Socioeconomic and Employment Status of Patients with Rheumatoid Arthritis in Korea
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OBJECTIVES: This study investigates the prevalence of rheumatoid arthritis (RA) by gender and socio-economic characteristics. It also explores the differences in the employment status between RA patients and the general population without RA in Korea. METHODS: We analyzed data from the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) conducted from 2007 to 2009. Prevalence rates were estimated for female and male patients with RA in terms of age, residence, education, income level, and occupation type. The female respondents aged 45 to 64 were divided into the RA population and the non-RA population in order to compare the employment status between the two groups. RESULTS: The annual physician-diagnosed RA prevalence rate was 1.45%. The prevalence rate was 2.27% for women and 0.62% for men. Individuals with RA had a significantly lower employment rate than individuals without RA (41.7 vs. 68.1%). The main reason for non-employment among RA patients was health-related problems (47.1%). There was statistically significant difference in employment type among the two groups. The experience rates for sick leave and sick-in-bed due to RA were 1.7 and 3.9%, respectively. CONCLUSION: Middle- and old-aged women accounted for the majority of the Korean RA population, which had a significant lower employment rate compared to the population without RA for both sexes. RA resulted in considerable productivity loss in Korea.
Abstract
OBJECTIVES: This study investigates the prevalence of rheumatoid arthritis (RA) by gender and socio-economic characteristics. It also explores the differences in the employment status between RA patients and the general population without RA in Korea. METHODS: We analyzed data from the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) conducted from 2007 to 2009. Prevalence rates were estimated for female and male patients with RA in terms of age, residence, education, income level, and occupation type. The female respondents aged 45 to 64 were divided into the RA population and the non-RA population in order to compare the employment status between the two groups. RESULTS: The annual physician-diagnosed RA prevalence rate was 1.45%. The prevalence rate was 2.27% for women and 0.62% for men. Individuals with RA had a significantly lower employment rate than individuals without RA (41.7 vs. 68.1%). The main reason for non-employment among RA patients was health-related problems (47.1%). There was statistically significant difference in employment type among the two groups. The experience rates for sick leave and sick-in-bed due to RA were 1.7 and 3.9%, respectively. CONCLUSION: Middle- and old-aged women accounted for the majority of the Korean RA population, which had a significant lower employment rate compared to the population without RA for both sexes. RA resulted in considerable productivity loss in Korea.
참고문헌 (20)
- 허남욱, "국민건강영양조사를 이용한 한국인 관절염의 유병률 현황과 연도별 변화", 대한류마티스학회지, 15(1), pp.11~26 (2008), 대한류마티스학회
- 김윤정, "한국인 류마티스관절염 환자의 특성 - 단일 기관 코호트 연구", 대한류마티스학회지, 16(3), pp.204~212 (2009), 대한류마티스학회
- 박성환, "전신성 홍반성 루푸스", 대한의사협회지, 52(7), pp.645~656 (2009), 대한의사협회
- 김진현, "류마티스 관절염의 약물치료(II): 사용중인 생물학적 제제 및 개발중인 약제", 대한의사협회지, 53(10), pp.880~888 (2010), 대한의사협회
- Kvien TK, "Epidemiology and burden of illness of rheumatoid arthritis", Pharmacoeconomics, 22, pp.1~12 (2004)
- Verstappen SM, "Overview of work disability in rheumatoid arthritis patients as observed in cross-sectional and longitudinal surveys", Arthritis Rheum, 51, pp.488~497 (2004)
- Eberhardt K, "Work disability in rheumatoid arthritis--development over 15 years and evaluation of predictive factors over time", J Rheumatol, 34, pp.481~487 (2007)
- Hallert E, "Rheumatoid arthritis is already expensive during the first year of the disease", Rheumatology, 43, pp.1374~1382 (2004)
- Lundkvist J, "The burden of rheumatoid arthritis and access to treatment: health burden and costs", Eur J Health Econ, 8, pp.49~60 (2008)
- Sokka T, "Work disability in early rheumatoid arthritis", Clin Exp Rheumatol, 21, pp.71~74 (2003)
- Yelin E, "Cost of musculoskeletal diseases: impact of work disability and functional decline", J Rheumatol Suppl, 68, pp.8~11 (2003)
- Burton W, "Systematic review of studies of productivity loss due to rheumatoid arthritis", Occup Med, 56, pp.18~27 (2006)
- Dunlop DD, "The costs of arthritis", Arthritis Rheum, 49, pp.101~113 (2003)
- Korea Centers for Disease Control and Prevention (KCDC), "The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-1)", KCDC, ~ (2008)
- Korea Centers for Disease Control and Prevention (KCDC), "The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-2)", KCDC, ~ (2009)
- Korea Centers for Disease Control and Prevention (KCDC), "The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-3)", KCDC, ~ (2010)
- Huscher D, "Cost of illness in rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis and systemic lupus erythematosus in Germany", Ann Rheum Dis, 65, pp.1175~1183 (2006)
- Verstappen SM, "Productivity costs among patients with rheumatoid arthritis: the influence of methods and sources to value loss of productivity", Ann Rheum Dis, 64, pp.1754~1760 (2005)
- Sullivan PW, "Influence of rheumatoid arthritis on employment, function, and productivity in a nationally representative sample in the United States", J Rheumatol, 37, pp.544~549 (2010)
- 이영미, "근로자의 건강문제에 따른 경제적 손실정도", Journal of Korean Academy of Nursing, 38(4), pp.612~619 (2008), 한국간호과학회