Jordan R Kuiper1, Annemarie G Hirsch, Karen Bandeen-Roche, Agnes S Sundaresan, Bruce K Tan, Robert C Kern, Robert P Schleimer, Brian S Schwartz. 1. Department of Environmental Health and Engineering (Mr Kuiper, Dr Hirsch, Dr Schwartz); Department of Epidemiology and Health Services Research, Geisinger, Danville, Pennsylvania (Dr Hirsch, Dr Sundaresan, Dr Schwartz); Department of Biostatistics (Dr Bandeen-Roche), Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland; Department of Otolaryngology Head and Neck Surgery (Dr Tan, Dr Kern, Dr Schleimer); and Division of Allergy and Immunology, Department of Medicine (Dr Tan, Dr Kern, Dr Schleimer), Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Abstract
OBJECTIVE: Evaluate associations of nasal and sinus and related symptoms, as well as selected health conditions which produce those symptoms, with total lost productive time (LPT) at work in the past 2 weeks. METHODS: We used a cross-sectional analysis of 2402 currently working subjects. Self-reported physician diagnoses, condition statuses measured with standardized instruments, and symptom-based factor scores from an exploratory factor analysis were used in survey weighted log-binomial regression. RESULTS: Pain and pressure, nasal blockage and discharge, and asthma and constitutional symptom factor scores as well as self-reported allergic rhinitis were associated with higher total LPT. Individuals who met operationalized criteria for multiple health conditions, especially chronic rhinosinusitis, had the greatest total LPT. CONCLUSIONS: Better management of these symptoms, and awareness of how they impact an individual's ability to perform job-functions in the workplace, could improve overall productivity.
OBJECTIVE: Evaluate associations of nasal and sinus and related symptoms, as well as selected health conditions which produce those symptoms, with total lost productive time (LPT) at work in the past 2 weeks. METHODS: We used a cross-sectional analysis of 2402 currently working subjects. Self-reported physician diagnoses, condition statuses measured with standardized instruments, and symptom-based factor scores from an exploratory factor analysis were used in survey weighted log-binomial regression. RESULTS:Pain and pressure, nasal blockage and discharge, and asthma and constitutional symptom factor scores as well as self-reported allergic rhinitis were associated with higher total LPT. Individuals who met operationalized criteria for multiple health conditions, especially chronic rhinosinusitis, had the greatest total LPT. CONCLUSIONS: Better management of these symptoms, and awareness of how they impact an individual's ability to perform job-functions in the workplace, could improve overall productivity.
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