The British Journal of Rheumatology, Vol 37, 848-853, Copyright © 1998 by British Society for Rheumatology
CH van Jaarsveld, JW Jacobs, AJ Schrijvers, GA van Albada-Kuipers, DM Hofman and JW Bijlsma
OBJECTIVE: To study the effect of rheumatoid arthritis (RA) on working
capabilities and social participation, including non-paying jobs, during
the first 6 yr of disease. DESIGN: Cross-sectional study. METHODS: In April
1996, a self-reporting questionnaire was sent to 424 participants of a
population-based clinical trial of therapeutic strategies for early RA
initiated in 1990. RESULTS: A total of 363 completed questionnaires were
returned (response = 86%). Disease duration varied from < 1 to 6 yr
(mean 2.8 yr). The employment rate was low in the RA population compared to
the Dutch population. In the male 45- to 64-yr-old group, 63% of RA
patients were not employed compared to 32% of the Dutch population (P <
0.01). In the female 45- to 64-yr- old group, 76% of the RA population vs
67% of the Dutch were not employed (P < 0.05). Of the employed patients,
59% reported that RA affected their working capabilities, e.g. they worked
an average of 21 h per week less due to RA. Of the patients without a
paying job, 41% believed that this was (partly) due to RA. In addition,
fewer RA patients had non-paying jobs and they performed fewer household
activities compared to the general Dutch population. CONCLUSION: RA already
has a negative influence on the working capabilities, social participation
and household activities of these patients during the first 6 yr of
disease.
ORIGINAL PAPERS
Effects of rheumatoid arthritis on employment and social participation during the first years of disease in The Netherlands
Rheumatic Research Foundation Utrecht, and Department of Rheumatology & Clinical Immunology, University Hospital Utrecht, The Netherlands.
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