PCV100 Comparison of Health-Related Work Impairment in Russian Patients with US and 5EU

Abstract

Objectives: To compare work productivity impairment between Russian patients with those in the 5EU and US. Methods: The study included data from the 2011 Russia (N=10,039), US (N=75,000), and 5EU (N= 57,512) National Health and Wellness Survey, a survey representative of urban adults in Russia and the total populations of US and each 5EU country. Two-way ANOVAs tested for differences in mean work productivity impairment by geography and self-reported diagnosis of type 2 diabetes (T2D) and cardiovascular (CV) conditions. BMI was calculated from height and weight. Work productivity impairment and impairment in non-work activities was assessed with the Work Productivity and Activity Impairment (WPAI) questionnaire. Results: There were regional differences in mean level of health-related work impairment in the overall populations, with Russia the highest at 22.6, followed by 5EU (19.4) and US (14.9; p<0.001). Overall differences in work productivity impairment existed for all conditions across geographies, with Russians consistently reporting the highest work productivity impairment in all cases (all ps<0.01). However, the magnitude of impairment associated with disease was dependent on geography. The difference in work productivity impairment between non-obese and obese patients was lowest in Russia (1.5) compared with 5EU (3.9) and US (2.7). Compared to non-T2D patients, T2D patients in Russia and 5EU showed the greatest difference in work productivity impairment (8.5); US showed a difference of 5.0. Similarly, Russians with CV conditions were more impaired than in 5EU and US when compared with non-CV patients (8.1 vs. 7.1 and 4.4, respectively). Conclusions: Russians have greater health-related work impairment than adults in US and 5EU. The incremental burden of obesity, T2D, and CV conditions in Russia appears to differ from the US and 5EU, being relatively small for obesity but greater for T2D and CV conditions. These differences highlight the importance of country-specific information for these markets. ► T2D was also most prevalent in employed respondents in the US (7.1%), followed by 5EU (3.4%) and Russia (1.8%) (p<0.001). ► Self-reported diagnosed CV conditions were most prevalent in the US employed population (34.9%), followed by Russia (33.3%) and then 5EU (24.4%) (p<0.001) . ► Compared with 5EU, employed Russians had less absenteeism both overall and for each condition (all ps<0.001) (Table 2). The difference was greatest with T2D; absenteeism in Russia was only 5.7%, compared to 9.7% in 5EU. Compared with the total employed Russian population (4.3%), this represents a 1.4% decrement. In 5EU, the decrement between the total employed population (5.4%) and T2D is 4.3%, over three times that of Russia. For each group, employed US respondents had less absenteeism than the other regions (3.2% in the total employed US population).