Sick Leave and Factors Influencing Sick Leave in Adult Patients with Atopic Dermatitis: A Cross-Sectional Study

Journal of Clinical Medicine

Harmieke van Os-Medendorp³  Simone Appelman-Noordermeer¹  Carla Bruijnzeel-Koomen³  Marjolein de Bruin-Weller³  Sebastien Barbarot² 

[1]Student Clinical Health Sciences, University Medical Centre Utrecht, Heidelberglaan 100, 3584CX Utrecht, The Netherlands

[2] E-Mail:Department of Dermatology/Allergology, University Medical Centre Utrecht, Heidelberglaan 100, 3584CX Utrecht, The Netherlands

[3]

[4]Department of Dermatology/Allergology, University Medical Centre Utrecht, Heidelberglaan 100, 3584CX Utrecht, The Netherlands

[5] E-Mails:

关键词: atopic dermatitis;    sick leave;    influencing factors;    quality of life;    socio-occupational factors;    severity;   

DOI  :  10.3390/jcm4040535

来源: mdpi

【 摘 要 】

Background: Little is known about the prevalence of sick leave due to atopic dermatitis (AD). The current literature on factors influencing sick leave is mostly derived from other chronic inflammatory diseases. This study aimed to determine the prevalence of sick leave due to AD and to identify influencing factors. Methods: A cross-sectional study was carried out in adult patients with AD. Outcome measures: sick leave during the two-week and one-year periods, socio-demographic characteristics, disease severity, quality of life and socio-occupational factors. Logistic regression analyses were used to determine influencing factors on sick leave over the two-week period. Results: In total, 253 patients were included; 12% of the patients had to take sick leave in the last two weeks due to AD and 42% in the past year. A higher level of symptom interference (OR 1.26; 95% CI 1.13–1.40) or perfectionism/diligence (OR 0.90; 95% CI 0.83–0.96) may respectively increase or decrease the number of sick leave days. Conclusion: Sick leave in patients with AD is a common problem and symptom interference and perfectionism/diligence appeared to influence it. Novel approaches are needed to deal with symptoms at work or school to reduce the amount of sick leave due to AD.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.