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首页> 外文期刊>Occupational and environmental medicine >Employment characteristics and job loss in patients awaiting surgery on the hip or knee.
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Employment characteristics and job loss in patients awaiting surgery on the hip or knee.

机译：等待髋部或膝盖手术的患者的就业特征和失业。

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AIMS: To investigate the factors, including size of organisation, associated with job loss in patients awaiting surgery to the hip or knee joint. METHODS: A questionnaire was mailed to 498 consecutive patients of working age listed at a district general hospital for major joint replacement, knee arthroscopy, or periacetabular osteotomy. Questions were asked about level of physical disability, duration of symptoms, employment circumstances at the time the joint problem began, and job changes since the onset of symptoms with their reasons. Analysis focused on those in work when their health problem began. Cox regression was used to examine risk factors for job loss related and unrelated to the joint problem, and results were summarised as adjusted hazard ratios (HRs) with 95% confidence intervals (95% CI). RESULTS: Responses came from 370 (74%) of those mailed, including 278 who were in work when their joint problem began. Of these, 82 (30%) had left their original job mainly or partly because of their joint disorder. Such job loss was more common in those employed in small businesses (HR for <10 v > or =10 employees: 1.9, 95% CI 1.2-3.0) and those whose work involved standing for >2 hours per day (HR 2.7, 95% CI 1.2-6.1) No similar associations were found when jobs were left for other reasons. After adjustment for non-sedentary work the association with small business employment remained but was weaker (HR 1.5, 95% CI 0.9-2.5). Modifications to work and access to occupational health advice were not associated with better job retention. CONCLUSIONS: In subjects with disabling hip or knee disease, job retention is poorer in those from small companies-a matter of concern given the rising prevalence of serious joint disease in the British workforce and the tendency of businesses to downsize and subcontract services to smaller enterprises.
机译：目的：研究与等待髋部或膝关节手术的患者失业相关的因素，包括组织规模。方法：向某地区综合医院列出的498名连续工作年龄的患者邮寄问卷，以进行大关节置换，膝关节镜检查或髋臼周围截骨术。有人问了有关身体残疾的程度，症状的持续时间，关节问题开始时的就业情况以及自症状发作以来的工作变化等问题。分析的重点是健康问题开始时在工作的人员。 Cox回归用于检查与关节问题相关和无关的失业风险因素，其结果总结为调整后的危险比（HRs），置信区间为95％（CI为95％）。结果：有370人（占74％）回复了邮件，其中278人在开始出现共同问题时正在工作。在这些人中，有82人（占30％）主要或部分因为他们的关节疾病而离开了原来的工作。在小型企业中（雇员<10 v>或= 10的人力资源：1.9，95％CI 1.2-3.0）和每天工作时间超过2小时的人（HR 2.7、95），这种失业现象更为普遍。 ％CI 1.2-6.1）由于其他原因而离开工作时，未发现类似的关联。在调整了非固定工作之后，与小企业就业的关联仍然存在，但关联性较弱（HR 1.5，95％CI 0.9-2.5）。修改工作和获得职业健康建议与更好的保留工作没有关系。结论：在患有髋部或膝部疾病的受试者中，小公司的受试者的工作保持性较差-考虑到英国劳动力中严重的关节病的患病率上升以及企业缩减规模并将服务分包给小企业的趋势，这是一个令人关注的问题。

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