Employment is associated with manual ability in adults with cerebral palsy - a population-based study.

IF 3.7 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Disability and Health Journal Pub Date : 2025-07-10 DOI:10.1016/j.dhjo.2025.101926

Jenny Hedberg-Graff, Elisabet Rodby-Bousquet, Anna Lindgren, Evgenia Manousaki, Erika Cloodt, Katina Pettersson

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引用次数: 0

Abstract

Background: Employment rates are lower in adults with cerebral palsy (CP). Even though reduced manual ability is associated with limitations in daily activities, it is unclear whether employment rates are associated with manual ability in adults with CP.

Objective: To analyze regular employment and employment rates (hours/week) in adults with CP and estimate their associations with manual ability relative to age and sex.

Methods: This was a cross-sectional study of adults with CP, aged 20-64 years, from the combined Swedish CP follow-up program and registry. Manual ability was classified as levels I-V using the Manual Ability Classification System (MACS). Logistic regression analysis was used.

Results: The study included 2304 adults with CP (1271 men; median age 28 years, interquartile range 20-64 years). Fewer than one in five (19 %) were employed, and about half (52 %) of these worked full time. The probability of employment in adults with MACS level II was almost half that of those with level I (OR 0.44; 95 % CI 0.34-0.57) and decreased with each MACS level to OR 0.01 (95 % CI 0.00-0.03) for MACS V. Limited manual ability was associated with a lower probability of working full time: ORs of 0.46 (95 % CI 0.30-0.72) for MACS II and 0.29 (95 % CI 0.16-0.56) for MACS III-V.

Conclusion: Limited manual ability in adults with CP impacts both their likelihood of employment and employment rate. Greater manual ability is associated with a higher probability of regular employment and working full time.

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一项基于人群的研究表明，成年脑瘫患者的就业与体力有关。

背景：成人脑瘫（CP）患者的就业率较低。尽管体力能力下降与日常活动受限有关，但目前尚不清楚成年CP患者的就业率是否与体力能力有关。目的：分析成年CP患者的正常就业和就业率（每周工作小时数），并估计其与年龄和性别之间的体力能力关系。方法：这是一项横断面研究，年龄在20-64岁之间，来自瑞典CP联合随访计划和登记。使用手工能力分类系统（MACS）将手工能力分为I-V级。采用Logistic回归分析。结果：该研究包括2304名成年CP患者(男性1271名；中位年龄28岁，四分位数范围20-64岁)。不到五分之一（19%）的人有工作，其中约一半（52%）是全职工作。MACS水平为II的成年人的就业概率几乎是水平为I的一半(OR 0.44；对于MACS v，随MACS水平的提高而降低至OR 0.01 （95% CI 0.00-0.03）。有限的手工能力与较低的全职工作概率相关：MACS II的OR为0.46 (95% CI 0.30-0.72)， MACS III-V的OR为0.29 （95% CI 0.16-0.56）。结论：成年CP患者体力活动能力的限制影响其就业的可能性和就业率。更强的体力劳动能力与更大的正常就业和全职工作的可能性有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Health Journal HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

7.50

自引率

6.70%

发文量

134

审稿时长

34 days

期刊介绍： Disability and Health Journal is a scientific, scholarly, and multidisciplinary journal for reporting original contributions that advance knowledge in disability and health. Topics may be related to global health, quality of life, and specific health conditions as they relate to disability. Such contributions include: • Reports of empirical research on the characteristics of persons with disabilities, environment, health outcomes, and determinants of health • Reports of empirical research on the Systematic or other evidence-based reviews and tightly conceived theoretical interpretations of research literature • Reports of empirical research on the Evaluative research on new interventions, technologies, and programs • Reports of empirical research on the Reports on issues or policies affecting the health and/or quality of life for persons with disabilities, using a scientific base.