The impact of type 2 diabetes on professional activity Section Original articles

##plugins.themes.academic_pro.article.sidebar##

Published Oct 14, 2023
Download
pdf
Vol. 101 No. 6 (2023): Tunis med jun 2023

##plugins.themes.academic_pro.article.main##

Nesrine Kammoun
Institute for Occupational Health and Safety, Tunis/ Faculty of Medicine of Tunis- University of Tunis El Manar- Tunis- Tunisia
Anouare Hrairi
Department of occupational medicine and pathology, Hedi Chaker hospital, Sfax/Faculty of Medicine of Sfax, University of Sfax- Tunisia
Abir Ayadi
Department of occupational Medicine , Abderrahmen Mami Hospital, Ariana/Faculty of Medicine of Tunis- University of Tunis El Manar- Tunis- Tunisia
Sonia Ben Cheikh
Occupational medicine group, Nabeul/ Faculty of medicine of Tunis- University of Tunis El Manar- Tunis- Tunisia
Mejda Bani
Institute for Occupational Health and Safety, Tunis/ Faculty of Medicine of Tunis- University of Tunis El Manar- Tunis- Tunisia
Habib Nouaigui
Institute for Occupational Health and Safety, Tunis/ Faculty of Medicine of Tunis- University of Tunis El Manar- Tunis- Tunisia

Abstract

Introduction: Type 2 diabetes (T2D) is a major occupational health problem.


Aim: Assess the impact of non-insulin-requiring T2D on professional activity in terms of absenteeism, presenteeism, reduced productivity and daily activities.


Methods: We conducted a comparative cross-sectional survey of two groups of employees in the Cap Bon textile sector: 75 diabetic and 75 workers free from any endocrinological pathology, seen in the occupational medicine group of Nabeul. The study was spread over 10 months from March 2020.A questionnaire was administered containing the Arabic version of WPAI-GH « Work Productivity and Activity Impairment Questionnaire-General Health » to assess absenteeism, presenteeism, decreased productivity and daily activity.


Results: A total of 150 workers participated in our study. Diabetes was responsible for absenteeism of 5.1 ± 8.9%, presenteeism of 4.8 ± 6,4%, a decrease in productivity of 7.3 ± 7.8% and a decrease in the daily activity of 14,6 ± 10%. The rate of presenteeism, decrease in productivity and daily activity were significantly higher in T2D (p = 0.015). Absenteeism was associated with degenerative complications (p< 0,001). Presenteeism was associated with the duration of the course of diabetes (p < 0,001).


Conclusion: Diabetes has a negative impact in productivity and general activity. Early and multidisciplinary management of these patients improves their professional performance.

Keywords:

Diabetes Mellitus, Type 2, absenteeism, presenteeism, efficiency

##plugins.themes.academic_pro.article.details##

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Author Biography

Mejda Bani, Institute for Occupational Health and Safety, Tunis/ Faculty of Medicine of Tunis- University of Tunis El Manar- Tunis- Tunisia

Associate Professor in Occupational medicine

References

  1. Organisation mondiale de la Santé. Rapport mondial sur le diabète [Internet]. Genève: Organisation mondiale de la Santé; 2016 [cité 23 févr 2022]. 86 p. Available from: https://apps.who.int/iris/handle/10665/254648
  2. King H , Aubert RE, Herman WH. Global burden of diabetes 1995_2025. Diabetes Care 1998; 21(9):1414.DOI: 10.2337/diacare.21.9.1414
  3. Saeedi P, Petersohn I, Salpea P, Malandi B, KarurangaS, Unwin N et al. Global and regional diabetes prevalence estimates for 2019 and projection for 2030 and 2045: results from the international diabetes Federation. Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019;157:107843. DOI: 10.1016/j.diabres.2019.107843.
  4. Ogurtsova K, da Rocha Fernandes JD, Huang Y, Linnenkamp U, Guariguata L, Cho NH et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract. 2017;128:40-50. DOI: 10.1016/j.diabres.2017.03.024. Epub 2017 Mar 31.
  5. Institut National de la Santé. La santé des Tunisiens : résultats de l'enquête "Tunisian Health Examination Survey-2016" [Internet]. 2019 (cited 2022 Feb 17). Available from: http://www.santetunisie.rns.tn/images/rapport-final-enquete2020.pdf
  6. Saidi O, O’Flaherty M, Ben Mansour N, Aissi W, Lassoued O, Capewell S, et al. Forecasting Tunisian type 2 diabetes prevalence to 2027: validation of a simple model. BMC public health. 2015. DOI: 10.1186/s12889-015-1416-z.
  7. Institut National de la Statistique. Enquête Nationale sur la population et l'emploi 2012 (Online). 2013 (cited 2022 Mar 16). Available from: http://www.ins.tn/publication/enquete-nationale-sur-lemploi-2012
  8. Kouwenhoven-Pasmooij TA, Burdorf A, Roos-Hesselink JW, Hunink MG, Robroek SJ. Cardiovascular disease, diabetes and early exit from paid employment in Europe; the impact of work-related factors. Int J Cardiol. 2016; 215:332-7.DOI: 10.1016/j.ijcard.2016.04.090
  9. American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care 2013; 36:1033-1046.Available from: https://doi.org/10.2337/dc12-2625
  10. Favrot P, Mairiaux P, Blaisse P. Étude rétrospective de 438 salariés diabétiques dans un service interentreprise luxembourgeois de santé au travail – Enquête sur la relation entre la maladie diabétique et la survenue d’une décision d’inaptitude, d’un arrêt maladie prolongé ou d’un accident du travail. Arch Mal Prof Environ 2013;74: 352-358.Available from : https://doi.org/10.1016/j.admp.2013.03.004
  11. Reilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a work productivity and activity impairment instrument. Pharmacoeconomics 1993;4(5):353 65. DOI: 10.2165/00019053-199304050-00006
  12. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 2010;87(1):4-14.DOI: 10.1016/j.diabres.2009.10.007
  13. Krstoviae-Spermo V, Raèiae M, Bojan N, Vedrana R. The effects of diabetes mellitus and hypertension on work productivity. Acta Medica Academia 2014;43(2):122-33.DOI: 10.5644/ama2006-124.111
  14. Reilly M, Bracco A, Ricci JF, Santoro J, Stevens T. The validity and accuracy of the Work Productivity and Activity Impairment questionnaire-irritable bowel syndrome version (WPAI: IBS). Aliment pharmacol Ther 2004;20(4):459-67.DOI: 10.1111/j.1365-2036.2004.02091.x
  15. Reilly MC, Gooch KL, Wong RL, Kupper H, Vander Heijde D. Validity, reliability and responsiveness of the Work Productivity and Activity Impairment Questionnaire in ankylosing spondylitis. Rheumatology 2010;49(4):812-9. DOI: 10.1093/rheumatology/kep457
  16. Reilly MC, Gerlier L, Brabant Y, Brown M. Validity, reliability, and responsiveness of the work productivity and activity impairment questionnaire in Crohn’s disease. Clin Ther 2008;30(2):393-404. DOI: 10.1016/j.clinthera.2008.02.016
  17. Adepoju OE, Bolin JN, Ohsfeldt RL, Phillips CD, Zhao H, Ory MG et al. Can Chronic Disease Management Programs for Patients with Type 2 Diabetes Reduce productivity-Related Indirect Costs of the Disease? Evidence from a Randomized Controlled Trial. Popul Health Manag 2014;17:112-120.DOI: 10.1089/pop.2013.0029
  18. Hossini OL, Ghailan T, Manar N, Deschamps F, Hossini CE. Impact du diabète sur la qualité de vie et l’activité professionnelle. Arch Mal Prof Environ 2020;81:536.DOI : 10.1016/j.admp.2020.03.300
  19. Tunceli K, Bradley CJ, Nerenz D, Williams LK, Pladevall M, Elston Lafata J. The impact of diabetes on employment and work productivity. Diabetes care 2005;28(11):2662-7.https://doi.org/10.2337/diacare.28.11.2662
  20. Brahem A, Selmi I, Boughattas W, Kacem I, Hafsia M, Slim I et al. L’absentéisme chez les patients diabétiques type 1 en activité professionnelle. Rev Med Brux 2019 ;40 :71-7. DOI : 10.30637/2019.17-101.
  21. Lavigne JE, Phelps CE, Muchlin A, Lednar WM. Reductions in individual work productivity associated with type 2 diabetes mellitus. Pharmacoeconomics 2003;21:1123-34. Doi: 10.2165/00019053-200321150-00006.
  22. Breton M-C, Guénette L, Amiche MA, Kayibanda J-F, Grégoire J-P, Moisan J. Burden of Diabetes on the Ability to Work: A systematic review. Diabetes Care 2013;36:740–9. https://doi.org/10.2337/dc12-0354.
  23. Brahem A, Selmi I, Boughattas W, Gaddour A, Maoua M, Kalboussi H, et al. Impact du diabète sur l’activité professionnelle : résultats d’une enquête réalisée dans un centre hospitalier à Sousse, Tunisie. Arch Mal Prof Environ 2016;77:982–9. Available from: https://doi.org/10.1016/j.admp.2016.04.002.
  24. Cabeceira HS, Souza DMST, JulianoY, Veiga DF. Work ability and productivity in patients with diabetic foot. Clinics 2019;74:421. DOI: 10.6061/clinics/2019/e421
  25. Marco DCDB, Joseph CC, Ashish V. Association between pain severity and health care resource use, health status, productivity and related costs in painful diabetic peripheral neuropathy patients. Pain Med 2011;12:799-807.DOI: 10.1111/j.1526-4637.2011.01103.x
  26. Tabano DC, Anderson ML, Ritzwoller DP, Beck A, Carroll N, Fishman PA et al. Estimating the Impact of Diabetes Mellitus on Worker Productivity using Self-Report, Electronic Health Record and Human Resource Data. J Occup Environ Med 2018;60:569-574.DOI: 10.1097/JOM.0000000000001441
  27. Breton MC, Guénette L, Amiche MA, Kayribanda JF, Grégoire JP, Moisau J. Burden of diabetes on the ability to work: a systemic review. Diabetes Care 2013;36(3):740-9.DOI: 10.2337/dc12-0354.
  28. Tönnies T, Hoyer A, Brinks R. Productivity-adjusted life years lost due to type 2 diabetes in Germany in 2020 and 2040. Diabetologia 2021;64:1288–97. Available from: https://doi.org/10.1007/s00125-021-05409-3.
  29. Journal Officiel de la République Tunisienne. Arrêté du Ministre des Affaires Sociales, de la solidarité et des tunisiens à l’étranger du 21 juillet 2009, portant fixation du modèle de dossier médicale, du modèle de fiche de surveillance médicale et du modèle de fiche d’aptitude au travail. Available from : https://www.pist.tn/jort/2009/2009F/Jo0632009.pdf
  30. Mbarki S, Abdelaziz AB, Hassine DB, Melki S, Rejeb NB, Omezzine A, A Omezzine, et al. Epidémiologie du diabète sucré en Tunisie. Etude Hammam Sousse Sahloul Heart Study (HSHS 2). La Tunisie Médicale 2022 ; Vol 100 (03) : 229-240. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9387647/