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Type: Journal article
Title: Return to work after acute myocardial infarction: comparison between young women and men
Author: Dreyer, R.
Xu, X.
Zhang, W.
Du, X.
Strait, K.
Bierlein, M.
Bucholz, E.
Geda, M.
Fox, J.
D'Onofrio, G.
Lichtman, J.
Bueno, H.
Spertus, J.
Krumholz, H.
Citation: Circulation: Cardiovascular Quality and Outcomes, 2016; 9(2):45-52
Publisher: Lippincott Williams & Wilkins
Issue Date: 2016
ISSN: 1941-7713
Statement of
Rachel P. Dreyer, Xiao Xu, Weiwei Zhang, Xue Du, Kelly M. Strait, Maggie Bierlein, Emily M. Bucholz, Mary Geda, James Fox, Gail D’Onofrio, Judith H. Lichtman, Héctor Bueno, John A. Spertus, Harlan M. Krumholz
Abstract: Background: Return to work after acute myocardial infarction (AMI) is an important outcome and is particularly relevant to young patients. Women may be at a greater risk for not returning to work given evidence of their worse recovery after AMI than similarly aged men. However, sex differences in return to work after AMI has not been studied extensively in a young population (≤55 years). Methods and Results: We analyzed data from 1680 patients with AMI aged 18 to 55 years (57% women) participating in the Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients (VIRGO) study who were working full time (≥35 hours) before the event. Data were obtained by medical record abstraction and patient interviews. We conducted multivariable regression analyses to examine sex differences in return to work at 12 months after AMI, and the association of patient characteristics with return to work. When compared with young men, young women were less likely to return to work (89% versus 85%; 85% versus 89%, P=0.02); however, this sex difference was not significant after adjusting for patient sociodemographic characteristics, psychosocial factors, and health measures. Being married, engaging in a professional or clerical type of work, having more favorable physical health, and having no previous coronary disease or hypertension were significantly associated with a higher likelihood of return to work at 12 months. Conclusions: Among a young population, women are less likely to return to work after AMI than men. This disadvantage is explained by differences in demographic, occupational, and health characteristics.
Keywords: Coronary artery disease; myocardial infarction; regression analysis; sex characteristics; women
Rights: © 2016 American Heart Association, Inc.
DOI: 10.1161/CIRCOUTCOMES.115.002611
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