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https://ahro.austin.org.au/austinjspui/handle/1/17495| Title: | Working while unwell: Workplace impairment in people with severe asthma. | Austin 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, Victoria, 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, Victoria, Australia Department of Medicine, Melbourne Clinical School, University of Melbourne, Melbourne, Victoria, Australia Department of Respiratory and Sleep Disorders Medicine, Western Health, Footscray, Victoria, 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, Victoria, Australia Department of Thoracic Medicine, Frankston Hospital, Frankston, Victoria, 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, Victoria, 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: | 2018 | Date: | 2018-04-20 | Publication information: | Clinical and experimental allergy 2018; 48(6): 650-662 | 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: | https://ahro.austin.org.au/austinjspui/handle/1/17495 | DOI: | 10.1111/cea.13153 | ORCID: | 0000-0002-2723-2798 | Journal: | Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology | 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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