Association between prevalence and severity of chronic kidney disease and employment status: a nationwide study in Korea
Abstract Background The prevalence of chronic kidney disease (CKD) is increasing globally, and understanding the association between CKD and employment status is crucial. This cross-sectional study aimed to investigate the association of CKD with employment and occupation type among patients with CK...
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-17338-4 |
| _version_ | 1797349665328332800 |
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| author | Seoyeong Choi Suk-Yong Jang Eunjeong Choi Yu shin Park |
| author_facet | Seoyeong Choi Suk-Yong Jang Eunjeong Choi Yu shin Park |
| author_sort | Seoyeong Choi |
| collection | DOAJ |
| description | Abstract Background The prevalence of chronic kidney disease (CKD) is increasing globally, and understanding the association between CKD and employment status is crucial. This cross-sectional study aimed to investigate the association of CKD with employment and occupation type among patients with CKD. Methods We analyzed data from 36,732 Korean adults aged ≥ 30 years, who participated in the Korean National Health and Nutrition Examination Survey between 2014 and 2021. CKD was detected based on the estimated glomerular filtration rate, and the employment status of the participants was classified into distinct categories: full-time permanent employment, unemployment, self-employment, and precarious employment. We analyzed the data using multiple logistic regression. Results We observed a significant association between CKD and a higher likelihood of unemployment compared to that in individuals without CKD (odds ratio, 1.70; 95% confidence interval, 1.47–1.96). This association was more prominent in patients with severe CKD. In the multivariable logistic analysis, patients with CKD had a higher likelihood for precarious employment (odds ratio, 1.29; 95% confidence interval, 0.92–1.88), self-employment (odds ratio, 1.3; 95% confidence interval, 0.90–1.88), and unemployment (odds ratio, 2.10; 95% confidence interval, 1.51–2.92) compared to individuals without CKD. Conclusions Our study demonstrated that CKD is associated with a higher likelihood of unemployment and engagement in precarious employment. These findings highlight the challenges faced by patients with CKD in obtaining stable employment and emphasize the need for interventions to improve the employment outcomes of individuals with CKD. |
| first_indexed | 2024-03-08T12:33:40Z |
| format | Article |
| id | doaj.art-a4b7d656b6dc4586945c982c92ffa3c2 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-08T12:33:40Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-a4b7d656b6dc4586945c982c92ffa3c22024-01-21T12:38:32ZengBMCBMC Public Health1471-24582024-01-0124111110.1186/s12889-023-17338-4Association between prevalence and severity of chronic kidney disease and employment status: a nationwide study in KoreaSeoyeong Choi0Suk-Yong Jang1Eunjeong Choi2Yu shin Park3Department of Public Health, Graduate School, Yonsei UniversityInstitute of Health Services Research, Yonsei UniversityDepartment of Public Health, Graduate School, Yonsei UniversityDepartment of Public Health, Graduate School, Yonsei UniversityAbstract Background The prevalence of chronic kidney disease (CKD) is increasing globally, and understanding the association between CKD and employment status is crucial. This cross-sectional study aimed to investigate the association of CKD with employment and occupation type among patients with CKD. Methods We analyzed data from 36,732 Korean adults aged ≥ 30 years, who participated in the Korean National Health and Nutrition Examination Survey between 2014 and 2021. CKD was detected based on the estimated glomerular filtration rate, and the employment status of the participants was classified into distinct categories: full-time permanent employment, unemployment, self-employment, and precarious employment. We analyzed the data using multiple logistic regression. Results We observed a significant association between CKD and a higher likelihood of unemployment compared to that in individuals without CKD (odds ratio, 1.70; 95% confidence interval, 1.47–1.96). This association was more prominent in patients with severe CKD. In the multivariable logistic analysis, patients with CKD had a higher likelihood for precarious employment (odds ratio, 1.29; 95% confidence interval, 0.92–1.88), self-employment (odds ratio, 1.3; 95% confidence interval, 0.90–1.88), and unemployment (odds ratio, 2.10; 95% confidence interval, 1.51–2.92) compared to individuals without CKD. Conclusions Our study demonstrated that CKD is associated with a higher likelihood of unemployment and engagement in precarious employment. These findings highlight the challenges faced by patients with CKD in obtaining stable employment and emphasize the need for interventions to improve the employment outcomes of individuals with CKD.https://doi.org/10.1186/s12889-023-17338-4Chronic kidney insufficiencyChronic diseaseEmploymentGlomerular filtration rate |
| spellingShingle | Seoyeong Choi Suk-Yong Jang Eunjeong Choi Yu shin Park Association between prevalence and severity of chronic kidney disease and employment status: a nationwide study in Korea BMC Public Health Chronic kidney insufficiency Chronic disease Employment Glomerular filtration rate |
| title | Association between prevalence and severity of chronic kidney disease and employment status: a nationwide study in Korea |
| title_full | Association between prevalence and severity of chronic kidney disease and employment status: a nationwide study in Korea |
| title_fullStr | Association between prevalence and severity of chronic kidney disease and employment status: a nationwide study in Korea |
| title_full_unstemmed | Association between prevalence and severity of chronic kidney disease and employment status: a nationwide study in Korea |
| title_short | Association between prevalence and severity of chronic kidney disease and employment status: a nationwide study in Korea |
| title_sort | association between prevalence and severity of chronic kidney disease and employment status a nationwide study in korea |
| topic | Chronic kidney insufficiency Chronic disease Employment Glomerular filtration rate |
| url | https://doi.org/10.1186/s12889-023-17338-4 |
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