Return to work after acute myocardial infarction: comparison between young women and men

Simple item page
dc.contributor.authorDreyer, R.
dc.contributor.authorXu, X.
dc.contributor.authorZhang, W.
dc.contributor.authorDu, X.
dc.contributor.authorStrait, K.
dc.contributor.authorBierlein, M.
dc.contributor.authorBucholz, E.
dc.contributor.authorGeda, M.
dc.contributor.authorFox, J.
dc.contributor.authorD'Onofrio, G.
dc.contributor.authorLichtman, J.
dc.contributor.authorBueno, H.
dc.contributor.authorSpertus, J.
dc.contributor.authorKrumholz, H.
dc.date.issued2016
dc.description.abstractBackground: 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.
dc.description.statementofresponsibilityRachel 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
dc.identifier.citationCirculation: Cardiovascular Quality and Outcomes, 2016; 9(2):45-52
dc.identifier.doi10.1161/CIRCOUTCOMES.115.002611
dc.identifier.issn1941-7713
dc.identifier.issn1941-7705
dc.identifier.orcidSpertus, J. [0000-0001-9485-0652] [0000-0002-2839-2611]
dc.identifier.urihttp://hdl.handle.net/2440/112991
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.rights© 2016 American Heart Association, Inc.
dc.source.urihttps://doi.org/10.1161/circoutcomes.115.002611
dc.subjectCoronary artery disease; myocardial infarction; regression analysis; sex characteristics; women
dc.titleReturn to work after acute myocardial infarction: comparison between young women and men
dc.typeJournal article
pubs.publication-statusPublished

Files

Collections

Medicine publications