Education as important predictor for successful employment in adults with congenital heart disease worldwide.

Journal: Congenital heart disease

Volume: 14

Issue: 3

Year of Publication: 2020

Affiliated Institutions:  Coronel Institute of Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. Department of Development and Regeneration, KU Leuven, University of Leuven, Leuven, Belgium. Department of Public Health and Primary Care, KU Leuven, University of Leuven, Leuven, Belgium. School Psychology and Development in Context, KU Leuven, University of Leuven, Leuven, Belgium. Department of Psychology, University Health Network, Toronto, Canada. Center for Congenital Heart Disease, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. Congenital and Structural Cardiology, Department of Cardiovascular Sciences, University Hospitals of Leuven, KU Leuven, Leuven, Belgium. Department of Adult Congenital Heart Disease, Chiba Cardiovascular Center, Chiba, Japan. School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan. Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, Ohio. Montreal Heart Institute, University of Montreal, Montreal, Canada. Adult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, Michigan. Frontier Lifeline Hospital, Dr. K. M. Cherian Heart Foundation, Chennai, India. Division of Cardiology, Hospital de Niños, Córdoba, Argentina. Department of Cardiology, Oslo University Hospital, Oslo, Norway. Institute of Medicine, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden. Center for Person-Centered Care (GPCC), University of Gothenburg, Gothenburg, Sweden. Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden. Department of Pediatric Cardiology, University of Alberta, Edmonton, Canada. Monash Medical Center, Melbourne, Australia. Department of Cardiology, Mater Dei Hospital, Msida, Malta. Adult Congenital Heart Disease Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Hospital Louis Pradel, Lyon, France. Adult Congenital Heart Disease Program at Stanford, Lucile Packard Children's Hospital and Stanford Health Care, Palo Alto, California. Adult Congenital Heart Disease Center, Washington University and Barnes Jewish Heart & Vascular Center, University of Missouri, Saint Louis, Missouri. Clinical Psychology Service, IRCCS Policlinico San Donato Hospital, Milan, Italy. Adult Congenital Heart Disease Center, University of Nebraska Medical Center/Children's Hospital & Medical Center, Omaha, Nebraska. Amsterdam UMC, Department of Cardiology, University of Amsterdam, Amsterdam, The Netherlands.

Abstract summary 

Conflicting results have been reported regarding employment status and work ability in adults with congenital heart disease (CHD). Since this is an important determinant for quality of life, we assessed this in a large international adult CHD cohort.Data from 4028 adults with CHD (53% women) from 15 different countries were collected by a uniform survey in the cross-sectional APPROACH International Study. Predictors for employment and work limitations were studied using general linear mixed models.Median age was 32 years (IQR 25-42) and 94% of patients had at least a high school degree. Overall employment rate was 69%, but varied substantially among countries. Higher education (OR 1.99-3.69) and having a partner (OR 1.72) were associated with more employment; female sex (OR 0.66, worse NYHA functional class (OR 0.67-0.13), and a history of congestive heart failure (OR 0.74) were associated with less employment. Limitations at work were reported in 34% and were associated with female sex (OR 1.36), increasing age (OR 1.03 per year), more severe CHD (OR 1.31-2.10), and a history of congestive heart failure (OR 1.57) or mental disorders (OR 2.26). Only a university degree was associated with fewer limitations at work (OR 0.62).There are genuine differences in the impact of CHD on employment status in different countries. Although the majority of adult CHD patients are employed, limitations at work are common. Education appears to be the main predictor for successful employment and should therefore be encouraged in patients with CHD.

Authors & Co-authors:  Sluman Maayke A MA Apers Silke S Sluiter Judith K JK Nieuwenhuijsen Karen K Moons Philip P Luyckx Koen K Kovacs Adrienne H AH Thomet Corina C Budts Werner W Enomoto Junko J Yang Hsiao-Ling HL Jackson Jamie L JL Khairy Paul P Cook Stephen C SC Subramanyan Raghavan R Alday Luis L Eriksen Katrine K Dellborg Mikael M Berghammer Malin M Mattsson Eva E Mackie Andrew S AS Menahem Samuel S Caruana Maryanne M Gosney Kathy K Soufi Alexandra A Fernandes Susan M SM White Kamila S KS Callus Edward E Kutty Shelby S Bouma Berto J BJ Mulder Barbara J M BJM

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Moons P, Bovijn L, Budts W, Belmans A, Gewillig M. Temporal trends in survival to adulthood among patients born with congenital heart disease from 1970 to 1992 in Belgium. Circulation. 2010;122:2264‐2272.
Authors :  32
Identifiers
Doi : 10.1111/chd.12747
SSN : 1747-0803
Study Population
Female
Mesh Terms
Adult
Other Terms
adult;congenital heart defects;disability;education;employment;work ability
Study Design
Cross Sectional Study
Study Approach
Mixed Methods
Country of Study
Publication Country
United States