Profiles of work ability and associated factors in young and middle-aged acute myocardial infarction patients: A latent profile analysis

• Published in: Heart & lung 2024-06, Vol.66, p.108-116
• Main Authors: Qiao, Shuqian, Wang, Wei, Chen, Xinyi, Cao, Xi
• Format: Article
• Language: English
• Subjects: Acute myocardial infarction; Latent profile analysis; Work ability; Young and middle-aged
• ISSN: 0147-9563; 1527-3288; 1527-3288
• DOI: 10.1016/j.hrtlng.2024.04.010

•Three profiles of work ability, in terms of low work ability group, moderate work ability group, and high work ability group, were identified among young and middle-aged acute myocardial infarction patients.•Majority of the participants showed low (28.4 %) to moderate (51 %) work ability post AMI event, with physical function being the predominant decreased domain.•Patients with low per capita monthly household income, normal total cholesterol levels, excessive social support, and a low degree of self-efficacy for returning to work were more likely to have lower work ability; whereas moderate per capita monthly household income, NYHA functional class Ⅰ, and a longer length of hospital stay were associated with better work ability. The incidence of acute myocardial infarction (AMI) is increasing among young and middle-aged people, and such patients need to be reemployed after AMI events from the individual and society perspectives. However, the situation of employment after AMI was not ideal. Early identification of patients vulnerable to decreased work ability and provided targeted intervention may be beneficial. To identify the profiles and associated factors of work ability in young and middle-aged AMI patients. A cross-sectional study was conducted in Guangzhou, China, from September 2022 to October 2023. Work ability, self-efficacy for return-to-work, social support, anxiety, and depression were measured by the Work-ability Support Scale (WSS), Return-To-Work Self-Efficacy Questionnaire, Social Support Rating Scale, 7-item Generalized Anxiety Disorder Scale, and Patient Health Questionnaire 9, respectively. We performed latent profile analysis based on three subdomains of the WSS by using Mplus 8.3. Multiple logistic regression was used to identify factors associated with work ability. A total of 155 participants (aged 48.58±7.153 years, 95.5 % male) were included. We identified three latent profiles of work ability: low work ability (28.1 %), moderate work ability (51 %), and high work ability (20.6 %). The per capita monthly household income, NYHA functional class, total cholesterol, length of hospital stay, social support, and self-efficacy for return-to-work were factors associated with work ability. This study demonstrated different profiles and associated factors of work ability in young and middle-aged AMI patients. It is suggested that healthcare providers identify and monitor associated factors to improve work ability among this subpopulation