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This is a descriptive cross-sectional study aimed to investigate work ability and associated factors of aging healthcare workers. The samples obtained from stratified sampling were 285 healthcare workers aged 45 and older who worked in Nopparat Rajathanee hospital. Work ability was assessed by a Work Ability Index questionnaire (WAI) Thai version and associated factors were assessed by a questionnaire that had a content validity index of 0.99 and Cronbach’s alpha coefficient of 0.81. Work ability scores were presented in mean and standard deviation while categorical variables were presented in number and percentage. Those associated factors to work ability were analysed by multiple logistic regression and presented as crude and adjusted odds ratios (ORs).
According to the results of the present survey, the mean score of the WAI was 38.8 (SD = 4.50). Most samples obtained work ability at a “Good” category (58.2%). Factors significantly associated to poor work ability included physicians (ORadj = 12.36, 95% CI = 2.15 - 71.00), history of smoking (ORadj = 11.43, 95% CI = 1.78 - 73.36), ergonomics problems in working environment (ORadj = 4.22, 95% CI = 1.80 - 9.90), and conflict in family (ORadj = 2.63, 95% CI = 1.14 - 6.06). Protective factors significantly associated to poor work ability included males (ORadj = 0.06, 95% CI = 0.01 - 0.32), the highest education level more than bachelor,s degree (ORadj = 0.37, 95% CI = 0.14 - 0.93), and more income (every 1,000 baht) (ORadj = 0.95, 95% CI = 0.92 - 0.99). Therefore, we should focus on this situation and find ways to increase work ability by improving the factors that are associated to work ability of aging healthcare workers, such as launching a campaign to stop smoking, improving the working environment especially in ergonomics problem.
Population Division, Department of Economic and Social Affairs, United Nations. World population prospects: the 2017 revision key findings and advance tables. [Internet]. [cited 2018 October 31]. Available from: https://esa.un.org/unpd/wpp/Publications/Files/WPP2017_KeyFindings.pdf
United Nations. Ageing. [Internet]. [cited 2018 October 31]. Available from: http://www.un.org/en/sections/issues-depth/ageing/
Foundation of Thai Gerontology Research and Development Institute, Mahidol University. [Internet]. [cited 2018 October 31]. Available from: http://thaitgri.org/?p=38427#. (in Thai).
World Health Organization. Health of the elderly in South-East Asia: a profile. [Internet]. [cited 2018 October 31]. Available from: http://apps.searo.who.int/PDS_DOCS/B1462.pdf
Thanapob J. Occupational health in aging society: situation, impact and needs. [Internet]. [cited 2018 October 31]. Available from: https://sph.wu.ac.th/wp-content/uploads/2018/02/4.OccupationalHealthinAgingSociety.pdf (in Thai).
Wongwichai C. Aging workforce: problems and solutions of Thai health systems. [Internet]. [cited 2018 October 31]. Available from: https://www.hfocus.org/content/2016/04/12004. (in Thai).
Thepmanee M. Extending the retirement age of Thai civil servant to 63 years. [Internet]. [cited 2019 July 11]. Available from: https://www.ocsc.go.th/node/4225. (in Thai).
Harrington L, Heidkamp M. The aging workforce: challenges for the health care industry workforce. [Internet]. [cited 2018 October 31]. Available from: https://www.dol.gov/odep/pdf/NTAR-AgingWorkforceHealthCare.pdf
Scott K, Newman L. The aging healthcare workforce: employment and occupational injuries among workers in US private hospitals during 2010. [Internet]. [cited 2018 October 31]. Available from: http://www.aohp.org/aohp/portals/0/MembersOnlyDocuments/ ToolsForYourWork/Dec%202013%20Aging%20Workforce.pdf
Human Resource Department, Nopparat Rajathanee Hospital. Yearly check up data of healthcare worker in Nopparat Rajathanee hospital 2014-2016. Bangkok: Nopparat Rajathanee hospital; 2016. (in Thai).
Costa G, Sartori S, Bertoldo B, Olivato D, Antonacci G, Ciuffa V, et al. Work ability in health care workers. International Congress Series 2005;1280:264-9.
Mehrdad R, Mazloumi A, Arshi S, Kazemi Z. Work ability index among healthcare personnel in a university hospital in Tehran, Iran. Work 2016;53(4):851-7.
Rotenberg L, Portela LF, Banks B, Griep RH, Fischer FM, Landsbergis P. A gender approach to work ability and its relationship to professional and domestic work hours among nursing personnel. Appl Ergon 2008;39(5):646-52.
Gould R, Ilmarinen J, Järvisalo J, Koskinen S, editors. Dimensions of work ability results of the health 2000 survey. [Internet]. [cited 2018 November 30]. Available from: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.823.7938&rep=rep1&type=pdf
Golubic R, Milosevic M, Knezevic B, Mustajbegovic J. Work-related stress, education and work ability among hospital nurses. J Adv Nurs 2009;65(10):2056-66.
Wang PX, Wang MZ, Hu GX, Wang ZM. Study on the relationship between workplace violence and work ability among health care professionals in Shangqiu city. Wei Sheng Yan Jiu 2006;35(4):472-4.
Tangsathajaroenporn W, Kaewthummanukul T, Sripusanapan A. Work ability among professional nurses in a university hospital and related factors. Nursing Journal 2012;39(4):152-68. (in Thai).
Camerino D, Conway PM, Van der Heijden BI, Estryn-Behar M, Consonni D, Gould D, et al. Low-perceived work ability, ageing and intention to leave nursing: a comparison among 10 European countries. J Adv Nurs 2006;56(5):542-52.
Hengsuwan R, Chanprasit C, Kaewthummanukul T. Work ability and health status among registered nurse in a university hospital. Nursing Journal 2016;43 (Suppl 5):S116-28. (in Thai).
Nachiappan N, Harrison J. Work ability among health care workers in the United Kingdom: a pilot. International Congress Series 2005;1280:286-91.
Chiu MC, Wang MJ, Lu CW, Pan SM, Kumashiro M, Ilmarinen J. Evaluating work ability and quality of life for clinical nurses in Taiwan. Nurs Outlook 2007;55(6):318-26.
Fischer FM, Borges FN, Rotenberg L, Latorre Mdo R, Soares NS, Rosa PL, et al. Work ability of health care shift workers: what matters? Chronobiol Int 2006;23(6):1165-79.
Estryn-Behar M, Doppia MA, Guetarni K, Fry C, Machet G, Pelloux P, et al. Emergency physicians accumulate more stress factors than other physicians-results from the French SESMAT study. Emerg Med J 2011;28(5):397-410.
Sabutr P. Correlation of mental health, working environment and work ability of professional nurses in hospitals under public health ministry, Pathum Thani province. EAU Heritage Journal Science and Technology 2014;8(1):171-83. (in Thai).
Nackarajarn J, Kalampakorn S, Kaewpan W, Satitvipawee P. Factors related to work ability of nurses working in public health centers, health department, Bangkok Metropolitan Administration. Kuakarun Journal of Nursing 2013;20(2):39-54. (in Thai).
Lemeshow S, Hosmer DW, Klar J, Lwanga SK. Adequacy of sample size in health studies. Chichester: John Wiley & Sons; 1990.
European Agency for Safety and Health at Work. Work ability index. [Internet]. [cited 2018 November 30]. Available from: https://healthy-workplaces.eu/previous/all-ages-2016/en/tools-and-publications/practical-tools/work-ability-index
Jiang LX, Zhang SY, Huang XQ, Tian H, Zhang X, Wang Z. Analysis on work ability of doctors. Strait Journal of Preventive Medicine 2006;4:15-7.
Gracino ME, Tortajada JS, de-Castro-Alves MB, Garcia SF, Yamaguchi MU, Massuda EM. Analysis of physicians work ability, in the city of Maringá, Brazil. Rev Bras Med Trab 2018;16(4):417-28.
Marklund S, Mienna CS, Wahlström J, Englund E, Wiesinger B. Work ability and productivity among dentists: associations with musculoskeletal pain, stress, and sleep. Int Arch Occup Environ Health 2019;93(2):271-8.
Workmen's Compensation Fund, Social Security Office, Ministry of Labour. Situation of occupational disease and injury, 2014 – 2018. [Internet]. [cited 2020 February 11]. Available from: https://www.sso.go.th/wpr/assets/upload/files_storage/_th/110b4f37a38dc8c4d5f21908bfc898d3.pdf (in Thai).