在拉丁美洲寻找影响就业的临床和认知变量:一项多中心研究。

IF 2.5 3区 医学 Q1 REHABILITATION
Sandra Vanotti, Michael Jaworski, Oscar Daniel Ayala, María Sol Román, Federico Martín González, Carolina Abulafia, Juan Iglesias Passada, Lara Bardoneschi, María Laura Saladino, Fernando Cáceres, Miguel Ángel Macías Islas, Ralph H B Benedict
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引用次数: 0

摘要

背景:为了应对拉丁美洲(LATAM)多发性硬化症(PwMS)患者失业率上升和工作条件恶劣的问题,多发性硬化症专家建立了生活质量工作组。本研究的目的是:(i)描述拉丁美洲妇女的职业成果和就业状况;(ii)调查不同残疾程度与ES之间的关系;(iii)量化住宿使用,并探索拉丁美洲工作住宿的潜在临床、认知和社会人口预测因素。方法:共从阿根廷、智利、哥伦比亚、墨西哥和巴拉圭招募86例PwMS,其中79例(91%)为复发缓解型,61例(70.9%)为女性。评估方案包括简短视觉记忆量表(BVMS)、多发性硬化症简短国际认知评估量表(BICAMS)、多发性硬化症神经心理学筛查问卷、贝克抑郁量表(BDI-II)、疲劳严重程度量表(FSS)和社会经济地位(SES)调查。结果:(1)根据就业状况特征,工作稳定组47例(54.6%),工作挑战组18例(20.9%),失业组21例(24.4%),并描述了临床和社会人口学特征。分层聚类分析根据认知和身体残疾程度将残疾妇女分为三组,显示残疾程度越低,维持稳定就业的可能性越大。(iii)对认知障碍有更强的自我意识、更高的社会经济地位、更高的教育程度和更高的身体残疾程度预测了工作便利,所有这些都有助于增加工作场所便利的使用。结论:身体和神经心理残疾增加了被归类为失业群体的可能性,而诸如认知障碍的自我意识、社会经济地位、残疾水平和教育等因素与更多地利用工作便利有关。拉美地区工龄妇女的失业率几乎是一般失业率的三倍,凸显了工龄妇女对就业的重大影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Toward the Search for Clinical and Cognitive Variables that Affect Employment in LATAM: a Multicenter Study.

Background: In response to rising unemployment rates among people with multiple sclerosis (PwMS) and poor working conditions in Latin America (LATAM), MS experts established the Quality-of-Life working group. This study aims to: (i) describe occupational outcomes and employment status among PwMS in LATAM; (ii) investigate the relationship between different levels of disability and ES; and (iii) Quantify accommodation use and explore potential clinical, cognitive, and sociodemographic predictors of job accommodations in LATAM.

Methods: A total of 86 PwMS were recruited from Argentina, Chile, Colombia, Mexico, and Paraguay, of whom 79 (91%) had a relapsing-remitting phenotype and 61 (70.9%) were women. The assessment protocol included the Brief Visual Memory Scale (BVMS), the Brief International Cognitive Assessment for MS (BICAMS), the MS Neuropsychology Screening Questionnaire, the Beck Depression Inventory II (BDI-II), the Fatigue Severity Scale (FSS), and a socioeconomic status (SES) survey.

Results: (i) Based on employment status characteristics, 47 PwMS (54.6%) were classified into the work-stable group, 18 PwMS (20.9%) into the work-challenged group, and 21 PwMS (24.4%) into the work-loss group, additionally clinical and sociodemographic characteristics are described. (ii) Hierarchical cluster analysis ranked PwMS into three groups based on cognitive and physical disability levels, showing that a lower level of disability was linked to a higher likelihood of maintaining stable employment. (iii) Job accommodations were predicted by greater self-awareness of cognitive impairment, higher socioeconomic status, higher education, and higher physical disability, all contributing to increased use of workplace accommodations.

Conclusion: Physical and neuropsychological disability increase the likelihood of being classified in the work-loss group, while factors such as self-awareness of cognitive impairment, socioeconomic status, level of disability, and education are associated with greater utilization of job accommodations. The work-loss rate among PwMS in LATAM was nearly three times higher than the general unemployment rate, underscoring the significant impact of MS on employment.

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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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