青壮年前发病的 IBD 患者的劳动力市场参与和收入情况--疾病严重程度和心理健康的作用。

Julie Rasmussen, Bente Mertz Nørgård, Henrik Bøggild, Niels Qvist, Åsa H Everhov, Petter Malmborg, Rasmus Gaardskær Nielsen, René Børge Korsgaard Brund, Kirsten Fonager
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引用次数: 0

摘要

背景和目的:只有少数研究探讨了儿童或青年时期被诊断出患有炎症性肠病(IBD)所带来的社会经济后果。疾病的严重程度与较低的收入有关,但很少有人关注合并的精神健康状况。本研究旨在调查儿童或青少年时期发病的炎症性肠病患者的劳动力市场参与率(LMP)和收入情况,并研究疾病严重程度和精神健康状况对劳动力市场参与率的影响:在这项以登记为基础的队列研究中,我们纳入了 25 岁前发病的 IBD 患者和匹配的比较者。我们估算了低 LMP 的相对风险 (RR) 以及 26-30 岁期间的年收入中位数。我们还根据疾病严重程度(重度/非重度)和精神健康状况(是/否)对亚组患者的低LMP相对风险进行了评估:共纳入了 3,398 名 IBD 患者和 28,207 名比较者。总体而言,IBD 患者的 LMP 较低(16.4% 对 14.4%),但收入略高(30 岁时的年收入差异中位数:1,141 欧元 [95% CI:483-1,798])。在亚组分析中,只有重度 IBD 患者的低 LMP 风险较高(RR 1.46 [95% CI 1.23-1.72]),而非重度 IBD 患者的低 LMP 风险较低。在有严重疾病和精神健康状况的患者中,46%的患者有低 LMP(RR 5.03 [95% CI 4.38-5.78]):结论:IBD 患者的低 LMP 更常见,但他们的收入并未受到影响。有严重疾病和精神健康状况的亚组患者出现低 LMP 的风险最高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Labour market participation and income in patients with IBD onset before young adulthood - the role of disease severity and mental health.

Background and aim: Only few studies have examined the socioeconomic consequences of being diagnosed with inflammatory bowel disease (IBD) in childhood or youth. Disease severity has been linked to lower earnings, but little attention has been paid to comorbid mental health conditions. The aim is to examine labour market participation (LMP) and income in patients with IBD-onset in childhood or youth and examine how disease severity and mental health conditions affects LMP.

Methods: In this register-based cohort study, we included patients with IBD-onset before 25 years of age and matched comparators. We estimated the relative risk (RR) of having low LMP and the median yearly income from ages 26 to 30. RR of low LMP was also assessed in subgroups of patients based on disease severity (severe/non-severe) and mental health conditions (yes/no).

Results: A total of 3,398 patients with IBD and 28,207 comparators were included. Overall, patients with IBD more often had low LMP (16.4% vs 14.4% in comparators), but slightly higher income (median yearly income difference at age 30: 1,141 Euro [95% CI: 483-1,798]). In subgroup analyses, only patients with severe IBD had higher risk of low LMP (RR 1.46 [95% CI 1.23-1.72]), not patients with non-severe IBD. Among patients with severe disease and mental health conditions 46% had low LMP (RR 5.03 [95% CI 4.38-5.78]).

Conclusion: Patients with IBD more often had low LMP, but their income was not affected. The subgroup of patients with severe disease and mental health conditions had the highest risk of low LMP.

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