Resumption and Maintenance of Employment after a First Acute Myocardial Infarction: Sociodemographic, Vocational and Medical Predictors

Abstract

In a community cohort of 833 women and men aged <60 years, employed at the time of a first acute myocardial infarction (AMI), the relation of sociodemographic, vocational, and medical variables to the following three aspects of employment was investigated longitudinally: resumption of employment anytime within 5 years after AMI, resumption of employment within 3 months of the AMI, and maintenance of employment 5 years after AMI. Different sets of characteristics of persons with a first AMI were related to the different criteria of employment. Only sociodemographic and vocational variables were related to early resumption of employment, whereas maintenance of employment 5 years after AMI was influenced by both medical and nonmedical variables. These results support the importance of examining different aspects of resumption and maintenance of employment after AMI. They also suggest that early resumption of employment after AMI and employment anytime 5 years after AMI are more a function of the sociodemographic and vocational characteristics of the person with the AMI than of that person’s medical condition, whereas long-term maintenance of employment after an AMI is also related to the person’s medical condition.

Common prognostic factors of work disability among employees with a chronic somatic disease: a systematic review of cohort studies

“…A . A weak positive relation has been shown between gender (female versus male) and work disability (30)(31)(32)(33)(34)47), (30)(31)(32)(33)(34)47), , while a weak negative relation was found between ethnic origin (white versus non-white), socioeconomic status (high versus low) and work disability (32, 58 and 46, 49, respectively). .…”

“…The level of somatic complaints was found to have a positive relation with work disability in three articles (19,28,50), while two articles found no effect (19,46). For employees with IHD, Q wave in cases with acute myocardial infarction (yes versus no) (34,51) and chest pain (yes versus no) (32,52,53) were found to be moderate positive prognostic factors for work disability. The presence of dyspnea (no versus yes) (33,53) and left ventricular function (normal versus abnormal) (19,31) have been shown to be moderate negative prognostic factors for work disability.…”

“…Four articles have shown a positive relation between work disability and heavy manual work/blue-collar work (19,33,34,47), while six articles found no relation between the type of occupation and work disability (27,31,45,49,50,53). Living in a rural versus urban area was identified in the literature as another moderate positive factor for work disability (27,33,52); the attendance of a cardiac rehabilitation program was found to be a moderate negative factor (50,58).…”

“…The perceived importance of work (high versus low) was identified as a moderate negative factor (47,50) (47, 50) and the presence of diabetes (yes versus no) a moderate positive factor for work disability (31,32,34,51). A (31,32,34,51). A .…”

Return to work after coronary revascularization procedures and a patient’s job satisfaction: A prospective study

“…Several studies have investigated the health-related qua lity of life (HRQL) after cardiac interventions [10][11][12][13]. Most of these studies have found that predictors of HRQL after a heart surgery or coronary angioplasty were primarily psychological and not related to the illness severity [13][14][15][16]. Instead, research on professional life and work reintegration after cardiac interventions have focused mainly on the identification of factors predicting RTW (i.e., working/not working) or time for RTW [3,4,[17][18][19], while very few studies have investigated the quality of work resumption, in terms of a patient's job satisfaction and re-adaptation to work [15][16][17][18][19][20][21][22].…”