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Work productivity trajectories of Australians living with multiple sclerosis: A group-based modelling approach




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Abstract
Background: Studies have documented reduced work capacity and work productivity loss in multiple sclerosis (MS). Little is known about the longitudinal trajectories of work productivity in MS.Objectives: To examine trajectories of work productivity in people living with multiple sclerosis (PwMS) and the factors associated with the trajectories.Methods: Study participants were employed participants of the Australian MS Longitudinal Study (AMSLS) followed from 2015 to 2019 with at least two repeated measures (n=2121). We used group-based trajectory modelling to identify unique work productivity trajectories in PwMS.Results: We identified three distinct trajectories of work productivity: 'moderately reduced' (17.0% of participants) with a mean work productivity level of 47.6% in 2015 (slope -0.97% per year (p= 0.22)), 'mildly reduced' (46.7%) with a mean work productivity of 86.3% in 2015 (slope 0.70% per year (p=0.12)), and 'full' (36.3%) with a mean work productivity of 99.7% in 2015 (slope 0.29% per year (p= 0.30)). Higher education level, higher disability, and higher MS symptom severity are associated with increased probability of being in a worse work productivity trajectory.Conclusion: We identified three distinct work productivity trajectories in PwMS which were stable over time and differentiated by their baseline level of work productivity.
Item Type: | Article |
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Authors/Creators: | Bessing, B and Hussain, MA and Claflin, SB and Chen, J and Blizzard, L and van Dijk, P and Kirk-Brown, A and Taylor, BV and van der Mei, I |
Keywords: | absenteeism, fatigue, multiple sclerosis, presenteeism, symptoms, trajectories, work productivity |
Journal or Publication Title: | Multiple Sclerosis and Related Disorders |
Publisher: | Elsevier B. V. |
ISSN: | 2211-0348 |
DOI / ID Number: | 10.1016/j.msard.2021.103131 |
Copyright Information: | © 2021 Elsevier B.V. |
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