{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:33:43Z","timestamp":1777937623883,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,2,27]],"date-time":"2015-02-27T00:00:00Z","timestamp":1424995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:p>Aims: The aim of the study was to assess long-term work participation of Q-fever patients and patients with Legionnaires\u2019 disease, and to identify which factors are associated with a reduced work participation in Q-fever patients. Methods: Q-fever patients participated at four time points until 12 months after onset of illness, patients with Legionnaires\u2019 disease only at 12 months. Data were self-reported using questionnaires on the amount of hours that patients worked, and on socio-demographic, medical, psychosocial and lifestyle aspects. Results: Our study included 336 Q-fever patients and 190 patients with Legionnaires\u2019 disease. There was a decrease in the proportion of Q-fever patients with reduced work participation over time, from 45% at 3 months to 19% at 12 months (versus 15% of patients with Legionnaires\u2019 disease at 12 months). Factors associated with reduced work participation of Q-fever patients in a multivariate model were having symptoms, a higher level of sorrow, being a former smoker (compared to never smoking), not consuming any alcohol and following additional treatment for the long-term health effects of Q-fever. Conclusions: Despite an increase in work participation of Q-fever patients over time, almost one in five Q-fever patients and one in six patients with Legionnaires\u2019 disease still suffer from reduced work participation at 12 months. Occupational and insurance physicians need to be aware of the long-term impact of these diseases on work participation.<\/jats:p>","DOI":"10.1177\/1403494815571030","type":"journal-article","created":{"date-parts":[[2015,2,27]],"date-time":"2015-02-27T21:41:17Z","timestamp":1425073277000},"page":"294-301","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Work participation in Q-fever patients and patients with Legionnaires\u2019 disease: A 12-month cohort study"],"prefix":"10.1177","volume":"43","author":[{"given":"Joris A.F.","family":"Van Loenhout","sequence":"first","affiliation":[{"name":"Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Centre, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeannine L.A.","family":"Hautvast","sequence":"additional","affiliation":[{"name":"Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Centre, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reinier P.","family":"Akkermans","sequence":"additional","affiliation":[{"name":"Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Centre, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathalie C.G.M.","family":"Donders","sequence":"additional","affiliation":[{"name":"Occupational Health, Department of Primary and Community Care, Radboud University Medical Centre, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan H.","family":"Vercoulen","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology, Radboud University Medical Centre, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. 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