TY - JOUR
T1 - Job Retention Among Individuals With Multiple Sclerosis
T2 - Relationship With Prediagnostic Employment and Education; Demographic Characteristics; and Disease Course, Severity, and Complications
AU - Krause, James S.
AU - Dismuke-Greer, Clara L.
AU - Rumrill, Phillip
AU - Reed, Karla
AU - Jarnecke, Melinda
AU - Backus, Deborah
N1 - Publisher Copyright:
© 2022 American Congress of Rehabilitation Medicine
PY - 2022/12
Y1 - 2022/12
N2 - Objective: To identify how prediagnosis employment, education, demographic statuses, and disease factors relate to job retention among people with multiple sclerosis (MS). Design: Cross-sectional logit model. Setting: Data were collected at an academic Medical University and a specialty hospital, both in the Southeastern US. Participants: People with MS (N=1126) who were employed at the time of MS diagnosis. Interventions: Not applicable. Main Outcome Measures: Job retention was measured by employment status at the time of follow-up assessment. Results: Prediagnostic educational attainment was predictive of job retention. Among several prediagnostic employment characteristics, only working in production, transportation, and material moving was significantly related to a lower odds of job retention compared with those working in professional/managerial occupations. Aging factors were strongly related to job retention, with declines in job retention observed with increasing age and years since diagnosis. Non-Hispanic Black and Hispanic participants reported lower odds of job retention than non-Hispanic White participants, although there were no observed effects of sex. A significantly lower job retention rate was observed among those with progressive MS, compared with relapsing-remitting. Job retention was also less likely among people with greater MS severity and fatigue. Conclusions: Job retention strategies and interventions should target people with greater MS complications and severity, as well as non-Hispanic Black and Hispanic persons, because these characteristics are more highly related to job retention than our prediagnostic employment and vocational history.
AB - Objective: To identify how prediagnosis employment, education, demographic statuses, and disease factors relate to job retention among people with multiple sclerosis (MS). Design: Cross-sectional logit model. Setting: Data were collected at an academic Medical University and a specialty hospital, both in the Southeastern US. Participants: People with MS (N=1126) who were employed at the time of MS diagnosis. Interventions: Not applicable. Main Outcome Measures: Job retention was measured by employment status at the time of follow-up assessment. Results: Prediagnostic educational attainment was predictive of job retention. Among several prediagnostic employment characteristics, only working in production, transportation, and material moving was significantly related to a lower odds of job retention compared with those working in professional/managerial occupations. Aging factors were strongly related to job retention, with declines in job retention observed with increasing age and years since diagnosis. Non-Hispanic Black and Hispanic participants reported lower odds of job retention than non-Hispanic White participants, although there were no observed effects of sex. A significantly lower job retention rate was observed among those with progressive MS, compared with relapsing-remitting. Job retention was also less likely among people with greater MS severity and fatigue. Conclusions: Job retention strategies and interventions should target people with greater MS complications and severity, as well as non-Hispanic Black and Hispanic persons, because these characteristics are more highly related to job retention than our prediagnostic employment and vocational history.
KW - Cognitive dysfunction
KW - Employment
KW - Fatigue
KW - Multiple sclerosis
KW - Rehabilitation
KW - Rehabilitation, vocational
UR - http://www.scopus.com/inward/record.url?scp=85134353600&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85134353600&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2022.05.013
DO - 10.1016/j.apmr.2022.05.013
M3 - Article
C2 - 35724752
AN - SCOPUS:85134353600
SN - 0003-9993
VL - 103
SP - 2355
EP - 2361
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 12
ER -