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1.
Am J Occup Ther ; 75(Supplement_3)2022 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34985509

RESUMEN

The American Occupational Therapy Association (AOTA) asserts that occupational therapists and occupational therapy assistants, collectively referred to as occupational therapy practitioners (AOTA, 2020b), are distinctly prepared to work independently and to contribute to interprofessional teams in the treatment of pain. Occupational therapy practitioners work to ensure active engagement in meaningful occupations for "persons, groups, or populations (i.e., the client)" (AOTA, 2020b, p. 1) at risk for and affected by pain.


Asunto(s)
Terapia Ocupacional , Humanos , Terapeutas Ocupacionales , Ocupaciones , Manejo del Dolor , Estados Unidos
3.
Soc Sci Med ; 292: 114637, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34902809

RESUMEN

The economic impact of COVID-19 has exacerbated inequalities in society, but disability has been neglected. This paper contributes to this knowledge gap by providing a comprehensive analysis of the differential labour market impact of COVID-19 by disability in the UK. Using data from the Labour Force Survey before and during the pandemic it estimates disability gaps in pre-pandemic risk factors, as well as changes in labour market inequality nearly one year on. Disabled workers are found to face higher COVID-19-related economic and health risks, including being more likely to work in 'shutdown' industries, and in occupations with greater proximity to others and exposure to disease. However, established measures of inequality, including the disability employment and pay gap suggest limited impact of COVID-19 in 2020. Nevertheless, the increase in the probability of being temporarily away from work, even among otherwise comparable workers, is 40% higher for disabled workers and consistent with disproportionate use of the government's job retention scheme. While the reasons for this are likely to be complex, there is a risk that it will contribute to future disability-related labour market inequality.


Asunto(s)
COVID-19 , Personas con Discapacidad , Humanos , Ocupaciones , SARS-CoV-2 , Reino Unido/epidemiología
4.
Am J Occup Ther ; 75(Supplement_3)2022 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34939642

RESUMEN

This document defines minimum standards for the practice of occupational therapy. According to the Occupational Therapy Practice Framework: Domain and Process (4th ed.; OTPF-4), occupational therapy is defined as the therapeutic use of everyday life occupations with persons, groups, or populations (i.e., the client) for the purpose of enhancing or enabling participation. . . . Occupational therapy services are provided for habilitation, rehabilitation, and promotion of health and wellness for clients with disability- and non-disability-related needs. These services include acquisition and preservation of occupational identity for clients who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. (American Occupational Therapy Association [AOTA], 2020c, p. 1).


Asunto(s)
Personas con Discapacidad , Terapia Ocupacional , Humanos , Ocupaciones
5.
Health Soc Care Community ; 30(1): e86-e94, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34169598

RESUMEN

Diabetes among working population brings to society concerns on productivity and social welfare cost, in addition to healthcare burden. While lower socio-economic status has been recognised as a risk factor of diabetes; occupation, compared with other socio-economic status indicators (e.g., education and income), has received less attention. There is some evidence from studies conducted in Europe that occupation is associated with diabetes risk, but less is known in Asia, which has different organisational cultures and management styles from the West. This study examines the association between occupation and diabetes risk in a developed Asian setting, which is experiencing an increasing number of young onset of diabetes and aging working population at the same time. This is a cross-sectional study of working population aged up to 65 with data from a population-based survey collecting demographic, socio-economic, behavioural and metabolic data from Hong Kong residents, through both self-administered questionnaires and clinical health examinations (1,429 participants). Non-skilled occupation was found to be an independent risk factor for diabetes, with an odds ratio (OR) of 3.38 (p < 0.001) and adjusted OR of 2.59 (p = 0.022) after adjusting for demographic, behavioural and metabolic risk factors. Older age (adjusted OR = 1.08, p < 0.001), higher body mass index (adjusted OR = 1.23, p < 0.001) and having hypertriglyceridemia (adjusted OR = 1.93, p = 0.033) were also independently associated with diabetes. Non-skilled workers were disproportionately affected by diabetes with the highest age-standardized prevalence (6.3%) among all occupation groups (4.9%-5.0%). This study provides evidence that non-skilled occupation is an independent diabetes risk factor in a developed Asian setting. Health education on improving lifestyle practices and diabetes screening should prioritise non-skilled workers, in particular through company-based and sector-based diabetes screening programmes. Diabetes health service should respond to the special needs of non-skilled workers, including service at non-office hour and practical health advice in light of their work setting.


Asunto(s)
Diabetes Mellitus , Vida Independiente , Adulto , Anciano , Estudios Transversales , Diabetes Mellitus/epidemiología , Hong Kong/epidemiología , Humanos , Ocupaciones , Factores de Riesgo
6.
Indian J Ophthalmol ; 70(1): 256-260, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-34937250

RESUMEN

Purpose: To highlight the plight of individuals with congenital color vision deficiency (CVD). Methods: This is a retrospective study in which 191 electronic medical records of individuals with the diagnosis of inherited CVD, who visited the eye institute, between January 2010 and January 2021 were included. The inclusion criteria included diagnosis based on the failure in pseudoisochromatic plates (Ishihara/ Hardy, Rand and Rittler (HRR) and age range between 18 and 35 years. The patient's medical history, age, gender, type of defect, and preference for colored contact lenses was noted. Medical records were excluded if the participant had any other ocular pathology apart from congenital CVD. Results: At least 30% (57/191) of the individuals explicitly requested for color vision examination for a job-related purpose. Amongst them, the most common jobs aspired were army (~25%; [14/57]) followed by police (21%; [12/57]). There was only 2.6% (5/191) of individuals in which the type of CVD (protan/deutan) was classified. Only 5.2% of them (10/191) sought an X-Chrome contact lens trial. Conclusion: This study reported the occupational setbacks experienced by individuals with CVD. This study highlights the need to identify CVD at a younger age, thereby avoiding occupational-related setbacks later in life.


Asunto(s)
Defectos de la Visión Cromática , Visión de Colores , Lentes de Contacto , Adolescente , Adulto , Pruebas de Percepción de Colores , Defectos de la Visión Cromática/diagnóstico , Defectos de la Visión Cromática/epidemiología , Defectos de la Visión Cromática/etiología , Humanos , Ocupaciones , Estudios Retrospectivos , Adulto Joven
7.
Am J Occup Ther ; 75(Supplement_3)2022 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34970973

RESUMEN

This new position statement from the American Occupational Therapy Association (AOTA) describes occupational therapy's role in pain management. AOTA asserts that occupational therapy practitioners are distinctly prepared to work independently and to contribute to interprofessional teams in the treatment of pain. Practitioners strive to ensure active engagement in meaningful occupations for clients at risk for and affected by pain.


Asunto(s)
Terapia Ocupacional , Humanos , Ocupaciones , Manejo del Dolor , Estados Unidos
9.
PLoS One ; 16(12): e0261277, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34914780

RESUMEN

This paper analyzes the dynamics of the labor market in Latin America during the COVID-19 pandemic. After a decade of a virtuous circle of growth with the creation of formal jobs, the pandemic has had an considerable impact on the region's labor market, generating an unparalleled increase in the proportion of the inactive population, considerable reductions in informality, and, in contrast, smaller fluctuations in formal jobs. In this context, the formal sector, given its lower flexibility, became a "social safety net" that preserved the stability of employment and wages. Based on the findings presented in this paper, it is projected that, starting in 2021, informality will grow to levels higher than those of the pre-COVID-19 era-with 7.56 million additional informal jobs-as a result of the population returning to the labor market to compensate for the declines in incomes. According to the simulations presented, postponing or forgiving income tax payments and social security contributions conditional on the generation of formal jobs could reduce the growth of informality by 50 to 75 percent. Achieving educational improvements has the potential to reduce it by 50 percent.


Asunto(s)
COVID-19 , Empleo/tendencias , Adolescente , Adulto , COVID-19/epidemiología , Empleo/estadística & datos numéricos , Composición Familiar , Femenino , Humanos , América Latina/epidemiología , Masculino , Persona de Mediana Edad , Ocupaciones , Política Pública , Salarios y Beneficios , Clase Social , Factores Socioeconómicos , Adulto Joven
10.
Artículo en Inglés | MEDLINE | ID: mdl-34948839

RESUMEN

OBJECTIVES: To solve the labour shortage, we clarify the definition and dimensions of sustainable employability, and make it possible to develop sustainable employability scales in the future and lay the foundation for subsequent quantitative research. Finally, people's sustainable employability can be improved. Highly sustainable employability employees can continue to work in the labour market and their working lives can be prolonged. Labour market supply will increase and labour shortage will be partly solved. METHODS: We discuss the concept of sustainable employability based on some previous studies. Our conclusion is that the existing definitions and measurement dimensions are problematic. The swAge-model, a tool that helps us understand how to make working life more sustainable and healthier for all ages, can be the basis of sustainable employability. RESULTS: We develop a discussion paper concerning the definition and measurement dimensions of sustainable employability using the swAge-model with an added factor of intrinsic work value and the dynamic chain. CONCLUSIONS: Our definition of sustainable employability takes environmental factors into consideration and makes it clear that it is not a solely personal characteristic, but the result of an interaction between individuals and the environment, thus distinguishing employability from work ability. We use the swAge-model as a basis to make the composition of our definition more logical and informed. Our measurement dimensions are clearly described to facilitate the future development of a scale, and our concept may ultimately help to extend the working lives of older and retired workers and thus solve the future labour shortage problem.


Asunto(s)
Estado de Salud , Ocupaciones , Humanos
11.
Am J Occup Ther ; 75(6)2021 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34817600

RESUMEN

IMPORTANCE: What occupational science (OS) knowledge may be essential to occupational therapy practice has not been systematically explored. OBJECTIVE: To identify and gain expert consensus on OS concepts viewed as essential to occupational therapy practice. DESIGN: A complex, convergent mixed-methods Delphi design with an international panel of OS experts randomly assigned to two parallel groups. In Round 1, each group generated OS concepts; in Rounds 2 and 3, they rated the degree to which each concept was essential to occupational therapy. Data were analyzed separately for each group. A fourth round combined the two groups and used carefully merged concept definitions from both groups to validate consensus on essential concepts arising from the prior rounds. PARTICIPANTS: Fifty-two nominated experts from 22 countries who met a priori criteria participated in the 14-mo study. RESULTS: Of 62 experts invited, 52 (Group A = 24, Group B = 28) participated in the first round, and 42 (81%) completed the full-group final round. Eleven concepts met the consensus threshold (≥70%) established for the study. Additional analysis compared parallel- and full-group results to carefully discern conceptual similarities and differences, especially with near-consensus concepts. CONCLUSIONS AND RELEVANCE: Substantial expert agreement was established for several OS concepts viewed as essential, providing a basis for future studies to refine the concepts for occupational therapy education and practice. What This Article Adds: The results of this research provide a systematically derived preliminary basis for selecting OS content for occupational therapy educational programs and preliminary concepts for organizing OS knowledge germane to occupational therapy practice.


Asunto(s)
Terapia Ocupacional , Consenso , Técnica Delfos , Humanos , Ocupaciones
12.
Artículo en Inglés | MEDLINE | ID: mdl-34769728

RESUMEN

INTRODUCTION: Adolescence is crucial for human flourishing and strongly influences having meaning in life. We investigated the association between local public library density as a shared resource and motivational orientation toward their occupation in Japanese adolescents. METHODS: A longitudinal study was conducted using data from a nationwide birth cohort survey in Japan (n = 12,184). At age 7, their caregivers answered questionnaires on children including the number of books read. Library density (low, moderate, or high) in each municipality was obtained from national statistics. At age 15, the adolescents indicated whether they had decided on an occupation and selected motivational orientations from among intrinsic (own ability and interest), extrinsic (high earnings, social class, or job stability), and altruistic (social contribution) orientations. Multilevel linear probability models were fitted, adjusting for confounders, including household socioeconomic status and city size. RESULTS: Intrinsic, extrinsic, and altruistic motivations for desired occupation were reported by 40.7%, 31.9% and 41.8% of participants, respectively. Living in a municipality with a high library density at age 7 was associated with having intrinsic motivation at age 15 than low density by 3.1 percentage points (95% confidence interval (CI): 0.35, 5.85). The association was more prominent for those with lower income (P for interaction = 0.026). Neither extrinsic nor altruistic motivations were associated with library density (coefficient: -0.13; 95% CI: -2.81, 2.56; coefficient: 0.08; 95% CI: -2.72, 2.88 percentage points, respectively). CONCLUSIONS: Developing libraries in communities could encourage intrinsic motivation in adolescents, specifically for those in low-income households.


Asunto(s)
Motivación , Clase Social , Adolescente , Niño , Humanos , Renta , Estudios Longitudinales , Ocupaciones
13.
Artículo en Inglés | MEDLINE | ID: mdl-34769739

RESUMEN

BACKGROUND: Leisure-time physical activity (LTPA) is not the same as occupational activity. Various factors influence both forms of physical activity, including job stress and job satisfaction, but the associations found are weak, and the need for new studies in large populations is emphasized. The objective was to study the relationship between job stress and job satisfaction, and the relationship between these and occupational and leisure-time physical activity according to the National Survey of Health 2017. METHODS: A population-based study of 8716 workers between 18 and 65 years of age. The variables age, sex, leisure, and occupational-time physical activity (OTPA), educational level, type of occupation, job stress level, and job satisfaction were collected. A simple and multiple correspondence analysis was performed between the variables that reached statistical significance. RESULTS: 4621 cases (53.02%) correspond to men with a mean age of 44.83 years (SD 10.22) and 4095 cases to women with a mean age of 44.55 years (SD 10.23). Women had higher percentages of higher education (p < 0.001), intermediate to high occupations and unskilled (p < 0.001), job stress (p < 0.001), covered the most extreme levels of satisfaction (p = 0.003), and do less LTPA (p < 0.001) and OTPA (p < 0.001). Also, in women a relationship was found between job stress and LTPA (p = 0.024), as well as between satisfaction and both forms of physical activity (OTPA p = 0.013 and LTPA p < 0.001). In men, significance was only reached in the relationship between job stress and OTPA (p <0.001). CONCLUSIONS: The higher the job stress, the less the job satisfaction, but the relationship is reversed in the intermediate categories. For both sexes, job stress is related to a sedentary lifestyle and higher employment and education levels. Higher levels of satisfaction correspond to higher levels of occupancy. The relationship between job satisfaction and educational level is direct in women but inverse in men. In women, there is a relationship between sedentary occupations and job satisfaction. In addition, intense physical activity at work is related to higher levels of job stress, lower satisfaction levels, and less physical activity in leisure-time.


Asunto(s)
Estrés Laboral , Ocupaciones , Adulto , Ejercicio Físico , Femenino , Humanos , Satisfacción en el Trabajo , Actividades Recreativas , Masculino , Actividad Motora , Estrés Laboral/epidemiología
14.
Artículo en Inglés | MEDLINE | ID: mdl-34769969

RESUMEN

The occupation of a worker is a determining factor of sickness absence (SA) and can influence both the beginning and continuation of the latter. This study describes SA in Spain, separately in the different Autonomous Communities (AC) in relation to the occupation of workers, with the aim of determining the possible differences in its frequency and duration, relating it also to the diagnosis. A total of 6,543,307 workers, aged 16 years and older, who had at least one episode of SA in the year 2019, constituted the study sample. The obtained results indicate that SA is more frequent and shorter in more elemental occupations. The average duration increases with age and is longer in women, except in technical and administrative occupations, where there is no gender divide. Sickness absences caused by musculoskeletal and mental disorders are more frequent in the lower occupational classes, although their average duration is shorter than in other, more qualified groups. The ACs with shorter duration in almost all the occupational groups are Madrid, Navarre and the Basque Country. In conclusion, SA is more frequent and shorter in lower occupational classes.


Asunto(s)
Trastornos Mentales , Ausencia por Enfermedad , Femenino , Humanos , Ocupaciones , España/epidemiología , Factores de Tiempo
15.
Am J Occup Ther ; 75(4)2021 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-34780612

RESUMEN

Disability studies (DS) is an interdisciplinary field grounded in a minority studies philosophy that approaches disability as a socially constructed phenomenon. The first special issue of the American Journal of Occupational Therapy on DS was published in 2005. The present issue serves as a follow-up to highlight opportunities for and examples of DS integration into occupational therapy education, research, and practice. Studies in this special issue reflect a DS approach to research that prioritizes lived experiences, critical approaches, and participatory methodologies. Reported interventions focus on changing societal barriers rather than remediating individual impairments and acknowledge instrumental activities of daily living often neglected by traditional research. Studies on educational practices in occupational therapy have found persistent issues around negative attitudes toward disability and many opportunities to better infuse disabilities studies into curricula. Revisiting DS as it applies to occupational therapy has shown that many of the issues and considerations raised in 2005 remain in the field today. Recommendations across articles in this special issue highlight that advocacy and working for broader social change are essential for occupational therapy practitioners, given ongoing occupational injustices for people with disabilities. Infusing DS ideas into occupational therapy can promote greater alignment with priorities of disability communities and spur professional change to dismantle oppressive structures and ideologies.


Asunto(s)
Personas con Discapacidad , Terapia Ocupacional , Actividades Cotidianas , Estudios de la Discapacidad , Humanos , Ocupaciones
16.
Am J Occup Ther ; 75(4)2021 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-34780617

RESUMEN

IMPORTANCE: Fibromyalgia (FM) is a chronic pain disorder that interferes with daily activities. Because occupational adaptation varies among people, there is a need to determine which factors can influence adaptation to FM in order to better intervene with them. OBJECTIVE: To understand the occupational adaptation process of people living with FM. DATA SOURCES: A systematic review of the literature was conducted in the AMED, CINAHL, MEDLINE, OTseeker, OTDBASE, and PsycINFO databases. Articles dated before September 2020 were searched using a strategy with the keywords fibromyalgia and occupation. Study Selection and Data Collection: This article follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Qualitative articles were included if they documented occupational aspects of participants with FM. Two independent reviewers screened the articles and performed the quality assessment using the Critical Appraisal Skills Program checklist. A thematic synthesis was conducted. FINDINGS: Of the 560 articles identified, 347 remained after duplicates were removed. After screening titles and abstracts, 303 articles were rejected, and 44 articles were read in their entirety. Twelve qualitative articles were included in the review. The synthesis highlights that support from relatives is a key to successfully adapting to FM. Identity is crucial to a fulfilled life, and occupational competence is greatly affected by the experience of FM. Occupational adaptation is an issue for some people, but maintaining routines and integrating management strategies would help them to achieve it. CONCLUSIONS AND RELEVANCE: This review highlights the importance of considering the components of occupational adaptation while caring for people with FM. What This Article Adds: This systematic review identifies the factors influencing the occupational adaptation of people living with FM and emphasizes the importance of addressing those factors.


Asunto(s)
Fibromialgia , Humanos , Ocupaciones , Lectura
17.
Am J Occup Ther ; 75(6)2021 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34780626

RESUMEN

IMPORTANCE: Managing health requires extensive time and effort, especially in the early stages of a new illness. Although important, health management occupations contribute to treatment burden, disrupt engagement in other occupations, and galvanize the incorporation of the illness into identity. This is especially true for young adults after first-episode psychosis (FEP). OBJECTIVE: To explore the impact of health management occupations on the social participation of young adults after FEP. DESIGN: Qualitative study. SETTING: Community with participants from primarily urban environments. PARTICIPANTS: Five adults between 18 and 30 yr old who experienced FEP within the previous 5 yr. Data collection occurred through semistructured interviews, participant observations, and discourse elicitation. Outcomes and Measures: Two participant observations per month for 6 mo with 4 study participants; six observations total for a 5th participant. RESULTS: Health management dominated participants' occupations immediately after FEP and hindered their social participation as they experienced a liminal space (i.e., transition space) in their life trajectory. Some participants were "stuck" in this space and deferred life goals to focus on illness management, whereas others used the liminal space as a space for growth and transformation. CONCLUSIONS AND RELEVANCE: Health management occupations are essential; however, overemphasizing health management can hinder social participation and quality of life. Occupational therapy practitioners can assist clients with moving through liminal spaces after diagnosis by supporting participation beyond mental health treatment environments, helping clients to imagine alternative life trajectories, and finding strategies to reduce overall treatment burden. What This Article Adds: The concept of liminality holds promise for understanding and supporting health management and social participation after FEP.


Asunto(s)
Trastornos Psicóticos , Participación Social , Humanos , Ocupaciones , Investigación Cualitativa , Calidad de Vida
18.
Am J Occup Ther ; 75(5)2021 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-34780631

RESUMEN

IMPORTANCE: The recovery model in mental health involves person-driven care and informed decision making to enhance engagement in meaningful activities and inclusion in society. To facilitate the recovery process, occupational therapy practitioners must support their clients in understanding how their participation in meaningful occupation is intimately related to their health and well-being. OBJECTIVE: To explore whether engaging in an occupational reflection intervention on an inpatient psychiatric unit can support the recovery of adults living with serious mental illness (SMI). DESIGN: Using a phenomenological design, we conducted semistructured interviews to assess whether participation in an occupational reflection intervention supported recovery. SETTING: An inpatient psychiatric unit at a university medical center. PARTICIPANTS: We recruited 10 adults living with SMI using purposive sampling. INTERVENTION: Participants engaged in a structured occupational reflection intervention using the Occupational Experience Profile (OEP). The OEP is a time-use diary that captures respondents' subjective experiences of pleasure, productivity, restoration, and connection in relation to their participation in occupations over 24 hr. Study participants engaged in collaborative analyses regarding their OEP results to explore their subjective experiences in relation to their occupational participation. Outcomes and Measures: Participant self-report during interviews. RESULTS: Engaging in structured reflection affected participants' experiences of recovery by promoting insight into and awareness of how occupations affect mental health, encouraging positive reframing of occupational experience, and facilitating identification of strategies to support recovery and meaningful participation after discharge. Conclusions and Relevance: Occupational reflection can promote the recovery of adults living with SMI. What This Article Adds: A structured occupational reflection intervention can help adults living with SMI in inpatient psychiatric units to understand the close relationship between their participation in occupations and their health. This process provides valuable insight to clients regarding how to support their recovery through engagement in meaningful occupation.


Asunto(s)
Terapia Ocupacional , Psiquiatría , Adulto , Humanos , Pacientes Internos , Salud Mental , Ocupaciones
19.
Am J Occup Ther ; 75(3)2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-34781349

RESUMEN

IMPORTANCE: Occupational therapy practitioners should use evidence-based practices, such as video modeling, to address work occupations supporting people with autism spectrum disorder, including those with co-occurring intellectual and developmental disabilities. OBJECTIVE: To examine the evidence and relevance of video modeling supporting engagement in work occupations for people with autism and to translate these findings to occupational therapy practice. DATA SOURCES: Cochrane Collection Plus, CINAHL, PubMed, ERIC, ProQuest, and peer-reviewed occupational therapy literature from 2008 to 2018. Study Selection and Data Collection: This review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Study selection and data collection focused on occupational therapy scope of practice, autism spectrum disorder, co-occurring intellectual and developmental disabilities, video modeling, and work occupations for people age 16 yr and older. FINDINGS: A total of 464 articles were screened. Six articles met inclusion criteria. Results indicated moderate evidence for video modeling to support work occupations for people with autism, specifically employment seeking and acquisition and specific job-performance skills. Samples were limited to people younger than age 28 yr and represented varied intellectual abilities, indicating potential for benefits across the spectrum of cognitive functioning. CONCLUSIONS AND RELEVANCE: This systematic review highlights the promising potential of video modeling to address work occupations for people with autism. However, more rigorous effectiveness research is needed, including studies by occupational therapy practitioners. What This Article Adds: Occupational therapy expertise paired with video modeling, as a strengths-based, client-centered, customizable, socially acceptable intervention, can provide meaningful support for work occupations.


Asunto(s)
Trastorno del Espectro Autista , Trastorno Autístico , Terapia Ocupacional , Adolescente , Adulto , Empleo , Humanos , Ocupaciones
20.
BMC Musculoskelet Disord ; 22(1): 956, 2021 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-34781946

RESUMEN

BACKGROUND: In Germany and other European countries, many occupations still involve manual handling of loads (MHL), an activity that puts the musculoskeletal system at risk of low back pain (LBP). This study aims to describe the current prevalence of MHL in different occupational groups stratified by gender in Germany, the association between MHL and LBP and the adjusted prevalence of LBP in different respond-categories of MHL. METHODS: Data was collected in telephone interviews conducted as part of the 2018 BIBB/BAuA Employment Survey, which covers work-related topics like working conditions, education, health status and job satisfaction. The analyses were limited to full-time workers (> 35 h/week) aged between 15 and 67. The frequency of MHL was analysed descriptively. BLOSSFELD classification was used to group the participants in occupational categories. The analysis of the association between MHL and the prevalence of LBP over the last 12 months was based on robust log-linear Poisson regression that results in prevalence ratios (PR). The main regression model was adjusted for gender, age, working hours, and working conditions. Adjusted estimates for the prevalence of LBP were calculated based on regression analysis. RESULTS: The sample consists of n = 14,331 participants (men: n = 8828, 61.6%; women: n = 5503, 38.4%; median age 49 years). Of these, 52.8% say they were exposed to MHL at work. MHL is most common in agricultural occupations, skilled and unskilled occupations. In the regression model, participants who said they were "often" exposed to MHL reported more frequently LBP than those participants who said they were "never" exposed to MHL. The PR as estimate for the association is 1.41 (95%CI [1.32; 1.49]). Postestimation of the prevalence of LBP began with 47.3% (95%CI [43.8%; 51.1%]) for participants who said they were "never" exposed to MHL and rose to 66.5% (95%CI [62.4%; 71.0%]) for participants who indicated they were "often" exposed to MHL. CONCLUSIONS: The 2018 BIBB/BAuA Employment Survey emphasizes that MHL is still common in the German workforce and shows a significant association to LBP. Prevention policies for avoiding MHL remain vital.


Asunto(s)
Dolor de la Región Lumbar , Enfermedades Profesionales , Adolescente , Adulto , Anciano , Empleo , Femenino , Humanos , Dolor de la Región Lumbar/diagnóstico , Dolor de la Región Lumbar/epidemiología , Masculino , Persona de Mediana Edad , Enfermedades Profesionales/diagnóstico , Enfermedades Profesionales/epidemiología , Ocupaciones , Prevalencia , Factores de Riesgo , Encuestas y Cuestionarios , Adulto Joven
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