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Prevalence and associated risk factors for work disability in E gyptian patients with ankylosing spondylitis from one center
Author(s) -
AbdulSattar Amal,
Abou El Magd Sahar
Publication year - 2017
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/1756-185x.12306
Subject(s) - medicine , ankylosing spondylitis , confidence interval , odds ratio , logistic regression , cross sectional study , physical therapy , pathology
Objective To determine the prevalence of work disability ( WD ) in E gyptian patients with ankylosing spondylitis ( AS ) and to identify the main factors associated with this. Methods A cross‐sectional survey was conducted among all patients with AS during an extended outpatient visit in the period between July, 2011 and December, 2012. Demographic data were collected and a physical examination was performed. Multivariate modeling was applied to determine the factors associated with work disability. Results The questionnaire was completed by 90 patients (85 males; 94.4%). The mean age of the participants was 37.8 ( SD 9.7) years, mean disease duration was 12.1 ( SD 8.9) years, and the mean symptom duration was 15 ( SD 2.9) years. A total of 36 (40%) patients of working age were not working due to AS . The factors that associated with work disability, after completing logistic regression models, were older age (odds ratio [ OR ] = 1.8, 95%, confidence interval [ CI ] = 1.04–1.17), longer disease duration ( OR = 1.60, 95% CI = 1.12–2.8), increasing diagnostic delay ( OR = 2.1, 95% CI = 1.0–3.4), lower educational level ( OR = 3.5, 95% CI = 1.6–6.4), manual profession ( OR = 1.80, 95% CI = 1.10–2.6), living in a rural zone ( OR = 3.14, 95% CI = 1.98–5.05), peripheral arthritis ( OR = 2.04, 95% CI = 1.20–3.43) and psychological symptoms ( OR = 2.3, 95% CI = 1.9–4.6). Conclusion The prevalence of WD among E gyptian patients with AS is considerably high. Clinical and psychosocial factors, in particular, appear to be associated with WD and should therefore be prioritized in clinical practice.