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A cross-sectional study of socioeconomic status and treatment interruption among Japanese workers during the COVID-19 pandemic.
Fujimoto, Kenji; Ishimaru, Tomohiro; Tateishi, Seiichiro; Nagata, Tomohisa; Tsuji, Mayumi; Eguchi, Hisashi; Ogami, Akira; Matsuda, Shinya; Fujino, Yoshihisa.
  • Fujimoto K; Occupational Health Data Science Center, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
  • Ishimaru T; Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
  • Tateishi S; Department of Occupational Medicine, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
  • Nagata T; Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
  • Tsuji M; Department of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
  • Eguchi H; Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Japan.
  • Ogami A; Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
  • Matsuda S; Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
  • Fujino Y; Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
J Occup Health ; 63(1): e12232, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-1230187
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ABSTRACT

OBJECTIVES:

The COVID-19 pandemic has caused interruptions to chronic disease and non-emergency treatment. The purpose of this study is to examine which socioeconomic status groups are most at risk of treatment interruption among Japanese workers.

METHODS:

This cross-sectional internet monitor study was conducted among Japanese workers on December 22-26, 2020. Out of a total of 33 302 participants in the survey, 9510 (5392 males and 4118 females) who responded that they required regular treatment or hospital visits were included in the analysis. A multilevel logistic model nested in the prefecture of residence was used to estimate the odds ratio (OR) for treatment disruption. We examined separate multivariate models for socioeconomic factors, health factors, and lifestyle factors.

RESULTS:

During a period of rapid COVID-19 infection, about 11% of Japanese workers who required regular treatment experienced interruptions to their treatment. The OR of treatment interruption associated with not being married compared with being married was 1.44 (95%CI 1.17-1.76); manual labor work compared with desk work was 1.30 (95%CI 1.11-1.52); loss of employment when the COVID-19 pandemic started and continued unemployment compared with being employed over the entire pandemic period was 1.62 (95%CI 1.13-2.31) and 2.57 (95%CI 1.63-4.07), respectively; and feeling financially unstable was 2.92 (95%CI 2.25-3.80).

CONCLUSION:

Treatment interruption is a new health inequality brought about by COVID-19 with possible medium- and long-term effects, including excess mortality, morbidity, and productivity loss due to increased presenteeism. Efforts are needed to reduce treatment interruptions among workers who require regular treatment.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Socioeconomic Factors / Occupational Health / Pandemics / COVID-19 / Health Services Accessibility Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male Country/Region as subject: Asia Language: English Journal: J Occup Health Journal subject: Occupational Medicine Year: 2021 Document Type: Article Affiliation country: 1348-9585.12232

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Socioeconomic Factors / Occupational Health / Pandemics / COVID-19 / Health Services Accessibility Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male Country/Region as subject: Asia Language: English Journal: J Occup Health Journal subject: Occupational Medicine Year: 2021 Document Type: Article Affiliation country: 1348-9585.12232