Socioeconomic status in ankylosing spondylitis: relationship between occupation and disease activity

J Rheumatol. 1997 May;24(5):908-11.


Objective: To identify the socioeconomic status through occupation of a large cohort of patients with ankylosing spondylitis (AS) and to determine possible relationships between occupation and clinical variables.

Methods: We analyzed the employment status of 1,044 patients with AS.

Results: 85% of patients (890 of 1,044) were in full employment at the time of the assessment compared to 15% who were unemployed. When 50 employed patients were compared to 50 unemployed cases, the latter had increased disease activity and lower psychosocial well being.

Conclusion: Employed patients from the higher occupational group (I), had less disease activity, and lower pain and depression than patients from the lowest occupational group (IV).

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cohort Studies
  • Humans
  • Male
  • Middle Aged
  • Occupations
  • Social Class*
  • Spondylitis, Ankylosing / physiopathology
  • Spondylitis, Ankylosing / psychology*
  • Surveys and Questionnaires
  • Unemployment