Original Investigations: Pathogenesis and Treatment of Kidney Disease and HypertensionThe effect of renal insufficiency on workforce participation in the United States: An analysis using national health and nutrition examination survey III data*,**,*
Section snippets
Methods
We estimated workforce participation and its dependence on renal function by studying individuals aged 18 to 64 years who participated in the NHANES III. The NHANES III was conducted by the National Centers for Health Statistics from 1988 to 1994. It provides nationally representative cross-sectional data on the overall health and nutritional status of the civilian noninstitutionalized US population.11, 12 Complex multistage sampling involving deliberate oversampling of ethnic groups, children,
Results
Characteristics of those of working age included in the analysis (n = 5,558) were similar to those who were excluded, except for the variables of sex (61% versus 46% women, respectively) and age group (40% versus 24% in the 18- to 29-year-old group, 21% versus 31% in the 30- to 39-year-old group, 15% versus 25% in the 40- to 49-year-old group, and 23% versus 20% in the 50- to 64-year-old group). Characteristics of the 5,558 sample participants with complete data for all variables of interest
Discussion
Analysis of NHANES III data shows that renal dysfunction is associated with a marked reduction in workforce participation among subjects aged 18 to 64 years. This association is independent of other demographic, socioeconomic, and health-related variables, including states that may influence both renal function and work status, such as diabetes mellitus and cardiovascular disease. Serum creatinine level greater than 2.0 mg/dL (180 μmol/L) or 1.7 mg/dL (150 μmol/L) for men and women was
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Cited by (0)
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Supported in part by the Alberta Heritage Foundation for Medical Research.
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Address reprint requests to Scott Klarenbach, MD, Institute of Health Economics, #1200, 10405 Jasper Ave, Edmonton, Alberta, Canada T5J 3N4. E-mail: [email protected]
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