How co-morbidities magnify the effect of arthritis on labour force participation and economic status: a costs of illness study in Australia

Schofield, Deborah J., Callander, Emily J., Shrestha, Rupendra N., Passey, Megan E., Percival, Richard, and Kelly, Simon J. (2014) How co-morbidities magnify the effect of arthritis on labour force participation and economic status: a costs of illness study in Australia. Rheumatology International, 34 (4). pp. 481-489.

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Few studies have assessed the impact of co-morbid conditions amongst patients with arthritis. This study will quantify the impact co-morbid health conditions have on the labour force status and economic circumstances of people with arthritis. This study uses a microsimulation model, Health&WealthMOD, to quantify the impact of co-morbidities on the labour force participation and economic circumstances of 45- to 64-year-old Australians with arthritis. The results show that the probability of being out of the labour force increases with increasing number of co-morbidities. However, there was no statistically significant difference in the amount of weekly private income received by people with arthritis and no co-morbidities, and people with arthritis and one or two co-morbidities. However, those with arthritis and three or more co-morbidities received a weekly private income 72 % lower than people with arthritis alone (95 % CI −82, −57). People with arthritis and co-morbidities paid less in tax and received more in government transfer payments. As such, it is important to consider the co-morbid conditions an individual has when assessing the impact of arthritis on labour force participation and economic circumstances. People with arthritis that have multiple co-morbid conditions are likely to have their labour force participation and econom.ic circumstances interrupted much more than those with arthritis only

Item ID: 41194
Item Type: Article (Research - C1)
ISSN: 1437-160X
Keywords: co-morbidity, arthritis, income, employment
Funders: Australian Research Council (ARC), Pfizer, National Health and Medical Research Council of Australia (NHMRC)
Projects and Grants: ARC LP07749193, NHMRC APP1052742
Date Deposited: 05 Nov 2015 04:16
FoR Codes: 14 ECONOMICS > 1402 Applied Economics > 140208 Health Economics @ 100%
SEO Codes: 91 ECONOMIC FRAMEWORK > 9102 Microeconomics > 910209 Preference, Behaviour and Welfare @ 50%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920408 Health Status (e.g. Indicators of Well-Being) @ 50%
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