PubMed · 10158250
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1996. Tips for developing a workable drug policy.. https://pubmed.ncbi.nlm.nih.gov/10158250/
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Chronic obstructive pulmonary disease (COPD) is a rapidly growing public health problem in the United States and elsewhere. Although direct costs of COPD are well documented, the impact of COPD and its severity on labor force participation is not well known. Using population-based data from the Third National Health and Nutrition Examination Survey (NHANES III), we determined the adjusted relationship between COPD (and its severity) and labor force participation in the U.S. We used data from 12,436 participants involved in NHANES III; 1,073 of these participants (8.6% of the total) reported COPD. These participants were 3.9% (95% confidence interval, 1.3% to 6.4%) less likely to be in the labor force than those without COPD. Increasing severity of COPD was associated with decreased probability of being in the labor force (p for linear trend = 0.001). Mild, moderate, and severe COPD was associated with a 3.4%, 3.9%, and 14.4% reduction in the labor force participation rate relative to those without COPD. These data suggest that COPD has a considerable adverse impact on work force participation. Based on these data, we estimate that, in 1994, COPD was responsible for work loss of approximately $9.9 billion in the U.S.
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OBJECTIVE: To review literature investigating school absence, behaviour problems and social relationships of children with cancer on return to school. Additionally, we reviewed interventions aimed at promoting successful school re-entry for children with cancer, and increasing classmates and teachers understanding of childhood cancer. METHODS: Electronic searches were used to identify studies examining the effects of school re-entry on children with cancer. RESULTS AND CONCLUSIONS: School absences are higher for children with cancer than healthy children and those with other chronic conditions. Although there is mixed evidence about whether children have significant behavioural problems, studies involving social relationships generally conclude that children with cancer are more sensitive and isolated than peers, according to both peer and teacher report.