Harrison, Alexander Stephen orcid.org/0000-0002-2257-6508, Sumner, Jennifer orcid.org/0000-0002-2200-3275, McMillan, Dean orcid.org/0000-0002-2901-8410 et al. (1 more author) (2016) Relationship between employment and mental health outcomes following Cardiac Rehabilitation:an observational analysis from the National Audit of Cardiac Rehabilitation. International Journal of Cardiology. pp. 851-854. ISSN 0167-5273
Abstract
BACKGROUND: Employment status has been shown to impact mental health state and intervention outcomes, yet still to be studied in a Cardiac Rehabilitation (CR) population. This observational study investigated the relationship between employment status and mental health outcomes following Cardiac Rehabilitation (CR). METHODS: All patients with an eligible cardiovascular incident entered into the National Audit of Cardiac Rehabilitation (NACR) 1 January 2013-31st December 2015. Logistic regression comparing the association between employment status and normal mental health categories. RESULTS: A total of 24,242 CR patients with completed post CR assessments were included and had representative age and gender distribution (mean 65years, 73.2% male). At baseline the unemployed status had a lower proportion of patients in normal healthy categories than other groups (T-test and chi-squared p=<0.05). The regression analyses revealed no significant association between retired and employed groups and outcome. There was significant association between unemployed patients and all mental health outcomes except anxiety; all p values<0.05 and odds ratios between 0.525 and 0.772 showing less likelihood of achieving the normal healthy category. CONCLUSIONS: This is the first UK study, using routinely collected data, to investigate in coronary heart disease patients the impact of employment status on outcomes. The findings were that when weighted for baseline differences, unemployed patients mostly had poorer outcomes. Teams involved in CR delivery should take particular care when interpreting mental health baseline measures when setting CR goals, especially in relation to unemployed patients, and efforts should be made in providing more patient tailored interventions.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016, The Authors. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) The University of York > Faculty of Sciences (York) > Hull York Medical School (York) |
Funding Information: | Funder Grant number BRITISH HEART FOUNDATION UNSPECIFIED |
Depositing User: | Pure (York) |
Date Deposited: | 02 Aug 2016 16:14 |
Last Modified: | 17 Oct 2024 08:32 |
Published Version: | https://doi.org/10.1016/j.ijcard.2016.06.142 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.ijcard.2016.06.142 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:103285 |
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