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

Maayke A Sluman; Maayke A Sluman; Silke Apers; Judith K Sluiter; Karen Nieuwenhuijsen; Philip Moons; Philip Moons; Koen Luyckx; Koen Luyckx; Adrienne H Kovacs; Adrienne H Kovacs; Corina Thomet; Werner Budts; Junko Enomoto; Hsiao-Ling Yang; Jamie L Jackson; Paul Khairy; Stephen C Cook; Raghavan Subramanyan; Luis Alday; Katrine Eriksen; Mikael Dellborg; Mikael Dellborg; Malin Berghammer; Malin Berghammer; Eva Mattsson; Andrew S Mackie; Samuel Menahem; Maryanne Caruana; Kathy Gosney; Alexandra Soufi; Susan M Fernandes; Kamila S White; Edward Callus; Shelby Kutty; Berto J Bouma; Barbara J M Mulder

doi:10.1111/CHD.12747

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

Maayke A Sluman, Maayke A Sluman, Silke Apers, Judith K Sluiter, Karen Nieuwenhuijsen, Philip Moons, Philip Moons, Koen Luyckx, Koen Luyckx, Adrienne H Kovacs, Adrienne H Kovacs, Corina Thomet, Werner Budts, Junko Enomoto, Hsiao-Ling Yang, Jamie L Jackson, Paul Khairy, Stephen C Cook, Raghavan Subramanyan, Luis AldayKatrine Eriksen, Mikael Dellborg, Mikael Dellborg, Malin Berghammer, Malin Berghammer, Eva Mattsson, Andrew S Mackie, Samuel Menahem, Maryanne Caruana, Kathy Gosney, Alexandra Soufi, Susan M Fernandes, Kamila S White, Edward Callus, Shelby Kutty, Berto J Bouma, Barbara J M Mulder

University of Missouri-St. Louis

Research output: Contribution to journal › Article › peer-review

Abstract

<div class="line" id="line-19"> Background:</div><div class="line" id="line-21"> Conflicting results have been reported regarding employment status and work ability in adults with congenital heart disease (CHD). Since this is an impor&hyphen; tant determinant for quality of life, we assessed this in a large international adult CHD cohort.</div><div class="line" id="line-23"> <br/></div><div class="line" id="line-25"> Methods:</div><div class="line" id="line-27"> Data from 4028 adults with CHD (53% women) from 15 different countries were collected by a uniform survey in the cross&hyphen;sectional APPROACH International Study. Predictors for employment and work limitations were studied using general linear mixed models.</div><div class="line" id="line-29"> <br/></div><div class="line" id="line-31"> Results: Median age was 32 years (IQR 25&hyphen;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&hyphen;3.69) and having a partner (OR 1.72) were asso&hyphen; ciated with more employment; female sex (OR 0.66, worse NYHA functional class (OR 0.67&hyphen;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 fe&hyphen; male sex (OR 1.36), increasing age (OR 1.03 per year), more severe CHD (OR 1.31&hyphen;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).</div><div class="line" id="line-33"> <br/></div><div class="line" id="line-35"> Conclusions: There are genuine differences in the impact of CHD on employment status in different countries. Although the majority of adult CHD patients are em&hyphen; ployed, limitations at work are common. Education appears to be the main predictor for successful employment and should therefore be encouraged in patients with CHD.</div>

Original language	American English
Journal	Congenital Heart Disease
Volume	14
DOIs	https://doi.org/10.1111/CHD.12747
State	Published - May 1 2019

Keywords

adult
congenital heart defects
disability
education
employment
work ability

Disciplines

Critical Care
Higher Education
Medicine and Health Sciences
Demography, Population, and Ecology

Access to Document

10.1111/CHD.12747License: Unspecified

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Cite this

Sluman, M. A., Sluman, M. A., Apers, S., Sluiter, J. K., Nieuwenhuijsen, K., Moons, P., Moons, P., Luyckx, K., Luyckx, K., Kovacs, A. H., Kovacs, A. H., Thomet, C., Budts, W., Enomoto, J., Yang, H.-L., Jackson, J. L., Khairy, P., Cook, S. C., Subramanyan, R., ... Mulder, B. J. M. (2019). Education as important predictor for successful employment in adults with congenital heart disease worldwide. Congenital Heart Disease, 14. https://doi.org/10.1111/CHD.12747

Sluman, MA, Sluman, MA, Apers, S, Sluiter, JK, Nieuwenhuijsen, K, Moons, P, Moons, P, Luyckx, K, Luyckx, K, Kovacs, AH, Kovacs, AH, Thomet, C, Budts, W, Enomoto, J, Yang, H-L, Jackson, JL, Khairy, P, Cook, SC, Subramanyan, R, Alday, L, Eriksen, K, Dellborg, M, Dellborg, M, Berghammer, M, Berghammer, M, Mattsson, E, Mackie, AS, Menahem, S, Caruana, M, Gosney, K, Soufi, A, Fernandes, SM, White, KS, Callus, E, Kutty, S, Bouma, BJ & Mulder, BJM 2019, 'Education as important predictor for successful employment in adults with congenital heart disease worldwide.', Congenital Heart Disease, vol. 14. https://doi.org/10.1111/CHD.12747

@article{907f41e694534ec191b80611273e40c2,

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 impor&hyphen; tant 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&hyphen;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&hyphen;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&hyphen;3.69) and having a partner (OR 1.72) were asso&hyphen; ciated with more employment; female sex (OR 0.66, worse NYHA functional class (OR 0.67&hyphen;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 fe&hyphen; male sex (OR 1.36), increasing age (OR 1.03 per year), more severe CHD (OR 1.31&hyphen;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 em&hyphen; ployed, 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 = "Sluman, {Maayke A} and Sluman, {Maayke A} and Silke Apers and Sluiter, {Judith K} and Karen Nieuwenhuijsen and Philip Moons and Philip Moons and Koen Luyckx and Koen Luyckx and Kovacs, {Adrienne H} and Kovacs, {Adrienne H} and Corina Thomet and Werner Budts and Junko Enomoto and Hsiao-Ling Yang and Jackson, {Jamie L} and Paul Khairy and Cook, {Stephen C} and Raghavan Subramanyan and Luis Alday and Katrine Eriksen and Mikael Dellborg and Mikael Dellborg and Malin Berghammer 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 = may,

day = "1",

doi = "10.1111/CHD.12747",

language = "American English",

volume = "14",

journal = "Congenital Heart Disease",

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TY - JOUR

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

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 impor&hyphen; tant 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&hyphen;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&hyphen;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&hyphen;3.69) and having a partner (OR 1.72) were asso&hyphen; ciated with more employment; female sex (OR 0.66, worse NYHA functional class (OR 0.67&hyphen;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 fe&hyphen; male sex (OR 1.36), increasing age (OR 1.03 per year), more severe CHD (OR 1.31&hyphen;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 em&hyphen; ployed, 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 impor&hyphen; tant 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&hyphen;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&hyphen;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&hyphen;3.69) and having a partner (OR 1.72) were asso&hyphen; ciated with more employment; female sex (OR 0.66, worse NYHA functional class (OR 0.67&hyphen;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 fe&hyphen; male sex (OR 1.36), increasing age (OR 1.03 per year), more severe CHD (OR 1.31&hyphen;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 em&hyphen; ployed, 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

U2 - 10.1111/CHD.12747

DO - 10.1111/CHD.12747

M3 - Article

VL - 14

JO - Congenital Heart Disease

JF - Congenital Heart Disease

ER -