PDF(Pubmed)
Abstract：
Background Understanding the factors that contribute to unemployment will help in the design of creative resolutions to enable hemodialysis patients to return to a productive life. Methods We examined employment among 625 patients aged 18 to 60 years who were on hemodialysis in 8 dialysis units. Results Overall employment was low among patients on chronic hemodialysis at 49.7%. Unemployment was significantly higher in women than in men (86.6% vs 17.1%, p < 0.0001). The employment rate was 70.5% for those with no diabetes and hypertension, 29.5% for those with diabetes, and 25.9% for those with diabetes and hypertension. Furthermore, the results of the Cox regression showed that the variables of gender, level of education, capability of driving, and diabetes were related to employment of patients. Conclusions The majority of patients on hemodialysis are unemployed or exit paid employment due to early retirement. Patients with diabetes and women are a vulnerable population with a higher unemployment rate.
摘要：
背景了解导致失业的因素将有助于设计创造性的解决方案，以使血液透析患者恢复生产生活。方法我们在8个透析单元中检查了625名年龄在18至60岁之间的血液透析患者的就业情况。结果慢性血液透析患者的总就业率为49.7%。女性的失业率明显高于男性（86.6％vs17.1％，p<0.0001)。无糖尿病和高血压的就业率为70.5%,29.5%的糖尿病患者，糖尿病和高血压患者为25.9%。此外，Cox回归的结果表明，性别变量，教育水平,驾驶能力,糖尿病与患者就业有关。结论大多数血液透析患者因提前退休而失业或退出有偿工作。糖尿病患者和妇女是失业率较高的弱势群体。
