TY - JOUR
T1 - Unemployment and work disability in individuals with chronic fatigue syndrome/myalgic encephalomyelitis: A community-based cross-sectional study from Spain
AU - Castro-Marrero, Jesús
AU - Faro, Mónica
AU - Zaragozá, María Cleofé
AU - Aliste, Luisa
AU - De Sevilla, Tomás Fernández
AU - Alegre, José
PY - 2019/6/28
Y1 - 2019/6/28
N2 - © 2019 The Author(s). Background: Few reports have examined the association between unemployment and work disability in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME). This study explored the key determinants of work disability in a CFS/ME cohort. Methods: A community-based prospective study included 1086 CFS/ME patients aged 18-65 years. Demographic and clinical characteristics and outcome measures were recorded. Multiple linear regression analysis was performed to identify key risk indicators of work disability. Results: Four hundred and fifty patients with CFS/ME were employed (41.4%) and 636 were unemployed (58.6%). Older age at pain onset (OR: 1.44; 95% CI: 1. 12-1.84, autonomic dysfunction (OR: 2.21; 95% CI: 1.71-2.87), neurological symptom (OR: 1.66; 95% CI: 1. 30-2.13) and higher scores for fatigue (OR: 2.61; 95% CI: 2.01-3.39), pain (OR: 2.09; 95% CI: 1.47-2.97), depression (OR: 1.98; 95% CI: 1. 20-3.26), psychopathology (OR: 1.98; 95% CI: 1.51-2.61) and sleep dysfunction (OR: 1.47; 95% CI: 1. 14-1.90) were all associated with a higher risk of work disability due to illness. Conclusions: Using an explanatory approach, our findings suggest that unemployment is consistently associated with an increased risk of work disability due to CFS/ME, although further more rigorous research is now needed to help in targeting interventions at the workplace.
AB - © 2019 The Author(s). Background: Few reports have examined the association between unemployment and work disability in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME). This study explored the key determinants of work disability in a CFS/ME cohort. Methods: A community-based prospective study included 1086 CFS/ME patients aged 18-65 years. Demographic and clinical characteristics and outcome measures were recorded. Multiple linear regression analysis was performed to identify key risk indicators of work disability. Results: Four hundred and fifty patients with CFS/ME were employed (41.4%) and 636 were unemployed (58.6%). Older age at pain onset (OR: 1.44; 95% CI: 1. 12-1.84, autonomic dysfunction (OR: 2.21; 95% CI: 1.71-2.87), neurological symptom (OR: 1.66; 95% CI: 1. 30-2.13) and higher scores for fatigue (OR: 2.61; 95% CI: 2.01-3.39), pain (OR: 2.09; 95% CI: 1.47-2.97), depression (OR: 1.98; 95% CI: 1. 20-3.26), psychopathology (OR: 1.98; 95% CI: 1.51-2.61) and sleep dysfunction (OR: 1.47; 95% CI: 1. 14-1.90) were all associated with a higher risk of work disability due to illness. Conclusions: Using an explanatory approach, our findings suggest that unemployment is consistently associated with an increased risk of work disability due to CFS/ME, although further more rigorous research is now needed to help in targeting interventions at the workplace.
KW - Chronic fatigue syndrome
KW - Comorbidity
KW - Myalgic encephalomyelitis
KW - Quality of life
KW - Unemployment
KW - Work disability
KW - Cross-Sectional Studies
KW - Humans
KW - Middle Aged
KW - Male
KW - Disabled Persons/statistics & numerical data
KW - Adult
KW - Female
KW - Unemployment/statistics & numerical data
KW - Spain/epidemiology
KW - Fatigue Syndrome, Chronic/epidemiology
UR - http://www.mendeley.com/research/unemployment-work-disability-individuals-chronic-fatigue-syndromemyalgic-encephalomyelitis-community
U2 - 10.1186/s12889-019-7225-z
DO - 10.1186/s12889-019-7225-z
M3 - Article
C2 - 31253111
SN - 1472-698X
VL - 19
JO - BMC Public Health
JF - BMC Public Health
M1 - 840
ER -
