Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/17495
Title: Working while unwell: Workplace impairment in people with severe asthma.
Authors: Hiles, Sarah A;Harvey, Erin S;McDonald, Vanessa M;Peters, Matthew;Bardin, Philip;Reynolds, Paul N;Upham, John W;Baraket, Melissa;Bhikoo, Zaheerodin;Bowden, Jeffrey;Brockway, Ben;Chung, Li Ping;Cochrane, Belinda;Foxley, Gloria;Garrett, Jeffrey;Hew, Mark;Jayaram, Lata;Jenkins, Christine;Katelaris, Constance;Katsoulotos, Gregory;Koh, Mariko S;Kritikos, Vicky;Lambert, Marina;Langton, David;Rivero, Alexis Lara;Marks, Guy B;Middleton, Peter G;Nanguzgambo, Aldoph;Radhakrishna, Naghmeh;Reddel, Helen;Rimmer, Janet;Southcott, Anne Marie;Sutherland, Michael F;Thien, Francis;Wark, Peter Ab;Yang, Ian A;Yap, Elaine;Gibson, Peter G
Affiliation: Centre of Excellence in Severe Asthma and Priority Research Centre for Healthy Lungs, Faculty of Health, University of Newcastle, Callaghan, NSW, Australia
Department of Respiratory and Sleep Medicine, John Hunter Hospital, New Lambton Heights, NSW, Australia
Department of Thoracic Medicine, Concord Hospital, Concord, NSW, Australia
Lung and Sleep Medicine, Monash University and Medical Centre, Clayton, VIC, Australia
Lung Research, Hanson Institute and Department of Thoracic Medicine, Royal Adelaide Hospital, Adelaide, SA, Australia
Department of Respiratory Medicine, Princess Alexandra Hospital, Woolloongabba, QLD, Australia
The University of Queensland Diamantina Institute, Woolloongabba, QLD, Australia
Department of Respiratory Medicine, Liverpool Hospital School of Medicine, UNSW Sydney, Liverpool, NSW, Australia
Respiratory Department, Waikato Hospital, Hamilton, New Zealand
Department of Respiratory, Allergy and Sleep Medicine, Flinders Medical Centre, Bedford Park, SA, Australia
Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
Department of Respiratory Medicine, Fiona Stanley Hospital, Murdoch, WA, Australia
Department of Respiratory and Sleep Medicine, Campbelltown Hospital, Campbelltown, NSW, Australia
School of Medicine, Western Sydney University, Campbelltown, NSW, Australia
Woolcock Institute of Medical Research, Glebe, NSW, Australia
Respiratory Department, Middlemore Hospital, Auckland, New Zealand
Difficult Asthma Clinic, Allergy, Asthma& Clinical Immunology, Alfred Health, Melbourne, VIC, Australia
Department of Medicine, Melbourne Clinical School, University of Melbourne, Melbourne, VIC, Australia
Department of Respiratory and Sleep Disorders Medicine, Western Health, Footscray, VIC, Australia
Concord Clinical School and Respiratory Discipline, University of Sydney, Concord, NSW, Australia
The George Institute for Global Health, Newtown, NSW, Australia
Respiratory Medicine, UNSW Sydney, Liverpool, NSW, Australia
Immunology Department, Campbelltown Hospital, Campbelltown, NSW, Australia
St George Specialist Centre, Sydney, NSW, Australia
Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore
Duke - National University Singapore Medical School, Singapore
Department of Respiratory Medicine, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
Respiratory Services, MidCentral Health, Palmerston North Hospital, Palmerston North, New Zealand
Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia
Department of Thoracic Medicine, Frankston Hospital, Frankston, VIC, Australia
South Western Sydney Clinical School, UNSW Sydney, Liverpool, NSW, Australia
Sydney Medical School, University of Sydney, Camperdown, NSW, Australia
Ludwig Engel Centre for Respiratory Research, Westmead Institute of Medical Research, Westmead, NSW, Australia
Department of Respiratory and Sleep Medicine, Westmead Hospital, Westmead, NSW, Australia
St Vincent's Clinic, Darlinghurst, NSW, Australia
Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia
Department of Respiratory Medicine, Eastern Health and Monash University, Box Hill, VIC, Australia
The Prince Charles Hospital, Metro North Hospital and Health Service, Chermside West, QLD, Australia
UQ Thoracic Research Centre, Faculty of Medicine, The University of Queensland, Chermside, QLD, Australia
Issue Date: 20-Apr-2018
EDate: 2018
Citation: Clinical and experimental allergy 2018; online first: 20 April
Abstract: Severe asthma affects quality of life; however, its impact on workplace productivity is poorly understood. To compare workplace productivity - absenteeism and presenteeism - and impairment in daily activities in severe and non-severe asthma over time and identify characteristics associated with presenteeism in severe asthma. The Severe Asthma Web-based Database (SAWD) is an ongoing observational registry from Australia, New Zealand and Singapore. At April 2017, 434 patients with severe asthma and 102 with non-severe asthma were enrolled (18 to 88 years; 59% female). Participants provided comprehensive clinical and questionnaire data at baseline and were followed-up every 6 months for 24 months. Absenteeism (percentage of time not at work), presenteeism (self-reported impairment at work) and impairment in daily activities outside work due to health problems in the last week were calculated. At baseline, 61.4% of participants with severe asthma and 66.2% with non-severe asthma under 65 years were employed. At younger ages (30-50 years), fewer severe asthma participants were employed (69% vs 100%). Presenteeism and impairment in daily activity were more frequently reported in severe asthma and in participants with poorer asthma control, poorer lung function and more past-year exacerbations (p<0.01). Over time, deteriorating asthma control was associated with increasing presenteeism. Although absenteeism was not different between severe and non-severe asthma, worse asthma control was associated with absenteeism (p<0.001). In participants with severe asthma, presenteeism was reported more frequently in those with poorer asthma control, poorer asthma-related quality of life and symptoms of depression or anxiety (p<0.01). Severe asthma was associated with impairment at work and outside the workplace. Improving asthma control and mental health may be important targets for optimising workplace productivity in severe asthma. Presenteeism and absenteeism may represent key metrics for assessing intervention efficacy in people with severe asthma of working age. This article is protected by copyright. All rights reserved.
URI: http://ahro.austin.org.au/austinjspui/handle/1/17495
DOI: 10.1111/cea.13153
PubMed URL: 29676834
Type: Journal Article
Subjects: Severe asthma
absenteeism
presenteeism
registry
work disability
workplace productivity
Appears in Collections:Journal articles

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