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The socio-economic impact of work disability due to inflammatory bowel disease in Brazil

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Abstract

Background

Inflammatory bowel disease (IBD) might have economic and social impacts in Brazil, where its prevalence has increased recently. This study aimed to assess disability due to IBD in the Brazilian population and demographic factors potentially associated with absence from work.

Methods

Analysis was performed using the computerized Single System of Social Security Benefits Information, with a cross-check for aid pension and disability retirement, for Crohn’s disease (CD) and ulcerative colitis (UC). Additional data were obtained from the platform, including the average values, benefit duration, age, gender and region of the country.

Results

Temporary disability occurred more frequently with UC, whereas permanent disability was more frequent with CD. Temporary disability affected more younger patients with CD than patients with UC. Temporary work absences due to UC and CD were greater in the South, and the lowest absence rates due to CD were noted in the North and Northeast. Absence from work was longer (extending for nearly a year) in patients with CD compared to those with UC. The rates of temporary and permanent disability were greater among women. Permanent disability rates were higher in the South (UC) and Southeast (CD). The value of benefits paid for IBD represented approximately 1% of all social security benefits. The benefits paid for CD were higher than for UC, whereas both tended to decrease from 2010 to 2014.

Conclusions

In Brazil, IBD frequently causes disability for prolonged periods and contributes to early retirement. Reduction trends may reflect improvements in access to health care and medication. Vocational rehabilitation programs may positively impact social security and the patients’ quality of life.

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Abbreviations

IBD:

Inflammatory bowel disease

CD:

Crohn’s disease

UC:

Ulcerative colitis

INSS:

National Institute of Social Security

SUIBE:

Unified Benefits Information System

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Acknowledgements

The authors thank Drs. Paula Regina Soares Malta and Roseane Teles Correia for technical assistance, the Instituto Nacional do Seguro Social (INSS) for granting access to the database of social security, and the Brazilian research foundations Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ) for financial support.

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Authors and Affiliations

  1. Disciplina de Gastroenterologia e Endoscopia Digestiva, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, 20551-900, Brazil

    Renata de S. B. Fróes & Ana Teresa Pugas Carvalho

  2. Instituto Nacional do Seguro Social (INSS), Rio de Janeiro, 20030-030, Brazil

    Renata de S. B. Fróes & Adriana Maria Hilu de Barros Moreira

  3. Serviço de Gastroenterologia, Departamento de Clínica Médica, Universidade Federal do Rio de Janeiro, Rua Prof. Rodolpho Paulo Rocco 255, Ilha do Fundao, Rio de Janeiro, RJ, 21941-913, Brazil

    Antonio Jose de V. Carneiro & Heitor S. de Souza

  4. Instituto de Estudos de Saúde Coletiva (IESC), Universidade Federal do Rio de Janeiro, Rio de Janeiro, 21944-970, Brazil

    Jessica P. L. Moreira & Ronir R. Luiz

  5. D’Or Institute for Research and Education (IDOR), Rua Diniz Cordeiro 30, Botafogo, Rio de Janeiro, RJ, 22281-100, Brazil

    Heitor S. de Souza

Authors
  1. Renata de S. B. Fróes
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Correspondence to Heitor S. de Souza.

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de S. B. Fróes, R., Carvalho, A.T.P., de V. Carneiro, A.J. et al. The socio-economic impact of work disability due to inflammatory bowel disease in Brazil. Eur J Health Econ 19, 463–470 (2018). https://doi.org/10.1007/s10198-017-0896-4

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  • DOI: https://doi.org/10.1007/s10198-017-0896-4

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