Unemployment in chronic airflow obstruction around the world: results from the BOLD study. Issue 3 (21st September 2017)

• Record Type: Journal Article
• Authors: Grønseth, Rune; Erdal, Marta; Tan, Wan C.; Obaseki, Daniel O.; Amaral, Andre F.S.; Gislason, Thorarinn; Juvekar, Sanjay K.; Koul, Parvaiz A.; Studnicka, Michael; Salvi, Sundeep; Burney, Peter; Buist, A. Sonia; Vollmer, William M.; Johannessen, Ane
• Other Names: author non-byline.; Zhong NanShan author non-byline.; Liu Shengming author non-byline.; Lu Jiachun author non-byline.; Ran Pixin author non-byline.; Wang Dali author non-byline.; Zheng Jingping author non-byline.; Zhou Yumin author non-byline.; Kocabaş Ali author non-byline.; Hancioglu Attila author non-byline.; Hanta Ismail author non-byline.; Kuleci Sedat author non-byline.; Turkyilmaz Ahmet Sinan author non-byline.; Umut Sema author non-byline.; Unalan Turgay author non-byline.; Studnicka Michael author non-byline.; Dawes Torkil author non-byline.; Lamprecht Bernd author non-byline.; Schirhofer Lea author non-byline.; Bateman Eric author non-byline.; Jithoo Anamika author non-byline.; Adams Desiree author non-byline.; Barnes Edward author non-byline.; Freeman Jasper author non-byline.; Hayes Anton author non-byline.; Hlengwa Sipho author non-byline.; Johannisen Christine author non-byline.; Koopman Mariana author non-byline.; Louw Innocentia author non-byline.; Ludick Ina author non-byline.; Olckers Alta author non-byline.; Ryck Johanna author non-byline.; Storbeck Janita author non-byline.; Gislason Thorarinn author non-byline.; Benedikdtsdottir Bryndis author non-byline.; Jörundsdottir Kristin author non-byline.; Gudmundsdottir Lovisa author non-byline.; Gudmundsdottir Sigrun author non-byline.; Gundmundsson Gunnar author non-byline.; Nizankowska-Mogilnicka Ewa author non-byline.; Frey Jakub author non-byline.; Harat Rafal author non-byline.; Mejza Filip author non-byline.; Nastalek Pawel author non-byline.; Pajak Andrzej author non-byline.; Skucha Wojciech author non-byline.; Szczeklik Andrzej author non-byline.; Twardowska Magda author non-byline.; Welte Tobias author non-byline.; Bodemann Isabelle author non-byline.; Geldmacher Henning author non-byline.; Schweda-Linow Alexandra author non-byline.; Gulsvik Amund author non-byline.; Endresen Tina author non-byline.; Svendsen Lene author non-byline.; Tan Wan C. author non-byline.; Wang Wen author non-byline.; Mannino David M. author non-byline.; Cain John author non-byline.; Copeland Rebecca author non-byline.; Hazen Dana author non-byline.; Methvin Jennifer author non-byline.; Dantes Renato B. author non-byline.; Amarillo Lourdes author non-byline.; Berratio Lakan U. author non-byline.; Fernandez Lenora C. author non-byline.; Francisco Norberto A. author non-byline.; Garcia Gerard S. author non-byline.; de Guia Teresita S. author non-byline.; Idolor Luisito F. author non-byline.; Naval Sullian S. author non-byline.; Reyes Thessa author non-byline.; Roa Camilo C. author non-byline.; Sanchez Ma. Flordeliza author non-byline.; Simpao Leander P. author non-byline.; Jenkins Christine author non-byline.; Marks Guy author non-byline.; Bird Tessa author non-byline.; Espinel Paola author non-byline.; Hardaker Kate author non-byline.; Toelle Brett author non-byline.; Burney Peter G.J. author non-byline.; Amor Caron author non-byline.; Potts James author non-byline.; Tumilty Michael author non-byline.; McLean Fiona author non-byline.; Wouters E.F.M. author non-byline.; Wesseling G.J. author non-byline.; Bárbara Cristina author non-byline.; Rodrigues Fátima author non-byline.; Dias Hermínia author non-byline.; Cardoso João author non-byline.; Almeida João author non-byline.; Matos Maria João author non-byline.; Simão Paula author non-byline.; Santos Moutinho author non-byline.; Ferreira Reis author non-byline.; Janson Christer author non-byline.; Olafsdottir Inga Sif author non-byline.; Nisser Katarina author non-byline.; Spetz-Nyström Ulrike author non-byline.; Hägg Gunilla author non-byline.; Lund Gun-Marie author non-byline.; Jõgi Rain author non-byline.; Laja Hendrik author non-byline.; Ulst Katrin author non-byline.; Zobel Vappu author non-byline.; Lill Toomas-Julius author non-byline.; Koul Parvaiz A. author non-byline.; Malik Sajjad author non-byline.; Hakim Nissar A. author non-byline.; Khan Umar Hafiz author non-byline.; Chowgule Rohini author non-byline.; Shetye Vasant author non-byline.; Raphael Jonelle author non-byline.; Almeda Rosel author non-byline.; Tawde Mahesh author non-byline.; Tadvi Rafiq author non-byline.; Katkar Sunil author non-byline.; Kadam Milind author non-byline.; Dhanawade Rupesh author non-byline.; Ghurup Umesh author non-byline.; Harrabi Imed author non-byline.; Denguezli Myriam author non-byline.; Tabka Zouhair author non-byline.; Daldoul Hager author non-byline.; Boukheroufa Zaki author non-byline.; Chouikha Firas author non-byline.; Khalifa Wahbi Belhaj author non-byline.; Idolor Luisito F. author non-byline.; de Guia Teresita S. author non-byline.; Francisco Norberto A. author non-byline.; Roa Camilo C. author non-byline.; Ayuyao Fernando G. author non-byline.; Tady Cecil Z. author non-byline.; Tan Daniel T. author non-byline.; Banal-Yang Sylvia author non-byline.; Balanag Vincent M. author non-byline.; Reyes Maria Teresita N. author non-byline.; Dantes Renato. B. author non-byline.; Juvekar Sanjay author non-byline.; Hirve Siddhi author non-byline.; Sambhudas Somnath author non-byline.; Chaidhary Bharat author non-byline.; Tambe Meera author non-byline.; Pingale Savita author non-byline.; Umap Arati author non-byline.; Umap Archana author non-byline.; Shelar Nitin author non-byline.; Devchakke Sampada author non-byline.; Chaudhary Sharda author non-byline.; Bondre Suvarna author non-byline.; Walke Savita author non-byline.; Gawhane Ashleshsa author non-byline.; Sapkal Anil author non-byline.; Argade Rupali author non-byline.; Gaikwad Vijay author non-byline.; Salvi Sundeep author non-byline.; Brashier Bill author non-byline.; Londhe Jyoti author non-byline.; Madas Sapna author non-byline.; Benjelloun Mohamed C. author non-byline.; Nejjari Chakib author non-byline.; Elbiaze Mohamed author non-byline.; El Rhazi Karima author non-byline.; Obaseki Daniel author non-byline.; Erhabor Gregory author non-byline.; Awopeju Olayemi author non-byline.; Adewole Olufemi author non-byline.; Al Ghobain Mohamed author non-byline.; Alorainy Hassan author non-byline.; El-Hamad Esam author non-byline.; Al Hajjaj Mohamed author non-byline.; Ayan Hashi author non-byline.; Dela Rowena author non-byline.; Fanuncio Rofel author non-byline.; Doloriel Elizabeth author non-byline.; Marciano Imelda author non-byline.; Safia Lyla author non-byline.; Sooronbaev Talant M. author non-byline.; Estebesova Bermet M. author non-byline.; Akmatalieva Meerim author non-byline.; Usenbaeva Saadat author non-byline.; Kydyrova Jypara author non-byline.; Bostonova Eliza author non-byline.; Sheraliev Ulan author non-byline.; Marajapov Nuridin author non-byline.; Toktogulova Nurgul author non-byline.; Emilov Berik author non-byline.; Azilova Toktogul author non-byline.; Beishekeeva Gulnara author non-byline.; Dononbaeva Nasyikat author non-byline.; Tabyshova Aijamal author non-byline.; Mortimer Kevin author non-byline.; Nyapigoti Wezzie author non-byline.; Mwangoka Ernest author non-byline.; Kambwili Mayamiko author non-byline.; Chipeta Martha author non-byline.; Banda Gloria author non-byline.; Mkandawire Suzgo author non-byline.; Banda Justice author non-byline.; Elsony Asma author non-byline.; Elsadig Hana A. author non-byline.; Osman Nada Bakery author non-byline.; Noory Bandar Salah author non-byline.; Mohamed Monjda Awad author non-byline.; Osman Hasab Alrasoul Akasha Ahmed author non-byline.; ed Elhassan Namarig Moham author non-byline.; El‫ Zain Abdel Muis author non-byline.; Mohamaden Marwa Mohamed author non-byline.; Khalifa Suhaiba author non-byline.; Elhadi Mahmoud author non-byline.; Hassan Mohand author non-byline.; Abdelmonam Dalia author non-byline.; Hafizi Hasan author non-byline.; Aliko Anila author non-byline.; Bardhi Donika author non-byline.; Tafa Holta author non-byline.; Thanasi Natasha author non-byline.; Mezini Arian author non-byline.; Teferici Alma author non-byline.; Todri Dafina author non-byline.; Nikolla Jolanda author non-byline.; Kazasi Rezarta author non-byline.; Cherkaski Hamid Hacene author non-byline.; Bengrait Amira author non-byline.; Haddad Tabarek author non-byline.; Zgaoula Ibtissem author non-byline.; Ghit Maamar author non-byline.; Roubhia Abdelhamid author non-byline.; Boudra Soumaya author non-byline.; Atoui Feryal author non-byline.; Yakoubi Randa author non-byline.; Benali Rachid author non-byline.; Bencheikh Abdelghani author non-byline.; Ait-Khaled Nadia author non-byline.; Islam Akramul author non-byline.; Ahmed Syed Masud author non-byline.; Islam Shayla author non-byline.; Islam Qazi Shafayetul author non-byline.; Ul-Haque Mesbah author non-byline.; Chowdhury Tridib Roy author non-byline.; Chatterjee Sukantha Kumar author non-byline.; Mia Dulal author non-byline.; Das Shyamal Chandra author non-byline.; Rahman Mizanur author non-byline.; Islam Nazrul author non-byline.; Uddin Shahaz author non-byline.; Islam Nurul author non-byline.; Khatun Luiza author non-byline.; Parvin Monira author non-byline.; Khan Abdul Awal author non-byline.; Islam Maidul author non-byline.; Loh Li-Cher author non-byline.; Rashid Abdul author non-byline.; Sholehah Siti author non-byline.; Lawin Herve author non-byline.; Kpangon Arsene author non-byline.; Kpossou Karl author non-byline.; Agodokpessi Gildas author non-byline.; Ayelo Paul author non-byline.; Fayomi Benjamin author non-byline.;
• Is Part Of: European respiratory journal. Volume 50:Issue 3(2017)
• Publication Date: 2017-09-21
• Subjects: Respiratory organs -- Diseases -- Periodicals; Respiration -- Periodicals; 616.2
• DOI: 10.1183/13993003.00499-2017
• Languages: English
• ISSNs: 0903-1936

Abstract

We aimed to examine associations between chronic airflow obstruction (CAO) and unemployment across the world. Cross-sectional data from 26 sites in the Burden of Obstructive Lung Disease (BOLD) study were used to analyse effects of CAO on unemployment. Odds ratios for unemployment in subjects aged 40–65 years were estimated using a multilevel mixed-effects generalised linear model with study site as random effect. Site-by-site heterogeneity was assessed using individual participant data meta-analyses. Out of 18 710 participants, 11.3% had CAO. The ratio of unemployed subjects with CAO divided by subjects without CAO showed large site discrepancies, although these were no longer significant after adjusting for age, sex, smoking and education. The site-adjusted odds ratio (95% CI) for unemployment was 1.79 (1.41–2.27) for CAO cases, decreasing to 1.43 (1.14–1.79) after adjusting for sociodemographic factors, comorbidities and forced vital capacity. Of other covariates that were associated with unemployment, age and education were important risk factors in high-income sites (4.02 (3.53–4.57) and 3.86 (2.80–5.30), respectively), while female sex was important in low- to middle-income sites (3.23 (2.66–3.91)). In the global BOLD study, CAO was associated with increased levels of unemployment, even after adjusting for sociodemographic factors, comorbidities and lung function. Chronic airflow obstruction increases risk of unemployment, and is a burden to welfare systems worldwide http://ow.ly/cxzv30cQ17A