Reexamining the arthritis-employment interface: Perceptions of arthritis-work spillover among employed adults
Corresponding Author
Monique A. M. Gignac
Arthritis Community Research & Evaluation Unit, Toronto Western Research Institute at the University Health Network, Toronto, Ontario, Canada
University of Toronto, Toronto, Ontario, Canada
Arthritis Community Research & Evaluation Unit, The Toronto Western Research Institute, Main Pavilion, 10th floor, Room 10-316, 399 Bathurst Street, Toronto, Ontario, Canada M5T 2S8Search for more papers by this authorDeborah Sutton
Arthritis Community Research & Evaluation Unit, Toronto Western Research Institute at the University Health Network, Toronto, Ontario, Canada
Search for more papers by this authorElizabeth M. Badley
Arthritis Community Research & Evaluation Unit, Toronto Western Research Institute at the University Health Network, Toronto, Ontario, Canada
University of Toronto, Toronto, Ontario, Canada
Search for more papers by this authorCorresponding Author
Monique A. M. Gignac
Arthritis Community Research & Evaluation Unit, Toronto Western Research Institute at the University Health Network, Toronto, Ontario, Canada
University of Toronto, Toronto, Ontario, Canada
Arthritis Community Research & Evaluation Unit, The Toronto Western Research Institute, Main Pavilion, 10th floor, Room 10-316, 399 Bathurst Street, Toronto, Ontario, Canada M5T 2S8Search for more papers by this authorDeborah Sutton
Arthritis Community Research & Evaluation Unit, Toronto Western Research Institute at the University Health Network, Toronto, Ontario, Canada
Search for more papers by this authorElizabeth M. Badley
Arthritis Community Research & Evaluation Unit, Toronto Western Research Institute at the University Health Network, Toronto, Ontario, Canada
University of Toronto, Toronto, Ontario, Canada
Search for more papers by this authorAbstract
Objective
To examine employed individuals' perceptions of arthritis-work spillover (AWS), the reciprocal influence of arthritis on work and work on arthritis, and the demographic, illness, and work context factors associated with AWS.
Methods
The study group comprised 492 employed individuals with osteoarthritis or inflammatory arthritis. Participants completed an interview-administered, structured questionnaire assessing AWS, demographic (e.g., age, sex), illness (e.g., disease type, pain, activity limitations), and work context (e.g., workplace control, hours of work) variables. Principal components analysis, reliability analysis, and multiple linear regression were used to analyze the data.
Results
A single factor solution emerged for AWS. The scale had an internal reliability of 0.88. Respondents were more likely to report that work interfered with caring for their arthritis than they were to report that their disease affected their work performance. Younger respondents, those with more fatigue and workplace activity limitations, and those working in trades and transportation reported more AWS. Individuals with more control over their work schedules reported less AWS.
Conclusion
The results of this study extend research on arthritis by reexamining the interface between arthritis and employment. This study introduces a new measure of AWS that enhances the range of tools available to researchers and clinicians examining the impact of arthritis in individuals' lives.
REFERENCES
- 1
Allaire SH,
Anderson JJ,
Meenan RF.
Reducing work disability associated with rheumatoid arthritis: identification of additional risk factors and persons likely to benefit from intervention.
Arthritis Care Res
1996;
9:
349–57.
10.1002/1529-0131(199610)9:5<349::AID-ANR1790090503>3.0.CO;2-G CAS PubMed Web of Science® Google Scholar
- 2 Badley EM, Wang PP. The contribution of arthritis and arthritis disability to nonparticipation in the labor force: a Canadian example. J Rheumatol 2001; 28: 1077–82.
- 3 Barrett EM, Scott DG, Wiles NJ, Symmons DP. The impact of rheumatoid arthritis on employment status in the early years of disease: a UK community-based study. Rheumatology (Oxford) 2000; 39: 1403–9.
- 4 Boonen A, Chorus A, Miedema H, van der Heijde D, Landewe R, Schouten H, et al. Withdrawal from labour force due to work disability in patients with ankylosing spondylitis. Ann Rheum Dis 2001; 60: 1033–9.
- 5 Eberhardt K, Larsson BM, Nived K. Early rheumatoid arthritis: some social, economical, and psychological aspects. Scand J Rheumatol 1993; 22: 119–23.
- 6 Fex E, Larsson BM, Nived K, Eberhardt K. Effect of rheumatoid arthritis on work status and social and leisure time activities in patients followed 8 years from onset. J Rheumatol 1998; 25: 44–50.
- 7 Lacaille D, Sheps S, Spinelli JJ, Chalmers A, Esdaile JM. Identification of modifiable work-related factors that influence the risk of work disability in rheumatoid arthritis. Arthritis Rheum 2004; 51: 843–52.
- 8 Mau W, Listing J, Huscher D, Zeidler H, Zink A. Employment across chronic inflammatory rheumatic diseases and comparison with the general population. J Rheumatol 2005; 32: 721–8.
- 9 Reisine S, McQuillan J, Fifield J. Predictors of work disability in rheumatoid arthritis patients: a five-year followup. Arthritis Rheum 1995; 38: 1630–7.
- 10 Sokka T, Kautiainen H, Mottonen T, Hannonen P. Work disability in rheumatoid arthritis 10 years after the diagnosis. J Rheumatol 1999; 26: 1681–5.
- 11 Verstappen SM, Bijlsma JW, Verkleij H, Buskens E, Blaauw AA, ter Borg EJ, et al, and the Utrecht Rheumatoid Arthritis Cohort Study Group. Overview of work disability in rheumatoid arthritis patients as observed in cross-sectional and longitudinal surveys. Arthritis Rheum 2004; 51: 488–97.
- 12 Yelin E, Henke C, Epstein W. The work dynamics of the person with rheumatoid arthritis. Arthritis Rheum 1987; 30: 507–12.
- 13 Doeglas D, Suurmeijer T, Krol B, Sanderman R, van Leeuwen M, van Rijswijk M. Work disability in early rheumatoid arthritis. Ann Rheum Dis 1995; 54: 455–60.
- 14 Reisine ST, Grady KE, Goodenow C, Fifield J. Work disability among women with rheumatoid arthritis: the relative importance of disease, social, work, and family factors. Arthritis Rheum 1989; 32: 538–43.
- 15 Wolfe F, Hawley DJ. The longterm outcomes of rheumatoid arthritis: work disability: a prospective 18 year study of 823 patients. J Rheumatol 1998; 25: 2108–17.
- 16 Young A, Dixey J, Kulinskaya E, Cox N, Davies P, Devlin J, et al. Which patients stop working because of rheumatoid arthritis? Results of five years' follow up in 732 patients from the Early RA Study (ERAS). Ann Rheum Dis 2002; 61: 335–40.
- 17 Backman CL, Kennedy SM, Chalmers A, Singer J. Participation in paid and unpaid work by adults with rheumatoid arthritis. J Rheumatol 2004; 31: 47–56.
- 18 Chorus AM, Miedema HS, Wevers CW, van der Linden S. Work factors and behavioural coping in relation to withdrawal from the labour force in patients with rheumatoid arthritis. Ann Rheum Dis 2001; 60: 1025–32.
- 19 Allaire SH, Li W, LaValley MP. Reduction of job loss in persons with rheumatic diseases receiving vocational rehabilitation: a randomized controlled trial. Arthritis Rheum 2003; 48: 3212–8.
- 20 Gignac MA, Badley EM, Lacaille D, Cott CC, Adam P, Anis AH. Managing arthritis and employment: making arthritis-related work changes as a means of adaptation. Arthritis Rheum 2004; 51: 909–16.
- 21 Gignac MA. Arthritis and employment: an examination of behavioral coping efforts to manage workplace activity limitations. Arthritis Rheum 2005; 53: 328–36.
- 22 Liedberg GM, Henriksson CM. Factors of importance for work disability in women with fibromyalgia: an interview study. Arthritis Rheum 2002; 47: 266–74.
- 23 Mancuso CA, Paget SA, Charlson ME. Adaptations made by rheumatoid arthritis patients to continue working: a pilot study of workplace challenges and successful adaptations. Arthritis Care Res 2000; 13: 89–99.
- 24 Yelin E, Sonneborn D, Trupin L. The prevalence and impact of accommodations on the employment of persons 51–61 years of age with musculoskeletal conditions. Arthritis Care Res 2000; 13: 168–76.
- 25 Karasek R, Theorell T. Healthy work: stress, productivity, and reconstruction of working life. New York: Basic Books; 1990.
- 26
Landsbergis PA,
Schnall P,
Schwartz J,
Warren K,
Pickering TG.
Job strain, hypertension, and cardiovascular disease: recommendations for further research. In:
SL Sauter,
LR Murphy, editors.
Organizational risk factors for job stress.
Washington (DC):
American Psychological Association;
1995. p.
97–112.
10.1037/10173-006 Google Scholar
- 27 Lundberg U. Stress responses in low-status jobs and their relationship to health risks: musculoskeletal disorders. Ann N Y Acad Sci 1999; 896: 162–72.
- 28 Nahit ES, Hunt IM, Lunt M, Dunn G, Silman AJ, Macfarlane GJ. Effects of psychosocial and individual psychological factors on the onset of musculoskeletal pain: common and site-specific effects. Ann Rheum Dis 2003; 62: 755–60.
- 29 North FM, Syme SL, Feeney A, Shipley M, Marmot M. Psychosocial work environment and sickness absence among British civil servants: the Whitehall II study [published erratum appears in Am J Public Health 1996;86:1093]. Am J Public Health 1996; 86: 332–40.
- 30 Bolger N, DeLongis A, Kessler RC, Wethington E. The contagion of stress across multiple roles. J Marriage Fam 1989; 51: 175–83.
- 31 Frone MR, Russell M, Barnes GM. Work-family conflict, gender, and health-related outcomes: a study of employed parents in two community samples. J Occup Health Psychol 1996; 1: 57–69.
- 32 Grzywacz JG, Marks NF. Reconceptualizing the work-family interface: an ecological perspective on the correlates of positive and negative spillover between work and family. J Occup Health Psychol 2000; 5: 111–26.
- 33 Gutek BA, Searle S, Klepa L. Rational versus gender role explanations for work-family conflict. J Appl Psychol 1991; 76: 560–8.
- 34 Gignac MA, Kelloway EK, Gottlieb BH. The impact of caregiving on employment: a mediational model of work-family conflict. Can J Aging 1996; 15: 525–42.
- 35 Grant-Vallone EJ, Donaldson SI. Consequences of work-family conflict on employee well-being over time. Work Stress 2001; 15: 214–26.
- 36 Danna K, Griffin RW. Health and well-being in the workplace: a review and synthesis of the literature. J Management 1999; 25: 357–84.
- 37 Fox ML, Dwyer DJ, Ganster DC. Effects of stressful job demands and control on physiological and attitudinal outcomes in a hospital setting. Acad Manage J 1993; 36: 289–318.
- 38 Gignac MA, Davis AM, Hawker G, Wright JG, Mahomed N, Fortin P, et al. “What do you expect, you're just getting older”: a comparison of perceived OA-related and aging-related health changes. Submitted for publication.
- 39 Hawker GA, Wright JG, Coyte PC, Williams JI, Harvey B, Glazier R, et al. Determining the need for hip and knee arthroplasty: the role of clinical severity and patients' preferences. Med Care 2001; 39: 206–16.
- 40 Fries JF, Spitz P, Kraines RG, Holman HR. Measurement of patient outcome in arthritis. Arthritis Rheum 1980; 23: 137–45.
- 41 Duke University Center for the Study of Aging and Human Development. Multidimensional functional assessment: the OARS methodology. 2nd ed. Durham (NC): Duke University; 1978.
- 42 National Occupation Classification Matrix 2001. Ottawa: Human Resources Development Canada. URL: www23.hrdc-drhc.gc.ca/2001/e/generic/welcome.shtml.
- 43 Hair JF, Anderson RE, Tatham RL, Black WC. Multivariate data analysis with readings. New York: Macmillan Publishing; 1992.
- 44 Tabachnick BG, Fidell LS. Using multivariate statistics. 2nd ed. New York: Harper Collins Publishers; 1989.
- 45 Fifield J, Reisine S, Sheehan TJ, McQuillan J. Gender, paid work, and symptoms of emotional distress in rheumatoid arthritis patients. Arthritis Rheum 1996; 39: 427–35.
- 46 Reisine S, Fifield J, Walsh SJ, Feinn R. Factors associated with continued employment among patients with rheumatoid arthritis: a survival model. J Rheumatol 2001; 28: 2400–8.
- 47 Belza BL, Henke CJ, Yelin EH, Epstein WV, Gilliss CL. Correlates of fatigue in older adults with rheumatoid arthritis. Nurs Res 1993; 42: 93–9.
- 48 Wolfe F, Hawley DJ, Wilson K. The prevalence and meaning of fatigue in rheumatic disease. J Rheumatol 1996; 23: 1407–17.
- 49 Kaarela K, Lehtinen K, Luukkainen R. Work capacity of patients with inflammatory joint diseases: an eight-year follow-up study. Scand J Rheumatol 1987; 16: 403–6.
- 50 Meenan RF, Yelin EH, Nevitt M, Epstein WV. The impact of chronic disease: a sociomedical profile of rheumatoid arthritis. Arthritis Rheum 1981; 24: 544–9.