Employment status and associated factors in working-age maintenance hemodialysis patients: a multicenter cross-sectional study

作者：Zhang L, Xu M, Peng Y, Zhao J, Li Y, Wang F, Ma Y · 发表于：Renal failure · 年份：2026 · DOI：10.1080/0886022X.2026.2630462 · 被引用次数：25 · 研究领域：Renal Dialysis、Employment、Kidney Failure, Chronic、Humans、Cross-Sectional Studies、Female、Middle Aged、Adult、Male、Young Adult、Adolescent、Logistic Models

OBJECTIVES: To investigate the employment status and analyze its associated factors among working-age patients undergoing maintenance hemodialysis (MHD). METHODS: This multicenter, cross-sectional study enrolled 126 working-age (18-60 years) MHD patients from five dialysis centers in Beijing between January 2023 and January 2024. Baseline characteristics, psychological status (using Beck Depression Inventory and State-Trait Anxiety Inventory), and clinical data were collected via face-to-face questionnaires during dialysis sessions. Participants were categorized into employed and non-employed groups based on current work status. RESULTS: Among the 126 patients, 33.3% (n = 42) were employed, 38.1% stopped working due to illness, and 26.2% of non-working patients expressed willingness to return to work if given the opportunity. Occupations among employed patients were primarily company employees (33.3%) and self-employed/freelancers (40.5%). Multivariate logistic regression identified female sex (OR = 0.166, 95% CI: 0.053-0.515, p = 0.002), older age (OR = 0.895, 95% CI: 0.847-0.947, p < 0.001), and higher annual household income (OR = 0.328, 95% CI: 0.196-0.549, p < 0.001) as independent factors negatively associated with employment, while higher body mass index (BMI) was positively associated with employment (OR = 1.362, 95% CI: 1.025-1.810, p = 0.033). CONCLUSIONS: Approximately, one-third of working-age MHD patients in Beijing remain employed, with flexible work forms (s...