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@article{Schofield:2019:10.1164/rccm.201902-0297OC,
author = {Schofield, SJ and Woods, A and Szram, J and Newman, Taylor AJ and Cullinan, P},
doi = {10.1164/rccm.201902-0297OC},
journal = {American Journal of Respiratory and Critical Care Medicine},
pages = {1228--1233},
title = {COPD and breathlessness in older workers predict economic inactivity; A prospective cohort study},
url = {http://dx.doi.org/10.1164/rccm.201902-0297OC},
volume = {200},
year = {2019}
}

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TY  - JOUR
AB  - RATIONALE: There is an aspiration to retain increasing numbers of older workers in employment and strategies to achieve this need to make provision for the increasing prevalence of chronic diseases with age. There is a consistent body of cross-sectional evidence that suggests that patients with chronic obstructive pulmonary disease are more likely to have adverse employment outcomes. OBJECTIVES: We report the findings of the first longitudinal study of this issue. METHODS: We recruited full-time employed men and women in their 50's and followed them for a period of 18 months; we examined, after adjustment for potential confounders, the associations between breathlessness and airway obstruction at baseline and loss of employment in the intervening period. MEASUREMENTS AND MAIN RESULTS: Among participants responding to the follow up questionnaire (1656/1773 (93%)), the majority (78.5%) continued in full-time employment, but 10.6% were in part-time employment and 10.9% were no longer in paid employment. The adjusted risk of loss of employment was significantly increased for those with moderate or severe chronic obstructive pulmonary disease (RR 2.89, 95% ci 1.80-4.65) or breathlessness (3.07, 2.16-4.37) at baseline. There was no evident modification by sex or by manual/non-manual work. CONCLUSIONS: Airway obstruction and breathlessness are independently associated with premature loss from the workforce in older workers; these observations provide strong support to the available cross-sectional evidence and suggest that interventions to help those with chronic obstructive pulmonary disease who wish to remain in work need to be tested.
AU  - Schofield,SJ
AU  - Woods,A
AU  - Szram,J
AU  - Newman,Taylor AJ
AU  - Cullinan,P
DO  - 10.1164/rccm.201902-0297OC
EP  - 1233
PY  - 2019///
SN  - 1073-449X
SP  - 1228
TI  - COPD and breathlessness in older workers predict economic inactivity; A prospective cohort study
T2  - American Journal of Respiratory and Critical Care Medicine
UR  - http://dx.doi.org/10.1164/rccm.201902-0297OC
UR  - https://www.ncbi.nlm.nih.gov/pubmed/31348686
UR  - https://www.atsjournals.org/doi/10.1164/rccm.201902-0297OC
UR  - http://hdl.handle.net/10044/1/72470
VL  - 200
ER  -

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