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

the APPROACH-IS consortium, the International Society for Adult Congenital Heart Disease (ISACHD)

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: 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. Methods: 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. Results: 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). Conclusions: 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.

Original languageEnglish (US)
Pages (from-to)362-371
Number of pages10
JournalCongenital Heart Disease
Volume14
Issue number3
DOIs
StatePublished - May 1 2019

Fingerprint

Heart Diseases
Education
Heart Failure
Aptitude
Mental Disorders
Linear Models
Cross-Sectional Studies
Quality of Life

Keywords

  • adult
  • congenital heart defects
  • disability
  • education
  • employment
  • work ability

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

the APPROACH-IS consortium, the International Society for Adult Congenital Heart Disease (ISACHD) (2019). Education as important predictor for successful employment in adults with congenital heart disease worldwide. Congenital Heart Disease, 14(3), 362-371. https://doi.org/10.1111/chd.12747

Education as important predictor for successful employment in adults with congenital heart disease worldwide. / the APPROACH-IS consortium, the International Society for Adult Congenital Heart Disease (ISACHD).

In: Congenital Heart Disease, Vol. 14, No. 3, 01.05.2019, p. 362-371.

Research output: Contribution to journalArticle

the APPROACH-IS consortium, the International Society for Adult Congenital Heart Disease (ISACHD) 2019, 'Education as important predictor for successful employment in adults with congenital heart disease worldwide', Congenital Heart Disease, vol. 14, no. 3, pp. 362-371. https://doi.org/10.1111/chd.12747
the APPROACH-IS consortium, the International Society for Adult Congenital Heart Disease (ISACHD). Education as important predictor for successful employment in adults with congenital heart disease worldwide. Congenital Heart Disease. 2019 May 1;14(3):362-371. https://doi.org/10.1111/chd.12747
the APPROACH-IS consortium, the International Society for Adult Congenital Heart Disease (ISACHD). / Education as important predictor for successful employment in adults with congenital heart disease worldwide. In: Congenital Heart Disease. 2019 ; Vol. 14, No. 3. pp. 362-371.
@article{69d3ebd019084be2a4cd09dbc4ed8ce8,
title = "Education as important predictor for successful employment in adults with congenital heart disease worldwide",
abstract = "Background: 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. Methods: 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. Results: 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). Conclusions: 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.",
keywords = "adult, congenital heart defects, disability, education, employment, work ability",
author = "{the APPROACH-IS consortium, the International Society for Adult Congenital Heart Disease (ISACHD)} and Sluman, {Maayke A.} and Silke Apers and Sluiter, {Judith K.} and Karen Nieuwenhuijsen and Philip Moons and Koen Luyckx and Kovacs, {Adrienne H.} and Corina Thomet and Werner Budts and Junko Enomoto and Yang, {Hsiao Ling} and Jackson, {Jamie L.} and Paul Khairy and Cook, {Stephen C.} and Raghavan Subramanyan and Luis Alday and Katrine Eriksen and Mikael Dellborg and Malin Berghammer and Eva Mattsson and Mackie, {Andrew S.} and Samuel Menahem and Maryanne Caruana and Kathy Gosney and Alexandra Soufi and Fernandes, {Susan M.} and White, {Kamila S.} and Edward Callus and Shelby Kutty and Bouma, {Berto J.} and Mulder, {Barbara J.M.}",
year = "2019",
month = "5",
day = "1",
doi = "10.1111/chd.12747",
language = "English (US)",
volume = "14",
pages = "362--371",
journal = "Congenital Heart Disease",
issn = "1747-079X",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Education as important predictor for successful employment in adults with congenital heart disease worldwide

AU - the APPROACH-IS consortium, the International Society for Adult Congenital Heart Disease (ISACHD)

AU - Sluman, Maayke A.

AU - Apers, Silke

AU - Sluiter, Judith K.

AU - Nieuwenhuijsen, Karen

AU - Moons, Philip

AU - Luyckx, Koen

AU - Kovacs, Adrienne H.

AU - Thomet, Corina

AU - Budts, Werner

AU - Enomoto, Junko

AU - Yang, Hsiao Ling

AU - Jackson, Jamie L.

AU - Khairy, Paul

AU - Cook, Stephen C.

AU - Subramanyan, Raghavan

AU - Alday, Luis

AU - Eriksen, Katrine

AU - Dellborg, Mikael

AU - Berghammer, Malin

AU - Mattsson, Eva

AU - Mackie, Andrew S.

AU - Menahem, Samuel

AU - Caruana, Maryanne

AU - Gosney, Kathy

AU - Soufi, Alexandra

AU - Fernandes, Susan M.

AU - White, Kamila S.

AU - Callus, Edward

AU - Kutty, Shelby

AU - Bouma, Berto J.

AU - Mulder, Barbara J.M.

PY - 2019/5/1

Y1 - 2019/5/1

N2 - Background: 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. Methods: 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. Results: 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). Conclusions: 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.

AB - Background: 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. Methods: 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. Results: 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). Conclusions: 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.

KW - adult

KW - congenital heart defects

KW - disability

KW - education

KW - employment

KW - work ability

UR - http://www.scopus.com/inward/record.url?scp=85065171458&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065171458&partnerID=8YFLogxK

U2 - 10.1111/chd.12747

DO - 10.1111/chd.12747

M3 - Article

C2 - 30714326

AN - SCOPUS:85065171458

VL - 14

SP - 362

EP - 371

JO - Congenital Heart Disease

JF - Congenital Heart Disease

SN - 1747-079X

IS - 3

ER -