TY - JOUR

T1 - Employment Status Following Heart Transplantation

T2 - Data From the Danish Nationwide Social Service Payment Register During 20 years

AU - Mols, Rikke Elmose

AU - Løgstrup, Brian Bridal

AU - Bakos, István

AU - Horváth-Puhó, Erzsébet

AU - Gustafsson, Finn

AU - Eiskjær, Hans

N1 - Publisher Copyright: Copyright © 2024 Mols, Løgstrup, Bakos, Horváth-Puhó, Gustafsson and Eiskjær.

PY - 2024

Y1 - 2024

N2 - Most studies on vocational rehabilitation after heart transplantation (HTX) are based on self-reported data. Danish registries include weekly longitudinal information on all public transfer payments. We intended to describe 20-year trends in employment status for the Danish heart-transplant recipients, and examine the influence of multimorbidity and socioeconomic position (SEP). Linking registry and Scandiatransplant data (1994–2018), we conducted a study in recipients of working age (19–63 years). The cohort contained 492 recipients (79% males) and the median (IQR) age was 52 years (43–57 years). Five years after HTX, 30% of the survived recipients participated on the labor market; 9% were in a flexible job with reduced health-related working capacity. Moreover, 60% were retired and 10% eligible for labor market participation were unemployed. Recipients with multimorbidity had a higher age and a lower prevalence of employment. Five years after HTX, characteristics of recipients with labor market participation were: living alone (27%) versus cohabitation (73%); low (36%) versus medium-high (64%) educational level; low (13%) or medium-high (87%) income group. Heart-transplant recipients with multimorbidity have a higher age and a lower prevalence of employment. Socioeconomically disadvantaged recipients had a lower prevalence of labor market participation, despite being younger compared with the socioeconomically advantaged.

AB - Most studies on vocational rehabilitation after heart transplantation (HTX) are based on self-reported data. Danish registries include weekly longitudinal information on all public transfer payments. We intended to describe 20-year trends in employment status for the Danish heart-transplant recipients, and examine the influence of multimorbidity and socioeconomic position (SEP). Linking registry and Scandiatransplant data (1994–2018), we conducted a study in recipients of working age (19–63 years). The cohort contained 492 recipients (79% males) and the median (IQR) age was 52 years (43–57 years). Five years after HTX, 30% of the survived recipients participated on the labor market; 9% were in a flexible job with reduced health-related working capacity. Moreover, 60% were retired and 10% eligible for labor market participation were unemployed. Recipients with multimorbidity had a higher age and a lower prevalence of employment. Five years after HTX, characteristics of recipients with labor market participation were: living alone (27%) versus cohabitation (73%); low (36%) versus medium-high (64%) educational level; low (13%) or medium-high (87%) income group. Heart-transplant recipients with multimorbidity have a higher age and a lower prevalence of employment. Socioeconomically disadvantaged recipients had a lower prevalence of labor market participation, despite being younger compared with the socioeconomically advantaged.

KW - heart transplantation

KW - labor market participation

KW - multimorbidity

KW - public transfer payments

KW - socioeconomic position

U2 - 10.3389/ti.2024.12230

DO - 10.3389/ti.2024.12230

M3 - Journal article

C2 - 38694491

AN - SCOPUS:85191804256

VL - 37

JO - Transplant International

JF - Transplant International

SN - 0934-0874

M1 - 12230

ER -