Elsbeth Chee

Epidemiology of constipation (EPOC) study in the United States: relation of clinical subtypes to sociodemographic features.

Epidemiology of constipation (EPOC) study in the United States: relation of clinical subtypes to sociodemographic features

Lost productive work time costs from health conditions in the United States: results from the American Productivity Audit.

Learning ObjectivesRecall the overall magnitude of lsot productive time (LPT) and its dollar cost as found in the American Productivity Audit, and the respective contributions of absenteeism and decreased producitivity at work.Be aware of how LPT varies with a number of demographic and workrelated factors.Compare the factors predisposing to LPT for personal and family-related reasons. The American Productivity Audit (APA) is a telephone survey of a random sample of 28,902 U.S. workers designed to quantify the impact of health conditions on work. Lost productive time (LPT) was measured for personal and family health reasons and expressed in hours and dollars. Health-related LPT cost employers

Body weight as a risk factor in the elderly.

225.8 billion/year (

Back pain exacerbations and lost productive time costs in United States workers.

1685/employee per year); 71% is explained by reduced performance at work. Personal health LPT was 30% higher in females and twice as high in smokers (≥1 pack/day) versus nonsmokers. Workers in high-demand, low-control jobs had the lowest average LPT/week versus the highest LPT for those in low-demand, high-control jobs. Family health-related work absence accounted for 6% of all health-related LPT. Health-related LPT costs are substantial but largely invisible to employers. Costs vary significantly by worker characteristics, suggesting that intervention needs vary by specific subgroups.

Fatigue in the U.S. Workforce: Prevalence and Implications for Lost Productive Work Time

To determine whether body weight is a risk factor for mortality among older persons, we analyzed body mass index (weight [kilogram]/height [square meter]) data for 4710 white, National Health and Nutrition Examination Survey respondents who were aged 55 to 74 years during 1971 through 1975, in relation to their survival over an average of 8.7 years of follow-up. In a multivariate analysis that controlled for elevated blood pressure, smoking, and poverty, we found no additional risk associated with weight among women and a statistically significant, but moderate, additional risk (relative risk, 1.1 to 1.2) among men in the upper decile (body mass index, greater than or equal to 30 kg/m2). In contrast, low weight (body mass index, less than 22 kg/m2) was associated with increased mortality (relative risk, 1.3 to 1.6) except for women aged 55 to 64 years. We conclude that the accepted definition of overweight (body mass index, greater than or equal to 27.8 kg/m2 [men] or greater than or equal to 27.3 kg/m2 [women]) lacks specificity and may be inappropriate for older persons who do not have weight-related medical conditions. The low-weight mortality association, consistently demonstrated, deserves serious scrutiny.

Lost productive time associated with excess weight in the U.S. workforce.

Study Design. Cross-sectional with follow-up case-control component. Objectives. To measure the prevalence of back pain (BP) and back pain exacerbations, describe BP features and functional impairment, estimate BP-related lost productive time (LPT) and costs, and assess the relation between pain exacerbations and lost productive time. Summary of Background Data. BP is associated with substantial lost work time. However, little is known about the extent to which BP with or without exacerbation explains lost work time. Methods. A national telephone survey of the U.S. workforce identified 320 workers 40 to 65 years of age with BP defined by NHANES I criteria and 91 matched non-BP controls. Participants self-reported pain characteristics, lost productive time (absenteeism and presenteeism) in the previous 2 weeks, activity limitations, and demographics. A population-weighting adjustment was applied to estimates to account for selection bias and ensure that estimates of certain sample demographic subgroups’ totals conformed to the Current Population Survey. Results. The 2-week period prevalence of BP was 15.1%; 42% of workers with BP experienced pain exacerbations. BP prevalence was associated with demographic factors, but BP exacerbations were not. BP was reported by 42.6% of all workers. Workers with exacerbations reported more days with BP than those without exacerbations. Workers with exacerbations were significantly more likely than those without such exacerbations to report activity limitation (88.4% vs. 60.7%; P < 0.0001) and BP-related LPT (22.1% vs. 13.0%; P = 0.0259). BP in workers 40 to 65 years of age costs employers an estimated

Congenital malformations and psychosocial development in children conceived by in vitro fertilization

7.4 billion/year. Workers with BP exacerbations account for 71.6% of this cost. Conclusions. Workers with BP exacerbations account for a disproportionate share of the cost of BP-related lost productive time.

COMPARISON OF SAMPLING ANOPHELINE MOSQUITOES BY LIGHT TRAP AND HUMAN BAIT COLLECTIONS INDOORS AT BAGAMOYO, TANZANIA

Objective: The objective of this study was to estimate fatigue prevalence and associated health-related lost productive time (LPT) in U.S. workers. Methods: Fatigue prevalence, LPT due to fatigue, and LPT for any health-related reason (in hours and dollars) were measured in a national cross-sectional telephone survey of U.S. workers. Results: The 2-week period prevalence of fatigue was 37.9%. Of workers with fatigue, 65.7% reported health-related LPT compared with 26.4% of those without fatigue. Workers with fatigue cost employers

Prevalence and Burden of Chronic Migraine in Adolescents: Results of the Chronic Daily Headache in Adolescents Study (C-dAS)

136.4 billion annually in health-related LPT, an excess of

Lost productive time and costs due to diabetes and diabetic neuropathic pain in the US workforce.

101.0 billion compared with workers without fatigue. Fatigue frequently co-occurs with other conditions and, when present, is associated with a threefold increase, on average, in the proportion of workers with condition-specific LPT. Conclusions: Fatigue is prevalent in the U.S. workforce. When occurring with other health conditions, it is associated with significantly more condition-specific LPT.