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Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria

Author

Listed:
  • Galateja Jordakieva

    (Department of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, Waehringer Guertel 18–20, 1090 Vienna, Austria)

  • Igor Grabovac

    (Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria)

  • Margarete Steiner

    (Department of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, Waehringer Guertel 18–20, 1090 Vienna, Austria)

  • Wolfgang Winnicki

    (Division of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Waehringer Guertel 18–20, 1090 Vienna, Austria)

  • Sabine Zitta

    (Division of Nephrology, Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 27, 8036 Graz, Austria)

  • Sinisa Stefanac

    (Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria
    Institute of Outcome Research, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria)

  • Moritz Brooks

    (Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria)

  • Gere Sunder-Plaßmann

    (Division of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Waehringer Guertel 18–20, 1090 Vienna, Austria)

  • Alexander R. Rosenkranz

    (Division of Nephrology, Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 27, 8036 Graz, Austria)

  • Jasminka Godnic-Cvar

    (Department of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, Waehringer Guertel 18–20, 1090 Vienna, Austria)

Abstract

Kidney transplantation (KTx) in end-stage renal disease is associated with a significant increase in quality of life (QoL) and self-perceived health, optimally leading to the maintenance of employment or return to work (RTW) in working-age patients. The aim of this study was to assess individual factors including the QoL and mental health of kidney transplant recipients (KTRs) associated with employment after transplantation. A cross-sectional study including working-age patients with a history of KTx after 2012 was conducted at two Austrian study centers (Vienna and Graz). Brief Symptom Inventory (BSI-18), World Health Organization Quality of Life (WHOQOL-Bref) and Workability Index (WAI) were assessed along with detailed questionnaires on employment status. Out of n = 139 KTRs (43.2 ± 9.07 years; 57.6% male), 72 (51.8%) were employed. Employed patients were more frequently in a partnership ( p = 0.018) and had higher education levels ( p = 0.01) and QoL scores (<0.001). Unemployed KTRs reported fatigue and mental health issues more often ( p < 0.001), and had significantly higher anxiety, depression and somatization scores (BSI-18). In unadjusted logistical regression, workability score (WAS; odds ratio (OR) = 3.39; 95% confidence interval (CI) = 1.97–5.82; p < 0.001), partnership (OR = 5.47; 95% CI 1.43–20.91; p = 0.013) and no psychological counseling after KTx (OR = 0.06; 95% CI = 0.003–0.969; p = 0.048) were independently associated with employment. Self-assessed mental health, workability and QoL were significantly associated with employment status after KTx. Thus, in order to facilitate RTW after KTx in Austria, vocational rehabilitation and RTW programs addressing KTRs should focus on increasing social support and care for their mental health.

Suggested Citation

  • Galateja Jordakieva & Igor Grabovac & Margarete Steiner & Wolfgang Winnicki & Sabine Zitta & Sinisa Stefanac & Moritz Brooks & Gere Sunder-Plaßmann & Alexander R. Rosenkranz & Jasminka Godnic-Cvar, 2020. "Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria," IJERPH, MDPI, vol. 17(4), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:4:p:1254-:d:321072
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    References listed on IDEAS

    as
    1. Brigitta Danuser & Amira Simcox & Regina Studer & Michael Koller & Pascal Wild & for the Psychosocial Interest Group, Swiss Transplant Cohort Study, 2017. "Employment 12 months after kidney transplantation: An in-depth bio-psycho-social analysis of the Swiss Transplant Cohort," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-17, April.
    2. Gorden Muduma & Francis C. Shupo & Sophie Dam & Natalia A. Hawken & Samuel Aballéa & Isaac Odeyemi & Mondher Toumi, 2016. "Patient survey to identify reasons for non-adherence and elicitation of ă quality of life concepts associated with immunosuppressant therapy in ă kidney transplant recipients," Post-Print hal-01482642, HAL.
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    Cited by:

    1. Khanh Vuong Diem Doan & Hien Thi Minh Nguyen & Nhi Thi Hong Nguyen & Khoa Cao Dang & Shwu-Huey Yang & Tuyen Van Duong, 2020. "Associations of Socio-Demographic, Clinical and Biochemical Parameters with Healthcare Cost, Health- and Renal-Related Quality of Life in Hemodialysis Patients: A Clinical Observational Study," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
    2. Muhammad Daoud Butt & Siew Chin Ong & Fatima Zahid Butt & Ahsan Sajjad & Muhammad Fawad Rasool & Imran Imran & Tanveer Ahmad & Faleh Alqahtani & Zaheer-Ud-Din Babar, 2022. "Assessment of Health-Related Quality of Life, Medication Adherence, and Prevalence of Depression in Kidney Failure Patients," IJERPH, MDPI, vol. 19(22), pages 1-16, November.
    3. Taeeung Kim & So-Youn Park & In-Hwan Oh, 2022. "Exploring the Relationship between Physical Activities and Health-Related Factors in the Health-Related Quality of Life among People with Disability in Korea," IJERPH, MDPI, vol. 19(13), pages 1-11, June.
    4. José-María Figueredo & Cristina García-Ael & Andrea Gragnano & Gabriela Topa, 2020. "Well-Being at Work after Return to Work (RTW): A Systematic Review," IJERPH, MDPI, vol. 17(20), pages 1-27, October.

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