Across rheumatic diseases

How Does Job Insecurity and Workplace Activity Limitations Relate to Rheumatic Disease Symptom Trajectories in Young Adulthood? A Longitudinal Study

Arthritis Care Res (Hoboken)Published Prospective cohort study

Authors' conclusion

Workplace activity limitations and job insecurity represent working conditions that are associated with the health of young adults with rheumatic disease and should be examined as potential targets for intervention.

Study context

Population
Young adults with rheumatic diseasemean age 29 ± 4.5 years
Participants
124 adults
Exposure
Workplace activity limitations and job insecurity vs symptom trajectory group membership
Outcome
Membership in pain, fatigue and disease activity trajectory groups
Follow-up
27 months
Methodological detailslongitudinal, three online surveys over 27 months, group-based discrete mixture models, robust Poisson regression
  • Longitudinal
  • Three online surveys over 27 months
  • Group-based discrete mixture models
  • Robust Poisson regression

Main finding

As reported in the abstract

Association with high persistent symptom trajectory group
Greater workplace activity limitations, high persistent severe pain: RR
1.02 (1.01, 1.03) (95% CI)
Greater workplace activity limitations, high persistent fatigue: RR
1.02 (1.01, 1.03) (95% CI)
Greater workplace activity limitations, high persistent disease activity: RR
1.02 (1.01, 1.03) (95% CI)
Job insecurity, high persistent pain: RR
1.14 (1.04, 1.25) (95% CI)
Job insecurity, high persistent disease activity: RR
1.11 (1.00, 1.22) (95% CI)

Observational data: associations, not effects.

Further findings

Baseline workplace activity limitations and job insecurity

Workplace activity limitations, mean ± SD
10.35 ± 5.8
Job insecurity
36%

Original publication

How Does Job Insecurity and Workplace Activity Limitations Relate to Rheumatic Disease Symptom Trajectories in Young Adulthood? A Longitudinal Study. Arthritis Care Res (Hoboken). Published 14 September 2022. doi:10.1002/acr.24982

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