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Productivity Losses and Their Explanatory Factors Amongst People with Impaired Vision
NOVA University of Lisbon, Portugal.
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. University of Minho Braga, Portugal.ORCID iD: 0000-0003-3436-2010
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. University of Minho Braga, Portugal.ORCID iD: 0000-0003-1280-9854
University of Minho Braga, Portugal.
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2019 (English)In: Ophthalmic Epidemiology, ISSN 0928-6586, E-ISSN 1744-5086, Vol. 26, no 6, p. 378-392Article in journal (Refereed) Published
Abstract [en]

Purpose: To estimate productivity losses amongst people with impaired vision in Portugal and to investigate explanatory factors associated with non-participation in the labour market.

Methods: A total of 546 visually impaired individuals participated in face-to-face interviews. Participants were asked about their workforce participation to determine productivity (employment status questionnaire), their health-related quality of life – HRQoL (EQ-5D) and their visual acuity and visual ability (Activity Inventory). Productivity losses included absenteeism and reduction in workforce participation. Logistic regression was used to determine independent factors associated with participation in the labour market.

Results: From the 546 participants, 50% were retired, 47% were of working age and 3% were students. The employment rate was 28%, and the unemployment rate was 21% for the working age sample. For those of working age, productivity losses were estimated at €1.51 million per year, mean of €5496 per participant. The largest contributor to productivity losses was reduced workforce participation, estimated from 159 early retired or unemployed participants. After controlling for visual acuity and ability, younger individuals, with more years of education, without comorbidities and high HRQoL had a higher probability of being employed.

Conclusions: Our findings show a high unemployment rate and high productivity losses amongst people with impaired vision. The probability of being employed was associated with education, HRQoL and comorbidities. We speculate that promoting education and health through effective visual rehabilitation programs may help to increase participation in the labour market. These findings can inform decisions to intervene to reduce the burden of vision loss.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2019. Vol. 26, no 6, p. 378-392
Keywords [en]
Vision Impairment, productivity losses, patient reported outcomes measures, employment, HRQoL
National Category
Public Health, Global Health and Social Medicine Ophthalmology
Research subject
Natural Science, Optometry
Identifiers
URN: urn:nbn:se:lnu:diva-86286DOI: 10.1080/09286586.2019.1632904ISI: 000474689700001PubMedID: 31280630Scopus ID: 2-s2.0-85068603874OAI: oai:DiVA.org:lnu-86286DiVA, id: diva2:1336695
Available from: 2019-07-10 Created: 2019-07-10 Last updated: 2025-02-20Bibliographically approved
In thesis
1. Studying prevalence using capture-recapture methods: visual impairment in Portugal
Open this publication in new window or tab >>Studying prevalence using capture-recapture methods: visual impairment in Portugal
2021 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Visual impairment (VI) due to eye diseases remains a significant healthproblem worldwide and, also, in Europe. There are an estimated 15 million peoplesuffering from moderate or severe visual impairment in Western Europe. VI has asignificant impact on the quality of life by reducing functional status and interferingwith the ability of the subject to maintain independence in a safe manner. Prevalenceof VI needs to be estimated regularly so that the progress of the vision health of apopulation can be evaluated and monitored. In addition, it is important to ascertainthe causes behind VI so that health programs can be designed to lower itsprevalence. There is currently a lack of epidemiological information about theprevalence and causes of VI in Portugal. Therefore, the aim of this thesis was todetermine the prevalence of VI in a large region Portugal using data from lists ofcases of VI.Capture-recapture models have been applied in several disciplines, asbiomedical sciences, epidemiology or ecology, to estimate the size of populations. Inparticular, they have been used to estimate the prevalence of several diseases orconditions. Developing these inferential models is of great importance to avoid thehigh costs and unreasonable time spending of cross-sectional studies. However,applying capture-recapture models is challenging, as they are very sensitive to listdependence and possible capture rates heterogeneity among subgroups of thepopulation. In particular, applying these models to human population samples isadditionally challenging, as in most epidemiologic studies only a small number oflists are available. There are two main differences between human and wildlifepopulations. First, human population lists generally have not a well-defined timeorder. Second, in wildlife studies there are often more trapping samples than inhuman population studies. In most epidemiologic surveys, only two to four lists areavailable. This can be problematic and is an additional difficulty when applyingcapture-recapture models in the context of human populations.The main objective of this work was to estimate the prevalence of VI usingcapture-recapture models. We estimated a crude prevalence of1.97%,95%CI=[1.56,2.54] to the Northwest of Portugal in the time period between2014 and 2015, specifically at the regions of Minho and Douro Litoral. Almost 2 ofevery 100 inhabitants of the Portuguese Northwest suffer from visual impairment.This prevalence value is in line with the values in some countries, particularly withSpain. Diabetic Retinopathy was the main cause (31%), followed by Cataract (15%),Age-related Macular Degeneration (14%) and Glaucoma (10%). This thesis provides asignificant contribution to the understanding of the CR methodology in human populations and for the knowledge of the epidemiological information about VI inPortugal.

Place, publisher, year, edition, pages
University of Minho, Portugal, 2021. p. 188
National Category
Ophthalmology
Research subject
Natural Science, Optometry
Identifiers
urn:nbn:se:lnu:diva-108705 (URN)
Supervisors
Available from: 2021-12-21 Created: 2021-12-21 Last updated: 2022-05-24Bibliographically approved

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Macedo, António FilipeLima Ramos, Pedro

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