Work-health balance of cancer survivors returning to work: A meta-ethnography.

PURPOSE: This meta-ethnography investigates the multifaceted health-related experiences of cancer survivors returning to work (RTW), recognizing the pivotal role of employment in overall well-being, particularly in the context of increasing cancer cases among working-age adults. METHOD: Following the methodology of Noblit and Hare, a comprehensive literature search was conducted from 2013 to 2023 in databases including PubMed, Scopus, CINAHL, PsycINFO, and Embase. Qualitative studies assessing cancer survivors' experiences, motivation, concern, resilience, and need in the process of RTW were identified. Eligible studies were assessed for quality using the Critical Appraisal Skills Program Checklist, and their findings were subsequently synthesized. RESULTS: Seventeen studies were included for analysis. The finding revealed five key themes: motivations (voluntary and involuntary), cancer-related concerns, resilience, needs for cancer healthcare support, and workplace accommodation. Voluntarily RTW was primarily linked to desires of normalcy, while involuntary RTW was often financially driven. Cancer survivors often face physical, psychological, and social challenges in the RTW process. Resilience played a crucial role in their readaptation to the workplace. Participants expressed the need for additional guidance from healthcare providers and tailored support from the workplace to facilitate a smoother RTW experience. CONCLUSION: Cancer survivors aspire to be actively engaged, have their specific needs addressed, and achieve success in their return-to-work endeavors. Occupational guidance and accommodation from healthcare providers and employers play a pivotal role in empowering survivors to balance cancer and work, facilitating the return-to-work process, and enhancing the quality of survivorship.

Experiences of work for people living with a grade 2/3 oligodendroglioma: a qualitative analysis within the Ways Ahead study.

OBJECTIVES: This study aimed to explore the work experiences of people living with an oligodendroglioma. DESIGN: This was a descriptive qualitative study. One-time semi-structured interviews exploring supportive care needs were conducted; work was discussed at various points throughout each interview. An inductive thematic analysis was undertaken. SETTING: Participants were recruited across the UK through four National Health Service hospitals and the Brain Tumour Charity research involvement networks. PARTICIPANTS: 19 people with grade 2 or 3 oligodendroglioma (mean age 52 years; male n=11). At diagnosis, 16 participants were working, 2 studying and 1 retired. At the interview (mean time since diagnosis 9.6 years; range 1-18 years), seven participants were working, eight retired (four on medical grounds) and four unable to work due to illness. RESULTS: Seven themes were constructed: (1) physical and cognitive limitations; (2) work ability and productivity; (3) work accommodations; (4) changing roles; (5) attitudes of clients and coworkers; (6) feelings and ambitions; and (7) financial implications. Fatigue, seizures and cognitive deficits influenced work ability. A stressful work environment could exacerbate symptoms. Changes in job roles and work environment were often required. Employer and coworker support were integral to positive experiences. Work changes could result in financial stress and strain. CONCLUSIONS: This study has highlighted, for the first time, influences on work experiences in this understudied population. These findings have implications for clinicians and employers, when considering the importance of work in rehabilitation for people with oligodendrogliomas, and the individually assessed adjustments required to accommodate them, should employment be desired.

An island of sanity during COVID-19 pandemic: Does pet attachment support buffer employees' stress due to job insecurity?

Drawing on the transactional theory of stress, the current study investigates whether employee job insecurity triggers employee behavioral strain reactions (i.e., alcohol use, marijuana use, and cigarette use) and psychological strain reactions (i.e., emotional exhaustion and depression) through stress during the COVID-19 pandemic. In addition, we integrate social support theory and expect the moderating role of pet attachment support in the above relationships. By collecting two-wave data from 187 employees with pets in the United States, we found that during the COVID-19 pandemic, stress mediated the relationships between job insecurity and predicted behavioral and psychological reactions. Moreover, pet attachment support buffered the relationships between stress and these behavioral and psychological strain reactions (all except cigarette use). Pet attachment support also alleviated the conditional indirect effects job insecurity had on the two types of strain reactions via stress. We discuss theoretical and practical implications of this study.

Prevalence and Associated Factors of Psychological Distress Among Single Fathers in Japan.

BACKGROUND: In Japan, ten percent of single-parent households are led by fathers. Taking care of children as a single father is very stressful and could put a strain on their health. It is very important to prevent and identify psychological distress among fathers for both their own health and to avoid negative impacts on children. This study aims to determine the prevalence of and factors associated with psychological distress among single fathers and understand how it is different from partnered fathers. METHODS: We used data from the Comprehensive Survey of Living Conditions 2016. Psychological distress, assessed using the K6 scale, was analyzed among 868 single and 43,880 partnered fathers. Logistic regression analysis was performed to assess the risk factors for psychological distress, such as employment type, sleep hours, and smoking and drinking habits. RESULTS: Single fathers had a higher proportion (8.5%) of psychological distress compared to partnered fathers (5.0%). A larger percentage of single fathers had a lower educational level and were more likely to be non-regular workers, self-employed, or unemployed than partnered fathers. Among single fathers, the crude and adjusted odds ratio for employment type and sleep hours were significantly associated with psychological distress. CONCLUSION: As single parents who are self-employed or directors are likely to have significantly reduced psychological distress than those with regular jobs, measures are needed to improve the work-family balance for non-self-employed fathers. There is a need to provide greater financial assistance and other social welfare support to single parents to ensure their and their children's good health.

Vivências subjetivas de profissionais que realizam Vigilância em Saúde do Trabalhador / Subjective experiences of professionals who carry out Occupational Health Surveillance

Este artigo objetiva compreender a mobilização subjetiva que surge na atividade de trabalho de profissionais que realizam Vigilância em Saúde do Trabalhador (Visat). Participaram deste estudo cinco trabalhadores, de ambos os sexos, de um Centro de Referência em Saúde do Trabalhador (Cerest) da capital de um estado do Nordeste do Brasil, os quais foram entrevistados nos meses de janeiro e fevereiro de 2020. Os materiais produzidos foram analisados à luz da Psicodinâmica do Trabalho. Os resultados mostram que sua fonte de sofrimento está ligada ao que é vivido pelos trabalhadores das empresas que passam por Visat, cujos problemas relacionados à precarização muitas vezes ficam sem solução. Ao lado disso, aqueles que fazem Visat também se percebem muitas vezes precarizados em seus salários, vínculos e condições de trabalho. Finalmente, a falta de estrutura e investimento em saúde do trabalhador, assim como a legislação

This study aims to understand the subjective mobilization that arises in the work activity of professionals who perform Worker Health Surveillance (WHS). In total, five workers of all genders from a Worker Health Reference Center (WHRC) in a capital city of a Northeastern state in Brazil participated in this study. They were interviewed in January and February 2020. The materials produced were analyzed in light of Work Psychodynamics. Results show that their source of suffering is linked to what they experience in companies undergoing WHS, whose precarization-related problems often remain unresolved. In addition to this, those who perform WHS also often perceive themselves as in precarious situations regarding their salaries, job security, and working conditions. Finally, the lack of structure and investment in workers' health and legislation (particularly at the municipal level) pose significant challenges for them to carry out their work

Post-Acute COVID-19 Sequelae in a Working Population at One Year Follow-Up: A Wide Range of Impacts from an Italian Sample.

Long COVID-19 is a term used to describe the symptomatic sequelae that develop after suffering from COVID-19. Very few studies have investigated the impact of COVID-19 sequelae on employment status. The aim of this research was to characterise sequelae of COVID-19 in a population of workers who tested positive for COVID-19, with a follow-up within one year of the acute illness, and to analyse the possible association between this and changes in the workers' occupational status. In this retrospective cohort study, a questionnaire was administered to 155 workers; descriptive, univariate (chi-square tests), and multivariate (logistic regression model) analyses were carried out. The mean age was 46.48 years (SD ± 7.302); 76 participants were males (49.7%), and 33 participants reported being current smokers (21.3%). Overall, 19.0% of patients reported not feeling fully recovered at follow-up, and 13.7% reported a change in their job status after COVID-19. A change in occupational status was associated with being a smoker (OR 4.106, CI [1.406-11.990], p = 0.010); hospital stay was associated with age > 46 years in a statistically significant way (p = 0.025) and with not feeling fully recovered at follow-up (p = 0.003). A persistent worsening in anxiety was more common in women (p = 0.028). This study identifies smoking as a risk factor for workers not able to resume their job; furthermore, occupational physicians should monitor mental health more closely after COVID-19, particularly in female workers.

Work: saviour or struggle? A qualitative study examining employment and finances in colorectal cancer survivors living with advanced cancer.

PURPOSE: Continuing employment or returning to work (RTW) as a cancer survivor can be meaningful and financially necessary, yet challenging. However, there is a lack of qualitative research on RTW experiences and financial wellbeing of people with advanced colorectal cancer (CRC-A). This study aimed to fill this gap. METHODS: Adults treated for CRC-A were recruited 0.5-2 years post-surgery (or post-diagnosis of CRC-A for palliative chemotherapy participants). Semi-structured telephone interviews, exploring RTW and finances, were subjected to framework analysis. Demographic, clinical, and quality of life data (FACT-C, Distress Thermometer, COST measure) were collected to characterise the sample and inform the framework analysis. RESULTS: Analysis of 38 interviews revealed five overarching themes: work as a struggle, work as my identity, work as my saviour, work as a financial necessity, and employer and colleague response. Many survivors with CRC-A desired to, and had the capacity to, continue work or RTW, yet faced unique challenges from compounded stigma of both cancer and toileting issues. Inability to RTW negatively impacted financial and psychosocial wellbeing. Workplace support was an important facilitator of RTW. CONCLUSION: For survivors with CRC-A, continuing or RTW is fraught with challenges, including physical functioning challenges, financial anxiety, and unsupportive workplace environments. Survivors require psychosocial, financial, and employer support to manage these difficulties. This paper recommends a multiprong approach, including education programmes (facilitated through workers' union groups, human resource institutions, and/or large consumer CRC groups) and policies, to support workers and for employers to understand the unique challenges of employees with CRC-A.

Navigating job and cancer demands during treatment: A qualitative study of ovarian cancer patients.

OBJECTIVE: Our objective was to obtain perspectives from ovarian cancer patients on job demands, cancer demands, and workplace or cancer resources and strategies to manage the cancer-work interface using the cancer-work management conceptual framework. METHODS: We recruited ovarian cancer patients receiving systemic therapy who screened positive for financial distress using Comprehensive Score for Financial Toxicity <26. Interviews were conducted with participants about their costs of care, including employment concerns. Interviews were recorded, transcribed verbatim, and analyzed by three researchers using an inductive thematic analysis. RESULTS: Of 22 participants, the average age was 57 years old, 36% were Black, 68% had income <$40,000, 41% had public insurance, and 68% were being treated for recurrent disease. Job demands included decreased productivity, inability to return to work, and worry about losing a job or employer-based health insurance coverage. Cancer demands included physical and cognitive limitations due to cancer treatment and reliance on caregivers, especially for transportation. Workplace resources/strategies including having a supportive employer, modifying job responsibilities, and utilizing family medical leave. Cancer care resources/strategies included planning appointments ahead of time and utilizing resources, such as disability. CONCLUSIONS: Cancer care teams should consider screening patients for employment concerns; streamline care to minimize the side effects, time, and transportation demands of treatment on patients and caregivers; maximize utilization of available resources; and proactively communicate with employers to accommodate patients and caregivers who want or need to work.

The unvirtuous cycle of discrimination affecting people with hepatitis B: a multi-country qualitative assessment of key-informant perspectives.

BACKGROUND: An estimated 296 million individuals live with chronic hepatitis B worldwide, most have not been diagnosed and remain at risk of liver disease and cancer. People with hepatitis B often face discrimination that denies them employment or education opportunities, results in unfair treatment at work or in school, limits their ability to emigrate to certain countries, and in some cases prohibits them from serving in the military. Discrimination specific to hepatitis B has not been widely documented within the literature. This study aims to investigate and describe hepatitis B related discrimination, document discrimination occurring around the globe, and provide initial recommendations for addressing discrimination using key informant interviews. METHODS: Purposive and snowball sampling were used to identify potential key informants for qualitative interview. Key informants identified as community health leaders, public health scientists, doctors, and researchers, many of whom were also living with hepatitis B. Using a semi-structured guide, participants were asked to describe their experience and any challenges for people living with hepatitis B including marginalization and its' consequences. A codebook was used to guide the organization of data for analysis, and all transcripts N = 17 were double coded. RESULTS: The overarching themes identified from interviews demonstrate explicit experiences with discrimination of those directly affected, the psychological responses, and the negative health outcomes associated with the unvirtuous cycle of discrimination. All key informants reported on the substantial quality of life implications and often poorer health outcomes resulting from hepatitis B discrimination. Participants also identified the significant impact of hepatitis B discrimination occurring within a range of education-based services across several countries as well as military exclusion or removal if individuals are found to have hepatitis B. CONCLUSION: Our data demonstrate that hepatitis B discrimination has a significant impact. Discrimination can occur at various points in life from education, to seeking employment, to marriage, to restrictions on entry, travel and stay in other countries. This study demonstrates the impact of discrimination and the need for future research that can lead to policy change and protections for people living with and impacted by hepatitis B.

Associations of within-individual changes in working conditions, health behaviour and BMI with work ability and self-rated health: a fixed effects analysis among Dutch workers.

OBJECTIVES: This study assessed the associations of (1) within-individual improvements and (2) within-individual deteriorations in working conditions, health behaviour and body mass index (BMI) with changes in work ability and self-rated health among workers. DESIGN: Prospective cohort study. SETTING: The Netherlands. PARTICIPANTS: Persons in paid employment, aged 45-64 years, who participated in the Dutch Study on Transitions in Employment, Ability and Motivation (STREAM) between 2010 and 2017, and improved or deteriorated at least once with respect to working conditions (psychological and emotional job demands, autonomy, social support, physical workload), health behaviour (moderate and vigorous physical activity, smoking status), or BMI between any of two consecutive measurements during the 7-year follow-up. PRIMARY AND SECONDARY OUTCOME MEASURES: Changes in self-reported work ability on a scale from 0 to 10 (1st item of the work ability index) and self-rated health on a scale from 1 to 5 (SF-12). RESULTS: Of the 21 856 STREAM participants, ultimately 14 159 workers were included in the fixed effects analyses on improvements (N=14 045) and deteriorations (N=14 066). Workers with deteriorated working conditions decreased in work ability (ß's: -0.21 (95% CI: -0.25 to -0.18) to -0.28 (95% CI: -0.33 to -0.24)) and health (ß's: -0.07 (95% CI: -0.09 to -0.06) to -0.10 (95% CI: -0.12 to -0.08)), whereas improvements were to a lesser extent associated with increased work ability (ß's: 0.06 (95% CI: 0.02 to 0.09) to 0.11 (95% CI: 0.06 to 0.16)) and health (ß's: 0.02 (95% CI: 0.00 to 0.03) to 0.04 (95% CI: 0.02 to 0.06)). Workers with increased BMI or decreased physical activity reduced in work ability and health. Likewise, decreased BMI or increased vigorous physical activity was associated with improved health. An increase in moderate or vigorous physical activity was modestly associated with a reduced work ability. Quitting smoking was associated with reduced work ability and health. CONCLUSIONS: Compared with improvements, preventing deteriorations in working conditions, health behaviour and BMI, might be more beneficial for work ability and workers' health.

The disclosure dilemma: requesting accommodations for chronic pain in job interviews.

PURPOSE: This study explores the job interview process for those who need disability-related accommodations on the job (in particular an "invisible" disability such as many of the long-term and late effects of cancer and its treatment (e.g., pain, fatigue, cognitive problems)), and explores whether the communication channel or the timing of the disclosure has implications on the perceived employability of applicants, with the aim of helping to close the employment gap for this marginalized population. METHODS: Using 1917 participants in a partially crossed 2 × 3 × 2 experimental design, we explored disclosing the need for accommodations using each video or audio-only channels, by varying the timing of the disclosure within the interview (early, late, or not at all), and by varying the negotiation strategy used (modest or significant increase over proposed salary). Participants rated the candidate's employability at two different points in time. RESULTS: Early and late disclosures of the need for accommodations were both associated with poorer ratings of employability. Disclosure via audio was singularly damaging as compared to video disclosure, whether it occurred early or late. Finally, asking for a significant increase in salary resulted in lower ratings of employability, especially if the disclosure of the disability happened late in the process (and proximally to the salary request itself). CONCLUSIONS: Holding off on the request for accommodations until after the job has been offered may be advisable. Similarly, disability disclosures and requests for accommodation are better received using richer communication channels (video as opposed to audio). Salary requests are also sensitive topics and can be affected by ill-timed disclosures. IMPLICATIONS FOR CANCER SURVIVORS: If accommodations are needed on the job (based on chronic pain), waiting until later in the process to discuss this topic (using video and not the phone) and ensuring distance in time from making a salary request are apparently the better choices.

Ajustamento à aposentadoria: relações com saliência de carreira e realização de carreira / Retirement adjustment: relations with career salience and career achievement / Ajuste a la jubilación: relaciones con la prominencia de carrera y la realización laboral

A aposentadoria requer a reorganização de prioridades, atividades e papéis de vida. A teoria da continuidade considera que essa reorganização será maior quando a carreira profissional é uma prioridade pessoal ou quando objetivos de carreira não foram alcançados. Medidas de saliência de carreira, realização de carreira, ajustamento na aposentadoria, percepções de saúde, recursos financeiros e senso de domínio foram respondidas por 454 aposentados, com idade média de 64 anos, 66% mulheres, ativos e inativos. Realização e saliência de carreira explicaram o ajustamento para além dos dados demográficos e dos recursos financeiros e de saúde. A realização de carreira elevou o ajustamento em aposentados inativos e o prejudicou em aposentados ativos. Houve efeito supressor da saliência de carreira sobre a influência da realização de carreira no ajustamento. Conclui-se que a saliência e a realização de carreira são variáveis a serem levadas em consideração no planejamento de programas de preparação para a aposentadoria (AU).

Retirement is a transition that requires reorganizing priorities, routines, activities, and life roles. The continuity theory considers that this reorganization will be all the greater when the professional career is a priority or when career goals have not been achieved. Measures of career salience, career achievement, retirement adjustment, perceptions of health, financial resources, and mastery were answered by 454 retirees, with a mean age of 64, active and inactive, of which 66% were women. Career achievement and career salience explained the adjustment beyond demographic data and financial and health resources. Career achievement increased the adjustment in inactive retirees and impaired it in active retirees, revealing a moderating effect of post-retirement activity. There was a suppressive effect of career salience on the influence of career achievement on adjustment. It is concluded that salience and career achievement are variables to be taken into account when planning retirement preparation programs (AU).

La jubilación es una transición que requiere la reorganización de prioridades, rutinas, actividades y roles vitales. La teoría de la continuidad considera que esta reorganización será aún mayor cuando la carrera laboral sea una prioridad o cuando no se hayan alcanzado los objetivos profesionales. Medidas de prominencia de carrera, realización laboral, ajustamiento a la jubilación, percepciones de salud, recursos financieros y dominio fueran respondidas por 454 jubilados, con una edad media de 64 años, 66% mujeres, activos e inactivos. Realización y la prominencia de carrera explican el ajuste más allá de los datos demográficos y de los recursos financieros y de salud. La realización laboral aumentó el ajuste en los jubilados inactivos y lo perjudicó en los jubilados activos. Hubo un efecto supresor de la prominencia de carrera en la influencia de la realización laboral en el ajuste. Se concluye que la realización y la prominencia de carrera son variables a tener en cuenta al planificar los programas de preparación para la jubilación (AU).

Cognitive changes after breast cancer: a scoping review to identify problems encountered by women when returning to work.

PURPOSE: A scoping review of international literature was conducted to identify the various problems encountered by women with breast cancer associated with cognitive deficits, and the relationship to work roles and tasks. METHOD: This scoping review was conducted using the structure recommended by Arksey & O'Malley in consideration of the PRISMA extension for Scoping Reviews checklist and reviewed for quality, inclusion criteria and key findings related to cognitive changes after breast and impact on work. Searches were conducted in five databases from January 2000 to December 2020. RESULTS: A total of 34 studies met the inclusion criteria. There were 20 quantitative studies, 11 qualitative studies, one mixed method and two case study reports. Findings related to the type of cognitive changes that impact work performance and participation, how these are measured in a work context and the types of interventions directed towards improving cognitive function at work after breast cancer. An absence of ecologically valid assessments and interventions with a coherent approach to early identification and management of cognitive changes after breast cancer was apparent. CONCLUSION: Breast cancer survivors can experience challenges in their employment due to cognitive deficits, which may lead to the loss of their employment. Health professionals need to explore breast cancer survivors work role and consider appropriate referrals to ensure women receive the necessary support and rehabilitation to address cognitive problems impacting work performance. Further research is needed to develop workplace-based cognitive assessments and interventions to improve the work performance and participation of women with breast cancer experiencing cognitive deficits.Implications for RehabilitationWork participation can be negatively impacted by unacknowledged cognitive changes that are not assessed and managed throughout the cancer survivorship journey.Health professionals in health care systems, particularly occupational therapists need to consider appropriate referrals to workplace rehabilitation providers to ensure necessary support and rehabilitation to address cognitive problems impacting on work performance.Occupational therapists performing workplace assessments for women with breast cancer, should assesses cognitive function in accordance with the cognitive demands of the job and work environment, and involve the employer and client in workplace based cognitive interventions.

Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences.

PURPOSE: To explore work outcomes, vocational services, barriers and facilitators for returning to work in individuals with acquired brain injury (ABI) in Queensland, Australia and to identify areas for improvement. DESIGN AND METHODS: Ten semi-structured interviews were conducted with individuals with ABI (stroke, traumatic brain injury, tumour). Interviews were analysed using a realist thematic analysis approach. RESULTS: Participants either returned to the same work, different work, did not maintain work or did not have any work since their injury. Use of vocational services depended on participants' needs and insurance. Facilitators for return to work (RTW) were a supportive workplace and family, vocational rehabilitation that met the individual's needs, insurance coverage and self-motivation. Workplaces that were not understanding of brain injury, employment service providers who were unable to find work for participants, and physical and cognitive deficits were barriers to RTW. Workplaces, employment service providers and individuals require more information about the deficits associated with brain injury. CONCLUSIONS: The use and effectiveness of vocational services were variable across participants and depended on insurance coverage and needs. Barriers and facilitators for RTW were affected by both the environment and the individual. Implications for vocational rehabilitation were identified.Implications for RehabilitationA supportive workplace and family, and access to appropriate vocational rehabilitation are important environmental facilitators for RTW in individuals with ABI.Workplaces with a poor understanding of ABI and employment service providers unable to find work for individuals with ABI are environmental barriers to RTW.Workplaces, employment service providers and individuals with ABI require more information about the physical and cognitive deficits associated with ABI.Employment service providers need more training to develop comprehensive strategies to help individuals with ABI find new employment.

Trajetórias laborais: contribuições para estudos no campo da Psicologia Social do Trabalho / Labor trajectories: its contributions to social psychology of work studies

Neste artigo problematizamos a categoria trajetórias laborais a partir de duas teses de doutorado em psicologia social do trabalho. Os objetivos das teses foram, de forma sintética, investigar as trajetórias laborais, no primeiro estudo, junto a brasileiros/as retornados/as da Europa ocidental e, no segundo, junto a jovens profissionais diplomados em uma universidade pública brasileira. Ao pensarmos as duas investigações, apontamos aproximações e peculiaridades entre si. Partindo dessas sínteses, buscamos evidenciar a centralidade, os determinantes sociais e históricos e o processo de contínua construção e indeterminação das trajetórias laborais. Assim, consideramos o uso dessa ferramenta teórico-metodológica como profícua para os estudos no campo da psicologia social do trabalho

This study problematizes labor trajectories category based on two doctoral theses in the social psychology of work. These theses aimed to synthetically investigate labors trajectories. The first one analyzed Brazilian migrants' returnees from Western Europe and the second one, young professionals graduated from a Brazilian public university. Analyzing both investigations, we highlight their common aspects and their differences. Based on these syntheses, we have thus problematized the category of labors trajectories: 1) its centrality; 2) its social and historical determinants; and 3) its process of continuous construction and indeterminacy. Thus, we understand that using this theoretical and methodological tool may profit social psychology of work studies

Career adaptability, perceptions of professional development and employability: a mediation analysis / Adaptabilidade de carreira, percepções de desenvolvimento profissional e empregabilidade: uma análise mediacional / Adaptabilidad de carrera, percepciones de desarrollo profesional y empleabilidad: un análisis mediacional

The objective of this study was to test the mediating role that Perception of Professional Development has in the relationship between Career Adaptability and Perception of/Expectation of Employability among undergraduate students. A total of 1.105 students (57% of women) participated in the investigation, all from different undergraduate courses and institutions. The instruments used had evidence of validity, and data were analyzed through structural equation modeling. The results supported the research hypothesis and corroborate previous empirical studies. The model showed good fit for the data as to the hypothesized model (X2/df=0.65; CFI=0.94; TLI=0.94; RMSEA=0.05; indirect effect=0.31). The confirmation of the mediating relationship contributes to the understanding of the processes related to Perception of/Expectation of Employability among undergraduate students. Impacts on the career planning of undergraduate students and subsidies for Higher Education management are some of the practical implications of this study. (AU)

O objetivo deste estudo foi testar o papel mediador da Percepção de Desenvolvimento Profissional na relação entre Adaptabilidade de Carreira e Percepção/Expectativa de Empregabilidade dos universitários. Participaram da investigação 1.105 estudantes (57% mulheres), oriundos de diferentes cursos de graduação e instituições. Os instrumentos adotados contavam com evidências de validade e na análise de dados utilizamos a modelagem por equações estruturais. Os resultados deram suporte à hipótese de pesquisa e corroboram estudos empíricos anteriores. O modelo indicou bom ajuste dos dados ao modelo hipotetizado (X2/gl=0,65; CFI=0,94; TLI=0,94; RMSEA=0,05; efeito indireto=0,31). A confirmação da relação mediadora contribui para o entendimento dos processos relativos à Percepção/Expectativa de Empregabilidade entre universitários. Impactos para o planejamento de carreira de universitários e subsídios para a gestão do Ensino Superior são algumas das implicações práticas do estudo. (AU)

El objetivo de este estudio fue probar el papel mediador de la percepción del desarrollo profesional en la relación entre la adaptabilidad a la carrera y la percepción/expectativa de empleabilidad de los estudiantes universitarios. El estudio incluyó 1.105 estudiantes (57% mujeres), provenientes de diferentes campos e instituciones. Los instrumentos adoptados tenían evidencias de validez y en el análisis de datos utilizamos el modelado de ecuaciones estructurales. Los resultados apoyaron la hipótesis de investigación y corroboran estudios empíricos previos. El modelo indicó un buen ajuste de los datos al modelo hipotético (X2/gl=0,65; CFI=0,94; TLI=0,94; RMSEA=0,05; efecto indirecto=0,31). La confirmación de la relación mediadora contribuye a la comprensión de los procesos relacionados con la Percepción/Expectativa de Empleabilidad entre los estudiantes universitarios. Los impactos para la planificación de la carrera de los estudiantes universitarios y las subvenciones para la gestión de la Educación Superior son algunas de las implicaciones prácticas del estudio. (AU)

Social isolation but not deprivation involved in employment status after bariatric surgery.

An increase in employment rate was observed among individuals who underwent bariatric surgery. This study assessed the relationship between employment rate and weight loss, deprivation, and Bariatric Analysis and Reporting Outcome System (BAROS) scores after bariatric surgery in a deprived area. This retrospective study evaluated the employment rate at a mean period of 2.3±0.1 years after bariatric surgery among 133 individuals. The Evaluation of Deprivation and Inequalities in Health Examination Centers (EPICES score), satisfaction scale, and BAROS (self-esteem, physical activity, social life, work conditions, and sexual activity) questionnaires were used. The mean age of the participants was 45 (range: 19-67) years. Approximately 88% were women. The initial mean body mass index (BMI) was 42.7 kg/m2, and about 88% of the participants underwent sleeve gastrectomy. The mean decrease in BMI was 12 ± 0.5 kg/m2. The mean EPICES score (N<30), BAROS, and satisfaction scale (range: 1-5) scores were 31.9±18, 1.3±1.1, and 4.27±1.19, respectively. After surgery, 19 participants obtained a job. However, three were unemployed. Based on a multivariate analysis, employed and unemployed participants (77 vs 52) before surgery had a lower initial BMI and better BAROS and satisfaction scale scores. After surgery, there was no difference between participants who obtained a new job and those still did not have a job in terms of questionnaire responses. Obtaining a new job was not associated with BMI, sex, or age differences. However, there was a positive correlation between social life score and weight loss. Bariatric surgery increased an individual's chance of finding a job independently of deprivation status. Participants with a pre-operative job had a better perception of satisfaction and BAROS scores. Moreover, social isolation was correlated with unsuccessful weight loss.

Investigating social development inequality among steel industry workers in Pakistan: A contribution to social development policies.

Social development of workers has always been a major concern in history. This study, therefore focuses on social development inequalities among steel industry workers in one development zone (Badami Bagh area and along Sheikhupura road of Lahore) of Pakistan. A total of 225 workers were interviewed randomly following the stratified random sampling technique. Principal Component Analysis (PCA) technique was used to construct the socioeconomic score (SES) index. Five categories of socioeconomic index were measured using multinomial logistic regression model. A correlation matrix was calculated for PCA. Results revealed that type/size of industry has negative relation while skill level has positive relation with SES. Job status and transport facility did not reflect a significant impact to SES of workers. Correlation matrix depicted that age, experience and medical treatment have positive relation while formal education, number of dependents and distance to job showed a negative trend in relation with SES.

Network analysis of the variables involved in career development / Análise de rede das variáveis envolvidas no desenvolvimento de carreira / Análisis de red de las variables involucradas en el desarrollo profesional

The aim of the study was to identify the relationships between career commitment and the perception of employability, career adaptability, self-reflection and insight of professionals from the southern region of Brazil. Participants were 535 individuals who answered an online questionnaire with sociodemographic questions and scales from career commitment, employability perception, career adaptability, self-reflection and insight, to evaluate the variables of interest in the study. The data were submitted to descriptive and network analysis. The results show a moderate and positive relationship between the variables studied and highlight the centrality and strength of the variables identity, planning and confidence among the analyzed variables. It is concluded that it is essential to encourage professionals to reflect on professional choices and their responsibility with their careers, based on the promotion of self-knowledge. Also, the role of organizations in the development of People Management practices that promote autonomy and relationships of trust stands out. (AU)

O objetivo do estudo foi identificar as relações entre comprometimento com a carreira e percepção de empregabilidade, adaptabilidade de carreira, autorreflexão e insight de profissionais da região Sul do Brasil. Participaram 535 indivíduos que responderam a um questionário on-line com questões sociodemográficas e escalas de comprometimento de carreira, percepção de empregabilidade, adaptabilidade de carreira, autorreflexão e insight, para avaliar as variáveis de interesse do estudo. Os dados foram submetidos a análises descritivas e de rede. Os resultados evidenciam relação moderada e positiva entre as variáveis pesquisadas e destacam a centralidade e força das variáveis Identidade, Planejamento e Confiança, entre as variáveis analisadas. Conclui-se que é fundamental estimular profissionais a refletir sobre escolhas profissionais e a sua responsabilidade com a carreira, a partir da promoção do autoconhecimento. Também, destaca-se o papel das organizações no desenvolvimento de práticas de Gestão de Pessoas que promovam autonomia e relações de confiança. (AU)

El objetivo del estudio fue identificar las relaciones entre el compromiso profesional y la percepción de empleabilidad, la adaptabilidad profesional, la autorreflexión y el insight de profesionales de la región sur de Brasil. Participaron 535 individuos que respondieron un cuestionario online con preguntas sociodemográficas y escalas compromiso profesional; percepción de empleabilidad; adaptabilidad profesional; autorreflexión e insight, para evaluar las variables de interés del estudio. Los datos fueron sometidos a análisis descriptivos y de red. Los resultados evidencian una relación moderada y positiva entre las variables investigadas y destacan la centralidad y fuerza de las variables identidad, planificación y confianza, entre las variables analizadas. Se concluye que es fundamental incentivar a los profesionales a reflexionar sobre elecciones profesionales y su responsabilidad con la carrera, a partir de la promoción del autoconocimiento. Asimismo, se destaca el papel de las organizaciones en el desarrollo de prácticas de Gestión de Personas que promuevan autonomía y relaciones de confianza. (AU)