Source:Archives of Physical Medicine and Rehabilitation
Author(s): Mia Forslin, Katharina Fink, Ulf Hammar, Lena von Koch, Sverker Johansson
ObjectiveTo identify predictors for employment status after 10 years in a cohort of people with multiple sclerosis (MS), with the aim to increase knowledge concerning factors present at an early stage important for working life and work-life balance.DesignA 10-year longitudinal observational cohort study.SettingPeople with a definite MS diagnosis, who at inclusion were outpatients at an MS Centre at a university hospital in Stockholm, Sweden.ParticipantsA consecutive sample of 154 people with MS of working age were included at baseline of which a total of 116 people participated in the 10-year follow-up – 27 people declined participation and 11 were deceased.MethodsBaseline data on personal factors and functioning were used as independent variables. Employment status 10 years after baseline, categorized as full-time work, part-time work and no work, was used as the dependent variable. A generalized ordinal logistic regression was used to analyse the predictive value of the independent variables.InterventionsNot applicable.Main outcome measureEmployment status.ResultsPredictors for full- or part-time work after 10 years were young age (p=0.002), low perceived physical impact of MS (p=0.02), fatigue (p=0.03), full-time work (p=0.001) and high frequency of social/lifestyle activities (p=0.001) at baseline. Low perceived physical impact of MS (p=0.02) at baseline also predicted full-time work after 10 years.ConclusionsThis study underlines the complexity of working life for people with MS, and indicates that it may be valuable to give more attention to the balance between working and private life, both in clinical practice and future research, in order to achieve a sustainable working life over time.
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