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Factors associated with employment and expected work retention among persons with multiple sclerosis: findings of a cross-sectional citizen science study
- Source :
- Journal of Neurology, Lehmann, Anja I.; Rodgers, Stephanie; Kamm, Christian P.; Mettler, Mathias; Steinemann, Nina; Ajdacic-Gross, Vladeta; Kaufmann, Marco; Kesselring, Jürg; Calabrese, Pasquale; Salmen, Anke; Gobbi, Claudio; Zecca, Chiara; Bauer, Georg F; von Wyl, Viktor (2020). Factors associated with employment and expected work retention among persons with multiple sclerosis: findings of a cross-sectional citizen science study. Journal of neurology, 267(10), pp. 3069-3082. Springer-Medizin-Verlag 10.1007/s00415-020-09973-3
- Publication Year :
- 2020
-
Abstract
- Background Multiple sclerosis (MS) notably affects adults of working age. For persons with MS (PwMS), being employed enhances their quality of life and it may be regarded as an indicator of overall functioning. Thus, ensuring work participation in PwMS is of general public health interest. Objective To examine relevant socio-demographic, MS-, health- and work-related factors, including psychosocial working conditions, associated with currently working PwMS in Switzerland and their expected work retention. Methods Using cross-sectional data of PwMS in the Swiss MS Registry (n = 541, median age = 48 [IQR 40;55]), multivariable logistic regression models were computed. First, currently working PwMS were characterised in comparison with those not currently working. Second, expected work retention, operationalized as subjective judgement “likely to work in the same job in 2 years”, was examined within the group of currently working PwMS. Results The factors age (OR 0.96, 95% CI 0.92–0.99), sex (OR 0.28, 95% CI 0.13–0.60), highest achieved job position (OR 1.21, 95% CI 1.01–1.46), health-related quality of life (HRQoL) (OR 1.02, 95% CI 1.01–1.04) and the number of MS symptoms (OR 0.90, 95% CI 0.82–0.98) were associated with currently working PwMS. Moreover, HRQoL (OR 1.07, 95% CI 1.04–1.10) and psychosocial working conditions, such as job resources (e.g. autonomy, control or social support) (OR 2.83, 95% CI 1.50–5.33) and job demands (e.g. workload, time pressure) (OR 0.41, 95% CI 0.18–0.90) were important factors for expected work retention among this group. Conclusions Resourceful psychosocial working conditions are crucial for PwMS to maintain employment. Employers could contribute to work retention among PwMS by creating a work environment with resourceful psychosocial working conditions and providing, for instance, social support.
- Subjects :
- Gerontology
Adult
Employment
Male
medicine.medical_specialty
Multiple Sclerosis
Cross-sectional study
11549 Institute of Implementation Science in Health Care
Clinical Neurology
Personnel Turnover
610 Medicine & health
Logistic regression
03 medical and health sciences
Social support
0302 clinical medicine
Quality of life
0502 economics and business
Medicine
Humans
Child
Workplace
Operationalization
Original Communication
Citizen Science
business.industry
Public health
05 social sciences
Workload
10060 Epidemiology, Biostatistics and Prevention Institute (EBPI)
Middle Aged
Psychosocial work conditions
2728 Neurology (clinical)
Cross-Sectional Studies
Neurology
2808 Neurology
Quality of Life
Female
Neurology (clinical)
business
Psychosocial
050203 business & management
030217 neurology & neurosurgery
Switzerland
Subjects
Details
- ISSN :
- 14321459
- Volume :
- 267
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Journal of neurology
- Accession number :
- edsair.doi.dedup.....80f2fe8a3019130c7baab237c37df2c6