Paid employment in subjects with and without chronic obstructive pulmonary disease in five Latin American cities: the PLATINO study.
Int J Tuberc Lung Dis
; 15(9): 1259-64, i-iii, 2011 Sep.
Article
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| MEDLINE
| ID: mdl-21943855
ABSTRACT
BACKGROUND:
Chronic obstructive pulmonary disease (COPD) is a costly condition that frequently causes permanent work disabilities. Little information exists regarding the impact of COPD on work force participation and the indirect costs of the disease in developing countries.OBJECTIVE:
To examine the frequency of paid employment and factors influencing it in a Latin-American population-based study.METHODS:
Post-bronchodilator FEV(1)/FVC < 0.70 (forced expiratory volume in 1 s/forced vital capacity) was used to define COPD. Information regarding paid work was assessed by the question 'At any time in the past year, have you worked for payment?'RESULTS:
Interviews were conducted with 5571 subjects; 5314 (759 COPD and 4554 non-COPD) subjects underwent spirometry. Among the COPD subjects, 41.8% reported having paid work vs. 57.1% of non-COPD (P < 0.0001). The number of months with paid work was reduced in COPD patients (10.5 ± 0.17 vs. 10.9 ± 0.06, P < 0.05). The main factors associated with having paid work in COPD patients were male sex (OR 0.33, 95%CI 0.23-0.47), higher education level (OR 1.05, 95%CI 1.01-1.09) and younger age (OR 0.90, 95%CI 0.88-0.92). COPD was not a significant contributor to employment (OR 0.83, 95%CI 0.69-1.00, P = 0.054) in the entire population.CONCLUSIONS:
Although the proportion of persons with paid work is lower in COPD, having COPD appears not to have a significant impact on obtaining paid employment in the overall population of developing countries.
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Base de datos:
MEDLINE
Asunto principal:
Costo de Enfermedad
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Enfermedad Pulmonar Obstructiva Crónica
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Empleo
Idioma:
En
Revista:
Int J Tuberc Lung Dis
Año:
2011
Tipo del documento:
Article