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Published in: Rheumatology International 7/2015

01-07-2015 | Original Article - Services Research

Labour force participation and the influence of having arthritis on financial status

Authors: Deborah J. Schofield, Emily J. Callander, Rupendra N. Shrestha, Richard Percival, Simon J. Kelly, Megan E. Passey

Published in: Rheumatology International | Issue 7/2015

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Abstract

The objective of this study was to quantify the impact that having arthritis has on income poverty status and accumulated wealth in Australia. Cross-sectional analysis of Health&WealthMOD, a microsimulation model built on data from the Australian Bureau of Statistics’ Survey of Disability, Ageing and Carers and STINMOD, an income and savings microsimulation model. Across all categories of labour force participation status (employed full time, part time or not in the labour force at all), those with arthritis were significantly more likely to be in poverty. Those employed full time with no health condition had 0.82 times the odds of being in income poverty (95 % CI 0.80–0.84) compared with those employed full time with arthritis. Those not in the labour force with no chronic health conditions had 0.36 times the odds of being in income poverty compared with those not in the labour force due to arthritis (95 % CI 0.36–0.37). For people not in the labour force with no long-term health condition, the total value of their wealth was 211 % higher (95 % CI 38–618 %) than the amount of wealth accumulated by those not in the labour force due to arthritis. Similarly, those employed part time with no chronic health condition had 50 % more wealth than those employed part time with arthritis (95 % CI 3–116 %). Arthritis has a profound impact upon the economic circumstances of individuals, which adds a further dimension to the detrimental living standards of older individuals suffering from the condition.
Footnotes
1
The income unit is defined by the ABS as ‘a group of two or more related persons in the same household assumed to pool their income and savings and share the benefits deriving from them equitably, or one person assumed to have sole command over his or her income, consumption and savings’ [23].
 
2
Calculated for persons with wealth, some accumulated wealth, excluding those with zero wealth.
 
Literature
1.
go back to reference Yelin E, Cisternas M, Foreman A, Pasta D, Murphy L, Helmick C (2007) National and state medical expenditures and lost earnings attributable to arthritis and other rheumatic conditions—United States, 2003. Morb Mortal Wkly Rep 56:4–7 Yelin E, Cisternas M, Foreman A, Pasta D, Murphy L, Helmick C (2007) National and state medical expenditures and lost earnings attributable to arthritis and other rheumatic conditions—United States, 2003. Morb Mortal Wkly Rep 56:4–7
2.
go back to reference Australian Institute of Health and Welfare (2008) Australia’s health 2008. AIHW, Canberra Australian Institute of Health and Welfare (2008) Australia’s health 2008. AIHW, Canberra
3.
go back to reference Cooper NJ (2000) Economic burden of rheumatoid arthritis: a systematic review. Rheumatology 39(1):28–33CrossRefPubMed Cooper NJ (2000) Economic burden of rheumatoid arthritis: a systematic review. Rheumatology 39(1):28–33CrossRefPubMed
4.
go back to reference Li X, Gignac M, Anis A (2006) The indirect costs of arthritis resulting from unemployment, reduced performance, and occupational changes while at work. Med Care 44(4):304CrossRefPubMed Li X, Gignac M, Anis A (2006) The indirect costs of arthritis resulting from unemployment, reduced performance, and occupational changes while at work. Med Care 44(4):304CrossRefPubMed
5.
go back to reference Economics Access (2005) The economic cost of arthritis in New Zealand. Arthritis, New Zealand Economics Access (2005) The economic cost of arthritis in New Zealand. Arthritis, New Zealand
6.
go back to reference Access Economics (2007) Painful realities: the economic impact of arthritis in Australia in 2007. Arthritis, Forest Lodge Access Economics (2007) Painful realities: the economic impact of arthritis in Australia in 2007. Arthritis, Forest Lodge
7.
go back to reference Dunlop D, Manheim L, Yelin E, Song J, Chang R (2003) The costs of arthritis. Arthritis Rheum 49(1):101–113CrossRefPubMed Dunlop D, Manheim L, Yelin E, Song J, Chang R (2003) The costs of arthritis. Arthritis Rheum 49(1):101–113CrossRefPubMed
8.
go back to reference Gignac M, Cao X, Lacaille D, Anis A, Badley EM (2008) Arthritis-related work transitions: a prospective analysis of reported productivity losses, work changes, and leaving the labor force. Arthritis Rheum (Arthritis Care Res) 59(12):1805–1813CrossRef Gignac M, Cao X, Lacaille D, Anis A, Badley EM (2008) Arthritis-related work transitions: a prospective analysis of reported productivity losses, work changes, and leaving the labor force. Arthritis Rheum (Arthritis Care Res) 59(12):1805–1813CrossRef
9.
go back to reference Verstappen SMM, Boonen A, Bijlsma JWJ, Buskens E, Verkleij H, Schenk Y, van Albada-Kuipers GA, Hofman DM, Jacobson JWG (2004) Working status among Dutch patients with rheumatoid arthritis: work disability and working conditions. Rheumatology 44(2):202–206CrossRefPubMed Verstappen SMM, Boonen A, Bijlsma JWJ, Buskens E, Verkleij H, Schenk Y, van Albada-Kuipers GA, Hofman DM, Jacobson JWG (2004) Working status among Dutch patients with rheumatoid arthritis: work disability and working conditions. Rheumatology 44(2):202–206CrossRefPubMed
10.
go back to reference Burton W, Morrison A, Maclean R, Ruderman E (2006) Systematic review of studies of productivity loss due to rheumatoid arthritis. Occup Med 56(1):18–27CrossRef Burton W, Morrison A, Maclean R, Ruderman E (2006) Systematic review of studies of productivity loss due to rheumatoid arthritis. Occup Med 56(1):18–27CrossRef
11.
go back to reference Badley EM, Wang PP (2001) The contribution of arthritis and arthritis disability to nonparticipation in the labor force: a Canadian example. J Rheumatol 28(5):1077–1082PubMed Badley EM, Wang PP (2001) The contribution of arthritis and arthritis disability to nonparticipation in the labor force: a Canadian example. J Rheumatol 28(5):1077–1082PubMed
12.
go back to reference Schofield DJ, Shrestha RN, Passey ME, Earnest A, Fletcher SL (2008) Chronic disease and labour force participation among older Australians. Med J Aust 189(8):447PubMed Schofield DJ, Shrestha RN, Passey ME, Earnest A, Fletcher SL (2008) Chronic disease and labour force participation among older Australians. Med J Aust 189(8):447PubMed
13.
go back to reference Australian Bureau of Statistics (2006) National health survey 2004–2005: summary of results. Australian Bureau of Statistics, Canberra Australian Bureau of Statistics (2006) National health survey 2004–2005: summary of results. Australian Bureau of Statistics, Canberra
14.
go back to reference Wolfe F, Michaud K, Williams R (2005) Household income and earnings losses among 6,396 persons with rheumatoid arthritis. J Rheumatol 32(10):1875–1883PubMed Wolfe F, Michaud K, Williams R (2005) Household income and earnings losses among 6,396 persons with rheumatoid arthritis. J Rheumatol 32(10):1875–1883PubMed
15.
go back to reference Schofield D, Shrestha R, Percival R, Passey M, Kelly S, Callander E. Economic impacts of illness in older workers: quantifying the impact of illness on income, tax revenue and government spending. BMC Pub Health 11(418). doi:10.1186/1471-2458-11-418 Schofield D, Shrestha R, Percival R, Passey M, Kelly S, Callander E. Economic impacts of illness in older workers: quantifying the impact of illness on income, tax revenue and government spending. BMC Pub Health 11(418). doi:10.​1186/​1471-2458-11-418
16.
go back to reference Albers JM, Kuper HH, van Riel PL, Prevoo ML, van ’t Hof MA, van Gestel AM, Severens JL (1999) Socio-economic consequences of rheumatoid arthritis in the first years of the disease. Rheumatology 38(5):423–430CrossRefPubMed Albers JM, Kuper HH, van Riel PL, Prevoo ML, van ’t Hof MA, van Gestel AM, Severens JL (1999) Socio-economic consequences of rheumatoid arthritis in the first years of the disease. Rheumatology 38(5):423–430CrossRefPubMed
17.
go back to reference Hagenaars A, de Vos K (1988) The definition and measurement of poverty. J Hum Resour 23(2):211–221CrossRef Hagenaars A, de Vos K (1988) The definition and measurement of poverty. J Hum Resour 23(2):211–221CrossRef
18.
go back to reference Harding A, Lloyd R, Greenwell H (2001) Financial disadvantage in Australian 1990–2000: the persistence of poverty in a decade of growth. The Smith Family, Camperdown Harding A, Lloyd R, Greenwell H (2001) Financial disadvantage in Australian 1990–2000: the persistence of poverty in a decade of growth. The Smith Family, Camperdown
19.
go back to reference Miles D (1999) Modelling the impact of demographic change upon the economy. Econ J 109:1–36CrossRef Miles D (1999) Modelling the impact of demographic change upon the economy. Econ J 109:1–36CrossRef
20.
go back to reference Bloom DE, Canning D, Graham B (2003) Longevity and life-cycle savings. Scand J Econ 105(3):319–338CrossRef Bloom DE, Canning D, Graham B (2003) Longevity and life-cycle savings. Scand J Econ 105(3):319–338CrossRef
21.
go back to reference Sala-i-Martín X (2005) On the health poverty trap. In: Lopez-Casasnovas G, Currais L (eds) Health and economic growth: findings and policy implications. The MIT Press, Cambridge Sala-i-Martín X (2005) On the health poverty trap. In: Lopez-Casasnovas G, Currais L (eds) Health and economic growth: findings and policy implications. The MIT Press, Cambridge
22.
go back to reference Zhang J, Zhang J (2005) The effect of life expectancy on fertility, saving, schooling and economic growth: theory and evidence. Scand J Econ 107(1):45–66CrossRef Zhang J, Zhang J (2005) The effect of life expectancy on fertility, saving, schooling and economic growth: theory and evidence. Scand J Econ 107(1):45–66CrossRef
23.
go back to reference Australian Bureau of Statistics (2005) Information paper—basic confidentialised unit record file: survey of disability, ageing and carers 2003 (reissue). Australian Bureau of Statistics, Canberra Australian Bureau of Statistics (2005) Information paper—basic confidentialised unit record file: survey of disability, ageing and carers 2003 (reissue). Australian Bureau of Statistics, Canberra
24.
go back to reference Percival R, Abello A, Vu QN (2007) STINMOD (static income model) 2007. In: Gupta A, Harding A (eds) Modelling our future: population ageing, health and aged care. Elsevier, Amsterdam Percival R, Abello A, Vu QN (2007) STINMOD (static income model) 2007. In: Gupta A, Harding A (eds) Modelling our future: population ageing, health and aged care. Elsevier, Amsterdam
26.
go back to reference Schofield D, Shrestha R, Percival R, Kelly S, Passey M, Callander E, Fletcher S. Modelling the cost of ill health in Health&WealthMOD: lost labour force participation, income and taxation, and the impact of disease prevention (under review) Schofield D, Shrestha R, Percival R, Kelly S, Passey M, Callander E, Fletcher S. Modelling the cost of ill health in Health&WealthMOD: lost labour force participation, income and taxation, and the impact of disease prevention (under review)
27.
go back to reference De Vos K, Zaidi MA (1997) Equivalence scale sensitivity of poverty statistics for the member states of the European community. Rev Income Wealth 43(3):319–333CrossRef De Vos K, Zaidi MA (1997) Equivalence scale sensitivity of poverty statistics for the member states of the European community. Rev Income Wealth 43(3):319–333CrossRef
28.
go back to reference Saunders P (1996) Poverty, income distribution and health: an Australian study. In: SPRC reports and proceedings. Social Policy Research Centre, Sydney Saunders P (1996) Poverty, income distribution and health: an Australian study. In: SPRC reports and proceedings. Social Policy Research Centre, Sydney
29.
go back to reference Saunders P, Bradbury B (2006) Monitoring trends in poverty and income distribution: data, methodology and measurement. Econ Rec 82(258):341–364CrossRef Saunders P, Bradbury B (2006) Monitoring trends in poverty and income distribution: data, methodology and measurement. Econ Rec 82(258):341–364CrossRef
30.
go back to reference Saunders P, Hill T, Bradbury B (2007) Poverty in Australia: sensitivity analysis and recent trends 2007 SPRC. University of New South Wales, Sydney Saunders P, Hill T, Bradbury B (2007) Poverty in Australia: sensitivity analysis and recent trends 2007 SPRC. University of New South Wales, Sydney
31.
go back to reference Mejer L, Siermann C (2000) Income poverty in the European Union: children, gender and poverty gaps. In: Statistics in focus: population and social conditions. Eurostat Mejer L, Siermann C (2000) Income poverty in the European Union: children, gender and poverty gaps. In: Statistics in focus: population and social conditions. Eurostat
32.
go back to reference Trigger D (2003) Does the way we measure poverty matter? In: Discussion paper no. 59, NATSEM, Canberra Trigger D (2003) Does the way we measure poverty matter? In: Discussion paper no. 59, NATSEM, Canberra
33.
go back to reference Hagenaars A, de Vos K, Zaidi MA (1994) Poverty statistics in the late 1980s: research based on micro-data. Office for Official Publications of the European Communities, Luxembourg Hagenaars A, de Vos K, Zaidi MA (1994) Poverty statistics in the late 1980s: research based on micro-data. Office for Official Publications of the European Communities, Luxembourg
34.
go back to reference Kelly S (2009) Don’t stop thinking about tomorrow—the changing face of retirement—the past, the present and the future. In: AMP.NATSEM income and wealth report (issue 24), AMP, Sydney Kelly S (2009) Don’t stop thinking about tomorrow—the changing face of retirement—the past, the present and the future. In: AMP.NATSEM income and wealth report (issue 24), AMP, Sydney
36.
go back to reference Schofield D, Passey M, Percival R, Shrestha R, Callander E, Kelly S (2011) Retiring early with cardiovascular disease—impact on individual’s financial assets. Int J Cardiol 146(1):125–126CrossRefPubMed Schofield D, Passey M, Percival R, Shrestha R, Callander E, Kelly S (2011) Retiring early with cardiovascular disease—impact on individual’s financial assets. Int J Cardiol 146(1):125–126CrossRefPubMed
37.
go back to reference Schofield D, Percival R, Passey M, Shrestha R, Callander E, Kelly S (2011) The financial vulnerability of individuals with diabetes. Br J Diabetes Vasc Dis 10(6):300–304CrossRef Schofield D, Percival R, Passey M, Shrestha R, Callander E, Kelly S (2011) The financial vulnerability of individuals with diabetes. Br J Diabetes Vasc Dis 10(6):300–304CrossRef
38.
go back to reference Swoboda SM, Lipsett PA (2002) Impact of a prolonged surgical critical illness on patients’ families. Am J Crit Care 11(5):459–466PubMed Swoboda SM, Lipsett PA (2002) Impact of a prolonged surgical critical illness on patients’ families. Am J Crit Care 11(5):459–466PubMed
39.
go back to reference Mills A, Shillcutt S (2004) Communicable diseases. In: Lomborg B (ed) Global crises, global solutions. Cambridge University Press, Cambridge Mills A, Shillcutt S (2004) Communicable diseases. In: Lomborg B (ed) Global crises, global solutions. Cambridge University Press, Cambridge
40.
go back to reference Productivity Commission (2005) Economic implications of an ageing Australia. In: Research Report Productivity Commission, Canberra. Australian Government, Canberra Productivity Commission (2005) Economic implications of an ageing Australia. In: Research Report Productivity Commission, Canberra. Australian Government, Canberra
41.
go back to reference Mau W, Bornmann M, Weber H, Weidemann HF, Hecker H, Raspe HH (1996) Prediction of permanent work disability in a follow-up study of early rheumatoid arthritis: results of a tree structured analysis using RECPAM. Br J Rheumatol 35:652–659CrossRefPubMed Mau W, Bornmann M, Weber H, Weidemann HF, Hecker H, Raspe HH (1996) Prediction of permanent work disability in a follow-up study of early rheumatoid arthritis: results of a tree structured analysis using RECPAM. Br J Rheumatol 35:652–659CrossRefPubMed
42.
go back to reference Lacaille D, Sheps S, Spinelli JJ, Chalmers A, Esdaile JM (2004) Identification of modifiable work-related factors that influence the risk of work disability in rheumatoid arthritis. Arthritis Rheum 51(5):843–852CrossRefPubMed Lacaille D, Sheps S, Spinelli JJ, Chalmers A, Esdaile JM (2004) Identification of modifiable work-related factors that influence the risk of work disability in rheumatoid arthritis. Arthritis Rheum 51(5):843–852CrossRefPubMed
43.
go back to reference Wolfe F, Hawley DJ (1998) The long term outcomes of rheumatoid arthritis: work disability—a prospective 18-year study of 823 patients. J Rheumatol 25(11):2108–2117PubMed Wolfe F, Hawley DJ (1998) The long term outcomes of rheumatoid arthritis: work disability—a prospective 18-year study of 823 patients. J Rheumatol 25(11):2108–2117PubMed
44.
go back to reference Yelin E, Katz P, Lubeck D, Wanke L, Buatti M (2001) Impact of etanercept (Enbrel®) on health care use and employment in early RA. Arthritis Rheum 44(Supplement 9):152 Yelin E, Katz P, Lubeck D, Wanke L, Buatti M (2001) Impact of etanercept (Enbrel®) on health care use and employment in early RA. Arthritis Rheum 44(Supplement 9):152
45.
go back to reference Puolakka K, Kautiainen H, Mottonen T, Hannonen P, Korpela M, Julkunen H, Luukkainen R, Vuori K, Paimela L, Blafield H, Hakala M, Leirisalo-Repo M (2004) Impact of initial aggressive drug treatment with a combination of disease-modifying antirheumatic drugs on the development of work disability in early rheumatoid arthritis: a 5-year randomized followup trial. Arthritis Rheum 50(1):55–62CrossRefPubMed Puolakka K, Kautiainen H, Mottonen T, Hannonen P, Korpela M, Julkunen H, Luukkainen R, Vuori K, Paimela L, Blafield H, Hakala M, Leirisalo-Repo M (2004) Impact of initial aggressive drug treatment with a combination of disease-modifying antirheumatic drugs on the development of work disability in early rheumatoid arthritis: a 5-year randomized followup trial. Arthritis Rheum 50(1):55–62CrossRefPubMed
Metadata
Title
Labour force participation and the influence of having arthritis on financial status
Authors
Deborah J. Schofield
Emily J. Callander
Rupendra N. Shrestha
Richard Percival
Simon J. Kelly
Megan E. Passey
Publication date
01-07-2015
Publisher
Springer Berlin Heidelberg
Published in
Rheumatology International / Issue 7/2015
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-015-3224-2

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