Employment and the role of personal factors among patients with ankylosing spondylitis: a Dutch cross-sectional case-control study

Casper Webers; Laura Vanhoof; Simon van Genderen; Liesbeth Heuft; Mart van de Laar; Jolanda Luime; Desiree van der Heijde; Floris A. van Gaalen; Anneke Spoorenberg; Annelies Boonen

doi:10.1136/rmdopen-2018-000680

Employment and the role of personal factors among patients with ankylosing spondylitis: a Dutch cross-sectional case-control study

Casper Webers^*, Laura Vanhoof, Simon van Genderen, Liesbeth Heuft, Mart van de Laar, Jolanda Luime, Desiree van der Heijde, Floris A. van Gaalen, Anneke Spoorenberg, Annelies Boonen

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objectives To update the knowledge on employment and the role of mastery, a personal factor reflecting the level of control over life and disease, among Dutch patients with ankylosing spondylitis (AS) compared to general population subjects.

Methods Data of persons

Results 214 patients and 470 controls (127 (59.3%) and 323 (68.7%) males; mean age 48.3 (SD 10.4) and 39.3 (SD 12.7) years, respectively) completed an online questionnaire. SER (95%CI) in patients was 0.83 (0.69-0.98); 0.84 (0.67-1.04) in males; 0.83 (0.59-1.07) in females. Adjusted absolute employment of patients compared to controls was 69% versus 84%; 73% versus 86% for males; 62% versus 78% for females. In multivariable analyses stratified for patients and controls, mastery was associated with being employed in patients, but only in those with low education. In controls, not mastery but higher education was associated with being employed.

Conclusion Our study reveals that patients suffering from AS compared to population controls are less likely to be employed. Mastery is an important personal factor associated with employment in patients but not in controls. Interventions aimed at improving employment of patients with AS should likely account for mastery.

Original language	English
Article number	000680
Pages (from-to)	1-10
Number of pages	10
Journal	RMD Open
Volume	4
Issue number	1
DOIs	https://doi.org/10.1136/rmdopen-2018-000680
Publication status	Published - Feb 2018

Keywords

WORK-PARTICIPATION
IMPACT
PERSPECTIVES

Access to Document

10.1136/rmdopen-2018-000680Licence: CC BY-NC

Cite this

Webers, C., Vanhoof, L., van Genderen, S., Heuft, L., van de Laar, M., Luime, J., van der Heijde, D., van Gaalen, F. A., Spoorenberg, A., & Boonen, A. (2018). Employment and the role of personal factors among patients with ankylosing spondylitis: a Dutch cross-sectional case-control study. RMD Open, 4(1), 1-10. Article 000680. https://doi.org/10.1136/rmdopen-2018-000680

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abstract = "Objectives To update the knowledge on employment and the role of mastery, a personal factor reflecting the level of control over life and disease, among Dutch patients with ankylosing spondylitis (AS) compared to general population subjects.Methods Data of personsResults 214 patients and 470 controls (127 (59.3%) and 323 (68.7%) males; mean age 48.3 (SD 10.4) and 39.3 (SD 12.7) years, respectively) completed an online questionnaire. SER (95%CI) in patients was 0.83 (0.69-0.98); 0.84 (0.67-1.04) in males; 0.83 (0.59-1.07) in females. Adjusted absolute employment of patients compared to controls was 69% versus 84%; 73% versus 86% for males; 62% versus 78% for females. In multivariable analyses stratified for patients and controls, mastery was associated with being employed in patients, but only in those with low education. In controls, not mastery but higher education was associated with being employed.Conclusion Our study reveals that patients suffering from AS compared to population controls are less likely to be employed. Mastery is an important personal factor associated with employment in patients but not in controls. Interventions aimed at improving employment of patients with AS should likely account for mastery.",

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author = "Casper Webers and Laura Vanhoof and {van Genderen}, Simon and Liesbeth Heuft and {van de Laar}, Mart and Jolanda Luime and {van der Heijde}, Desiree and {van Gaalen}, {Floris A.} and Anneke Spoorenberg and Annelies Boonen",

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AU - Heuft, Liesbeth

AU - van de Laar, Mart

AU - Luime, Jolanda

AU - van der Heijde, Desiree

AU - van Gaalen, Floris A.

AU - Spoorenberg, Anneke

AU - Boonen, Annelies

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N2 - Objectives To update the knowledge on employment and the role of mastery, a personal factor reflecting the level of control over life and disease, among Dutch patients with ankylosing spondylitis (AS) compared to general population subjects.Methods Data of personsResults 214 patients and 470 controls (127 (59.3%) and 323 (68.7%) males; mean age 48.3 (SD 10.4) and 39.3 (SD 12.7) years, respectively) completed an online questionnaire. SER (95%CI) in patients was 0.83 (0.69-0.98); 0.84 (0.67-1.04) in males; 0.83 (0.59-1.07) in females. Adjusted absolute employment of patients compared to controls was 69% versus 84%; 73% versus 86% for males; 62% versus 78% for females. In multivariable analyses stratified for patients and controls, mastery was associated with being employed in patients, but only in those with low education. In controls, not mastery but higher education was associated with being employed.Conclusion Our study reveals that patients suffering from AS compared to population controls are less likely to be employed. Mastery is an important personal factor associated with employment in patients but not in controls. Interventions aimed at improving employment of patients with AS should likely account for mastery.

AB - Objectives To update the knowledge on employment and the role of mastery, a personal factor reflecting the level of control over life and disease, among Dutch patients with ankylosing spondylitis (AS) compared to general population subjects.Methods Data of personsResults 214 patients and 470 controls (127 (59.3%) and 323 (68.7%) males; mean age 48.3 (SD 10.4) and 39.3 (SD 12.7) years, respectively) completed an online questionnaire. SER (95%CI) in patients was 0.83 (0.69-0.98); 0.84 (0.67-1.04) in males; 0.83 (0.59-1.07) in females. Adjusted absolute employment of patients compared to controls was 69% versus 84%; 73% versus 86% for males; 62% versus 78% for females. In multivariable analyses stratified for patients and controls, mastery was associated with being employed in patients, but only in those with low education. In controls, not mastery but higher education was associated with being employed.Conclusion Our study reveals that patients suffering from AS compared to population controls are less likely to be employed. Mastery is an important personal factor associated with employment in patients but not in controls. Interventions aimed at improving employment of patients with AS should likely account for mastery.

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