Index, Socioeconomic Factors, Prevalence, Antirheumatic Agents

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