Joris A F Van Loenhout1, Jeannine L A Hautvast2, Reinier P Akkermans2, Nathalie C G M Donders3, Jan H Vercoulen4, W John Paget5, Koos van der Velden2. 1. Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Centre, the Netherlands joris.vanloenhout@radboudumc.nl. 2. Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Centre, the Netherlands. 3. Occupational Health, Department of Primary and Community Care, Radboud University Medical Centre, the Netherlands. 4. Department of Medical Psychology, Radboud University Medical Centre, the Netherlands. 5. Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Centre, the Netherlands Netherlands Institute for Health Services Research (NIVEL), Utrecht, the Netherlands.
Abstract
AIMS: The aim of the study was to assess long-term work participation of Q-fever patients and patients with Legionnaires' disease, and to identify which factors are associated with a reduced work participation in Q-fever patients. METHODS: Q-fever patients participated at four time points until 12 months after onset of illness, patients with Legionnaires' disease only at 12 months. Data were self-reported using questionnaires on the amount of hours that patients worked, and on socio-demographic, medical, psychosocial and lifestyle aspects. RESULTS: Our study included 336 Q-fever patients and 190 patients with Legionnaires' disease. There was a decrease in the proportion of Q-fever patients with reduced work participation over time, from 45% at 3 months to 19% at 12 months (versus 15% of patients with Legionnaires' disease at 12 months). Factors associated with reduced work participation of Q-fever patients in a multivariate model were having symptoms, a higher level of sorrow, being a former smoker (compared to never smoking), not consuming any alcohol and following additional treatment for the long-term health effects of Q-fever. CONCLUSIONS: Despite an increase in work participation of Q-fever patients over time, almost one in five Q-fever patients and one in six patients with Legionnaires' disease still suffer from reduced work participation at 12 months. Occupational and insurance physicians need to be aware of the long-term impact of these diseases on work participation.
AIMS: The aim of the study was to assess long-term work participation of Q-feverpatients and patients with Legionnaires' disease, and to identify which factors are associated with a reduced work participation in Q-feverpatients. METHODS:Q-feverpatients participated at four time points until 12 months after onset of illness, patients with Legionnaires' disease only at 12 months. Data were self-reported using questionnaires on the amount of hours that patients worked, and on socio-demographic, medical, psychosocial and lifestyle aspects. RESULTS: Our study included 336 Q-feverpatients and 190 patients with Legionnaires' disease. There was a decrease in the proportion of Q-feverpatients with reduced work participation over time, from 45% at 3 months to 19% at 12 months (versus 15% of patients with Legionnaires' disease at 12 months). Factors associated with reduced work participation of Q-feverpatients in a multivariate model were having symptoms, a higher level of sorrow, being a former smoker (compared to never smoking), not consuming any alcohol and following additional treatment for the long-term health effects of Q-fever. CONCLUSIONS: Despite an increase in work participation of Q-feverpatients over time, almost one in five Q-feverpatients and one in six patients with Legionnaires' disease still suffer from reduced work participation at 12 months. Occupational and insurance physicians need to be aware of the long-term impact of these diseases on work participation.
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