{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:27:29Z","timestamp":1792114049872,"version":"4.4.0"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,5,27]],"date-time":"2014-05-27T00:00:00Z","timestamp":1401148800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To understand the impact of ankylosing spondylitis (AS) on presenteeism and to explore its relationship to sick leave.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>AS patients completed a questionnaire consisting of sociodemographics, disease characteristics, and work outcomes, including sick leave and presenteeism, assessed by the Work Limitations Questionnaire (WLQ). Associations between a broad range of explanatory variables with the WLQ and AS\u2010related sick leave were assessed by zero\u2010inflated negative binomial and zero\u2010inflated Poisson regressions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 311 employed patients (204 men [65.6%]), 18% had sick leave in the past month. Limitations in meeting time management demands (33.7%), physical demands (30.2%), mental\u2013interpersonal demands (20.2%), and output (19.0%) were noted. With the mean \u00b1 SD WLQ index score of 6.7 \u00b1 5.9, the average decrease in work productivity attributable to health was 6.3%; an extra 7.1% of work hours would be needed to compensate for lost productivity. Helplessness, female sex, and impaired health\u2010related quality of life (Ankylosing Spondylitis Quality of Life instrument [ASQoL]) were major contributors to the level of presenteeism (<jats:italic>P<\/jats:italic> &lt; 0.01). At\u2010work limitations (WLQ) and lower quality of life (ASQoL) were significantly associated with probability of sick leave, while the length of sick leave was strongly associated with lower educational level and helplessness (<jats:italic>P<\/jats:italic> &lt; 0.01), and in some models, also with disease duration and country of residence (<jats:italic>P<\/jats:italic> &lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>AS hinders patients' work, mainly in time management and physical demand domains. The WLQ and ASQoL are able to identify patients who incur sick leave. Helplessness contributes independently to the level of presenteeism and the length of sick leave.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.22253","type":"journal-article","created":{"date-parts":[[2013,12,10]],"date-time":"2013-12-10T14:50:51Z","timestamp":1386687051000},"page":"916-924","source":"Crossref","is-referenced-by-count":27,"title":["Understanding Presenteeism in Patients With Ankylosing Spondylitis: Contributing Factors and Association With Sick Leave"],"prefix":"10.1002","volume":"66","author":[{"given":"Vladimir S.","family":"Gordeev","sequence":"first","affiliation":[{"name":"London School of Hygiene &amp; Tropical Medicine London UK"},{"name":"Maastricht University and Maastricht University Medical Center Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter P.","family":"Maksymowych","sequence":"additional","affiliation":[{"name":"University of Alberta and Alberta Innovates Health Solutions Edmonton, Alberta 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