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| 發表人 | 討論主題 | 發表時間 | 討論數 |
| 李建達 | 間質性膀胱炎/膀胱疼痛症候群對女性工作和收入的影響: 以全國家庭為樣本 | 2015/3/31 上午 11:35:26 | 0 |
| 原 文 | 題 目 | Consequences of Interstitial Cystitis/Bladder Pain Symptoms on Women’s Work Participation and Income: Results from a National Household Sample |
| 作 者 | Megan K. Beckett, Marc N. Elliott, J. Quentin Clemens, Brett Ewing, and Samdre J. Berry | |
| 出 處 | Journal of Urology. 2014 Jan;191(1):83-88 | |
| 出版日期 | January, 2014 | |
| 評 論 |
目的： 探討全美國女性因間質性膀胱炎/膀胱疼痛症候群及合併症對工作參與和收入的影響 方法： 從2767位年紀低於65歲患有間質性膀胱炎/膀胱疼痛症候群的病人資料作與交叉比對，資料來自於間質性膀胱炎流行病學調查機構RAND Interstitial Cystitis Epidemiology (RICE)，並且包含病人從患病後之自我回顧問卷;如生活影響、嚴重性、發病起始年和其他合併症(憂鬱症狀與其他)，與工作和收入及個人特質。利用多重迴歸預測分類五種工作結果; 有工作、因為疼痛而提早下班、請假、受疼痛影響但持續工作與患病後收入的改變。 結果： 從尚未得病的時間當為控制組與發病後的症狀與個人特質來比較，症狀越重的患者有更多的機會未來不工作、更多提早下班、多請假或多抱病上班。多種憂鬱或其他併發症減少了工作的參與度。女性病患在患病之後並沒有增加收入，病情嚴重程度與經濟收入並無影響。 結論： 間質性膀胱炎/膀胱疼痛症候群症狀影響越強，憂鬱症狀與其他合併症(但與病狀嚴重度無關)都會影響女性工作參與度與長期收入，改善病情與憂鬱程度會增加女性工作的效率。 |
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| abstract |
Abstract Purpose—To describe differences in work participation and income by bladder symptom impact and comorbidities among women with interstitial cystitis/bladder pain syndrome (IC/BPS). Materials and Methods—Cross-sectional data from2767 respondents under age 65 identified with IC/BPS symptoms analyzed. The data are from the RAND Interstitial Cystitis Epidemiology (RICE) survey and include retrospective self-reports of IC/BPS impact, severity, years since onset, and related comorbidities (depressive symptomology, number of conditions), work participation and income, and personal characteristics. Multiple regressions predicted five current work outcomes: works now, kept from working by pain, missed work days, days worked when bothered by symptoms and real income change since symptom onset. Results—Controlling for work status at symptom onset and personal characteristics, greater bladder symptom impact predicted greater likelihood of not now working, kept more days from working by pain, missed more work days, and working more days with symptoms. More depressive symptomology and greater number of co-morbidities predicted reduced work participation. Women experienced no growth in real income since symptom onset. Measures of symptom severity were not associated with any of the economic outcomes. Conclusions—Greater IC/BPS symptom impact, depressive symptomology, and count of comorbidities (but not symptom severity) were each associated with less work participation and leveling of women’s long-term earnings. Management of bladder symptom impact on non-workrelated activities and depressive symptomology may improve women’s work outcomes. Keywords Interstitial cystitis/bladder pain syndrome; probability sample; employment |
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