Table 4

Multivariable analysis exploring determinants of employment in patients aged≤65 years stratified by level of education

VariableAS—low education (n=145)BASDAI modelAS—high education (n=68)BASDAI modelAS—low education (n=145)BASFI modelAS—high education (n=68)BASFI model
IRRCIP valuesIRRCIP valuesIRRCIP valuesIRRCIP values
Age, years0.980.97 to 0.99<0.010.990.98 to 1.010.210.980.97 to 0.99<0.010.990.98 to 1.010.51
Gender, male1.270.94 to 1.700.121.010.73 to 1.400.941.260.95 to 1.670.110.950.72 to 1.270.74
BMI, kg/m2 ****
Smoking, current****
Alcohol use, current
Comorbidity (SCQ, 0–39)
Presence of any EAM, yes**
Symptom duration, years**
BASDAI (0–10)0.97‡0.91 to 1.040.390.98§0.91 to 1.060.65
BASFI (0–10)0.950.89 to 1.010.070.94§0.88 to 1.000.06
SF-36 MCS (0–100)****
Mastery (7–28)1.061.02 to 1.10<0.011.051.01 to 1.09<0.01
  • Due to collinearity between BASDAI and BASFI, separate analyses were carried out using either BASDAI or BASFI.

  • Due to missing data, 213 (of 214) AS patients and 465 (of 470) controls were included in this analysis.

  • n/a: as the AS samples were stratified by education, education itself could not be included in the multivariable model as independent variable.

  • * Variable not tested in multivariable analysis, due to absence of association with outcome in univariable analysis (p≥0.20).

  • † Variable tested in multivariable analysis, but not significant and no confounder in multivariable analysis (therefore not included in model).

  • ‡ BASDAI or BASFI was forced into the model despite not being significant (to allow for comparison of results across models).

  • § Confounder.

  • ¶ Variable not tested in multivariable analysis, due to collinearity with other variable (BASDAI or BASFI).

  • AS, ankylosing spondylitis; BASDAI, Bath Ankylosing Spondylitis Disease Activity Index; BASFI, Bath Ankylosing Spondylitis Functional Index; BMI, body mass index; EAM, extra-articular manifestation; IRR, incidence rate ratio; SCQ, Self-Administered Comorbidity Questionnaire; SF-36 MCS, Short-Form 36 Mental Component Summary.