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Assessing the Relationship Between Chronic Health Conditions and Productivity Loss Trajectories

Besen, Elyssa PhD; Pranksy, Glenn MD

Journal of Occupational and Environmental Medicine: December 2014 - Volume 56 - Issue 12 - p 1249–1257
doi: 10.1097/JOM.0000000000000328
Original Articles

Objective: To examine the relationship between health conditions and the risk for membership in longitudinal trajectories of productivity loss.

Methods: Trajectories of productivity loss from the ages of 25 to 44 years, previously identified in the National Longitudinal Survey of Youth (NLSY79), were combined with information on health conditions from the age 40 years health module in the NLSY79. Multinomial logistic regression was used to examine the relative risk of being in the low-risk, early-onset increasing risk, late-onset increasing risk, or high-risk trajectories compared with the no-risk trajectory for having various health conditions.

Results: The trajectories with the greatest probability of productivity loss longitudinally had a greater prevalence of the individual health conditions and a greater total number of health conditions experienced.

Conclusions: Health conditions are associated with specific longitudinal patterns of experiencing productivity loss.

From the Liberty Mutual Research Institute for Safety, Center for Disability Research, Hopkinton, Mass.

Address correspondence to: Elyssa Besen, PhD, Liberty Mutual Research Institute for Safety, Center for Disability Research, 71 Frankland Rd, Hopkinton, MA 0178 (

Authors Besen and Pransky have no relationships/conditions/circumstances that present potential conflict of interest.

The JOEM editorial board and planners have no financial interest related to this research.

This work was funded by the Liberty Mutual Research Institute for Safety.

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.

Copyright © 2014 by the American College of Occupational and Environmental Medicine