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1.
Saudi Med J ; 45(9): 935-944, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-39218461

RÉSUMÉ

OBJECTIVES: To analyze the fertility rate trends in the GCC countries and their association with socioeconomic factors so that policymakers may use the study findings for future healthcare plans. METHODS: Total population, crude death rate, life expectancy, literacy rate, human development index (HDI), female employment, unemployment rate, urbanisation, gross domestic product (GDP) per capita and inflation were chosen as possible predictors of TFR trends. The data were collected for the Global Burden of Disease 2021 study and other official databases such as the World Bank, the United Nations Development Program and Our World in Data for the 6 Gulf Cooperation Council (GCC) countries. Mean with standard deviation and percentage change was calculated to assess trends of TFR and all other variables from 1980-2021. RESULTS: The fertility rate declined in all 6 countries in 2021 compared to 1980. The highest decline was found in the United Arab Emirates (75.5%), while the lowest was in Kuwait (60.9%). From 1980-2021, total population, life expectancy, HDI, literacy rate, GDP, urbanisation, and female labor force increased in all GCC countries. The total population, life expectancy, urbanisation, female labor force, GDP and HDI were negatively and significantly correlated with TFR (p<0.01). The literacy rate showed a negative and significant correlation with TFR in Bahrain, Kuwait, Saudi Arabia, and Qatar. CONCLUSION: The TFR is declining in GCC countries. The plausible causes include the inclination towards postponement of marriages and excessive costs of living. These trends and associations need to be evaluated by policymakers so that they identify priority areas for interventions, allocate resources and formulate developmental plans accordingly to ensure strategic progress of the region.


Sujet(s)
Taux de natalité , Espérance de vie , Facteurs socioéconomiques , Humains , Taux de natalité/tendances , Femelle , Espérance de vie/tendances , Moyen Orient/épidémiologie , Produit intérieur brut , Études longitudinales , Facteurs économiques , Lettrisme/statistiques et données numériques , Koweït/épidémiologie , Émirats arabes unis/épidémiologie , Fécondité , Urbanisation/tendances , Démographie , Emploi/statistiques et données numériques
2.
Hum Resour Health ; 22(1): 61, 2024 Sep 02.
Article de Anglais | MEDLINE | ID: mdl-39223496

RÉSUMÉ

BACKGROUND: Kenya grapples with a paradox; severe public sector workforce shortages co-exist with rising unemployment among healthcare professionals. Medical schools have increased trainee outputs, but only 45% of newly qualified/registered doctors were absorbed by the public sector during 2015-2018. In such a context, we explore what influences doctors' career choices at labour market entry, specifically understanding the role of public service motivation (PSM). METHODS: We conducted a cross-sectional and prospective study of interns and recently graduated doctors to examine PSM, their intention to work in the public sector and their final employment sector and status. We surveyed them on their PSM and job intentions and conducted a prospective follow-up survey of the interns, around one year later, to understand their employment status. FINDINGS: We recruited 356 baseline participants and followed up 76 out of 129 eligible interns. The overall PSM score was high among all participants (rated 4.50/5.00) irrespective of sector preferences. 48% (171/356) of the participants preferred to work in the public sector immediately after internship, alongside 16% (57/356) preferring direct entry into specialist training-commonly in the public sector. Only 13% (46/356) and 7% (25/365) preferred to work in the private or faith-based sector. Despite the high proportion of interns preferring public sector jobs, only 17% (13/76) were employed in the public sector at follow-up and 13% (10/76) were unemployed, due to lack of job availability. CONCLUSION: High PSM scores irrespective of sector preferences suggest that doctors are generally committed to serving the 'public good'. Many intended to work in the public sector but were unable to due to lack of job opportunities. Policymakers have an opportunity to tackle workforce gaps in the public sector as young doctors continue to express a preference for such work. To do this they should prioritise creating adequate and sustainable job opportunities.


Sujet(s)
Emploi , Internat et résidence , Médecine , Motivation , Médecins , Humains , Études prospectives , Études transversales , Internat et résidence/statistiques et données numériques , Kenya , Emploi/psychologie , Emploi/statistiques et données numériques , Médecine/statistiques et données numériques , Mâle , Femelle , Adulte , Médecins/psychologie , Médecins/statistiques et données numériques
3.
Nursing ; 54(10): 54-61, 2024 Oct 01.
Article de Anglais | MEDLINE | ID: mdl-39302754

RÉSUMÉ

PURPOSE: This study explores the lived experiences of women living with multiple sclerosis (MS) and identifies barriers to their optimal health and well-being. METHODOLOGY: Using van Manen's interpretative phenomenologic analysis, the researchers conducted semistructured interviews with 23 women diagnosed with MS in Southwestern Ontario, Canada. Data were analyzed using NVivo 12 software, and themes were validated through member checking. RESULTS: The study revealed a key theme of "obstacles for women with MS" and subthemes related to barriers to physical, mental, and social well-being. Participants reported experiencing feelings of health despite their MS diagnosis but identified various constraints on their optimal health and well-being, including challenges with employment, financial support, and housing security. CONCLUSION: The findings highlight the need for healthcare professionals to advocate for equitable treatments, medication, and accessibility supports for women with MS, as well as for policies that address disability income support and affordable housing. Further research is recommended to explore power imbalances experienced by women with MS in precarious employment situations or living with episodic disabilities.


Sujet(s)
Sclérose en plaques , Recherche qualitative , Humains , Femelle , Sclérose en plaques/psychologie , Ontario , Adulte d'âge moyen , Adulte , Emploi , Accessibilité des services de santé , Entretiens comme sujet , État de santé
4.
Sci Rep ; 14(1): 21683, 2024 09 17.
Article de Anglais | MEDLINE | ID: mdl-39289504

RÉSUMÉ

Child marriage negatively affects women's socio-economic empowerment, particularly in education and employment. This study aimed to explore women' perspectives on the timing of their marriages, considering their educational and employment status at the time. It also sought to identify factors influencing early married women's perception of their marriages as timely. We analyzed both quantitative and qualitative data. The quantitative data included a sample of 5,596 women aged 15-24 from the 2017/18 Bangladesh Demographic and Health Survey. Additionally, we collected qualitative data through six in-depth interviews, two focus group discussions, and 13 key informant interviews. We used a multilevel mixed-effects Poisson regression model to examine the relationship between women's formal employment, education, and child marriage. Thematic analysis was employed for the qualitative data. Around 62% of the total women analysed reported their married occurred early with the mean age at marriage was 15.2 years. Approximately 55% of the total early married women believed their marriages occurred at the right time, especially among those who were employed at the time of their marriage. Among this subset, we also noticed a higher likelihood of discontinuing work and education following marriage. Qualitative findings revealed reasons behind this perception, such as escaping poverty, safety concerns, limited job prospects, and the impact of non-marital relationship and societal norms. While many early-married women perceived their marriage as timely, particularly those initially employed, this decision often coincides with a subsequent withdrawal from work and education. This underscores the pressing need for policies and programs aimed at educating women about the legal age for marriage and the negative consequences associated with early marriage while also equipping them with knowledge and resources for informed decision-making.


Sujet(s)
Niveau d'instruction , Emploi , Mariage , Humains , Mariage/psychologie , Femelle , Bangladesh , Adolescent , Jeune adulte , Adulte , Facteurs socioéconomiques
5.
Europace ; 26(9)2024 Aug 30.
Article de Anglais | MEDLINE | ID: mdl-39230873

RÉSUMÉ

AIMS: Atrial fibrillation (AF) is a common arrhythmia associated with reduced quality of life that can lead to serious complications such as stroke and heart failure. Ablation is a safe and effective treatment for AF but is not offered equally to all patients. The aim of this study is to identify demographic groups more or less likely to undergo AF ablation. METHODS AND RESULTS: All patients with newly diagnosed AF between 2010 and 2018 were identified in the Danish nationwide registries. The association between gender, age, level of education and attachment to the job market, and the likelihood of receiving AF ablation was investigated using multivariable Cox proportional hazard analysis. Cumulative incidence was calculated using the Aalen-Johansen estimator. A total of 176 248 patients were included. Men were more likely to receive ablation than women (7% vs. 3%). Patients aged 25-44 and 45-64 were most likely to receive ablation, while only 0.7% of patients aged 80 or above received ablation. The rate of ablation significantly decreased with decreasing level of education. Full-time employed patients were most likely to receive ablation, followed by self-employed, unemployed, on sick leave, undergoing education, and early retired patients. Retired patients were the least likely to receive ablation (3%). CONCLUSION: This study found that women, older patients, patients with lower levels of education, and patients on social benefits are less likely to receive AF ablation. These findings suggest that there are significant social and economic disparities in AF ablation treatment in Denmark.


Sujet(s)
Fibrillation auriculaire , Ablation par cathéter , Niveau d'instruction , Disparités d'accès aux soins , Enregistrements , Humains , Fibrillation auriculaire/chirurgie , Fibrillation auriculaire/épidémiologie , Danemark/épidémiologie , Mâle , Femelle , Ablation par cathéter/statistiques et données numériques , Adulte d'âge moyen , Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Accessibilité des services de santé/statistiques et données numériques , Emploi/statistiques et données numériques , Facteurs âges , Facteurs sexuels , Facteurs de risque , Chômage/statistiques et données numériques
6.
J Health Organ Manag ; ahead-of-print(ahead-of-print)2024 Sep 24.
Article de Anglais | MEDLINE | ID: mdl-39313482

RÉSUMÉ

PURPOSE: The importance of employment in recovery from mental health illness has led to broad recognition of the integration of employment-oriented support into mental health treatment. However, there is variation in the extent to which an employment orientation permeates healthcare services. This article explores how managers and advisors in health and welfare services in Norway function as "change agents", who work to increase an employment orientation in mental health services. DESIGN/METHODOLOGY/APPROACH: The empirical material consists of 20 interviews with change agents in health and welfare organisations. They work to implement a model - individual placement and support - to integrate an employment orientation in healthcare services. The findings are analysed using the framework of "institutional work" to elucidate the strategies used by change agents. FINDINGS: The findings underscore a consensus on the health advantages of employment and that employment-oriented support belongs in mental health treatment. However, this concept requires further cultivation within healthcare services, with individual actors playing a key role as change agents. Depending on the stage of the various organisations in the change process and the actors' positions within the institutional context, the actors engaged in both creative and maintenance institutional work. PRACTICAL IMPLICATIONS: The article´s findings are significant for how health organisations can work to achieve desired changes. ORIGINALITY/VALUE: This article contributes to the literature on collaboration and implementation of employment-oriented practices in healthcare by directing attention to the dynamics of organisational change processes and the efforts of individual actors to promote change.


Sujet(s)
Emploi , Services de santé mentale , Services de santé mentale/organisation et administration , Humains , Norvège , Entretiens comme sujet , Troubles mentaux/rééducation et réadaptation , Troubles mentaux/thérapie , Recherche qualitative , Femelle , Mâle
7.
Hum Resour Health ; 22(1): 65, 2024 Sep 20.
Article de Anglais | MEDLINE | ID: mdl-39304901

RÉSUMÉ

BACKGROUND: Much policy attention focuses on increasing the supply of workers in the English NHS but there has been less attention paid to the rise in leavers. This paper seeks to explore how existing data sets can illuminate the decision-making of leavers and inform actions that could mitigate this. METHOD: Secondary analysis of routinely collected data from 79 workforce projects in the UK (n = 46 339 participants) over a 4-year (2019-2023) period was undertaken. Free text data we extracted and analysed using content analysis, sentiment analysis and text mining. Inclusion criteria were those who stated they had resigned, had confirmed retirement date, and had secured employment elsewhere either within or without the sector but had not yet resigned. Exclusion criteria were those who had not indicated they were leaving or indicated intention to leave. These findings were then compared with themes from Herzberg's work hygiene theory and Hoffat and Woods's professional practice environment theory. RESULTS: Multiple reasons were given for leaving. Findings were congruent with Herzberg's two factor work hygiene theory and demonstrate that leavers are driven by the inability to meet their intrinsic motivation to practice according to their professional standards as much as by terms and conditions. Leavers describe suboptimal professional practice environments which produce obstacles to achieving their work objectives and leaving their intrinsic motivation frustrated. CONCLUSION: Whilst reasons for leaving differ between people, there is a relationship between intrinsic motivation (why they want to do the job) and the conditions in which they try to do the job. This study suggests that looking beyond the primary reason for leaving given in the national dataset could identify how the practice environment influences the decision.


Sujet(s)
Personnel de santé , Médecine d'État , Humains , Royaume-Uni , Personnel de santé/psychologie , Personnel de santé/statistiques et données numériques , Motivation , Renouvellement du personnel/statistiques et données numériques , Satisfaction professionnelle , Lieu de travail , Emploi
8.
PLoS One ; 19(9): e0306895, 2024.
Article de Anglais | MEDLINE | ID: mdl-39269937

RÉSUMÉ

The article is devoted to presenting the topic of migration of Ukrainian nationals to Poland. The work makes use of a survey under a project carried out in Polish rural areas and small towns. Seven hundred interviews were held in total. We conducted a quantitative analysis of its results here. The employed methods involve variable frequency distribution. The independence of the features was tested with the non-parametric chi-square test of independence. The association of the investigated variables was determined with Cramér's V. The research shows that the most numerous foreign nationals in the Polish labour market in 2021 were Ukrainians. The positive trend started in 2017. The respondents perceived the migration of Ukrainian nationals to Poland mostly positively, especially regarding seasonal work. They also emphasized that the Ukrainians performed work at variance with their qualifications. Only every fifth participant agreed that migrants took away jobs from Poles. Most of the respondents pointed out that small business owners benefited from employing Ukrainians. The overwhelming majority of the respondents noted an increase in migration from Ukraine after the full-scale invasion and that entire families of Ukrainians were coming to Poland. Nearly half of them agreed that the support system for Ukrainian migrants was a burden on municipal budgets.


Sujet(s)
Population rurale , Population de passage et migrants , Ukraine , Pologne , Humains , Population de passage et migrants/statistiques et données numériques , Population de passage et migrants/psychologie , Femelle , Mâle , Adulte , Emploi/statistiques et données numériques , Enquêtes et questionnaires , Adulte d'âge moyen , Jeune adulte , Émigration et immigration
9.
Eval Program Plann ; 107: 102493, 2024 Dec.
Article de Anglais | MEDLINE | ID: mdl-39236357

RÉSUMÉ

This longitudinal study evaluated the effectiveness of Korea's 2007 employment protection legislation (EPL), aimed at mitigating labor discrimination against non-regular workers (NRW). Specifically, we use the Korean Workplace Panel Survey data from 2005 to 2013 and adopt a difference-in-difference methodology (DD) to explore whether establishment reduces the gap in training opportunities between NRW and regular workers (RW). Results show that compliance with government regulations depends on how business establishments react to the rules and the characteristics of these stakeholders. Overall, the 2007 reform partially improved the training opportunities in NRW. However, this positive outcome was mostly concentrated in companies with affluent resources or stronger bargaining power of NRW. Policymakers should consider in what context the policy works well and what factors may hinder its operation at the policy design stage.


Sujet(s)
Emploi , Humains , République de Corée , Études longitudinales , Formation professionnelle/organisation et administration , Femelle , Mâle , Adulte , Évaluation de programme , Lieu de travail/législation et jurisprudence
10.
BMC Psychol ; 12(1): 484, 2024 Sep 13.
Article de Anglais | MEDLINE | ID: mdl-39272175

RÉSUMÉ

The goal of this study is to learn more about social media ostracism, a stressor associated with online social networks, defined by feelings of rejection, exclusion, or ignoring. We investigate the connection between social media ostracism and worker creativity. We suggest that psychological safety and psychological rumination serve as intermediaries in this relationship. Furthermore, we investigate emotional intelligence as a relationship regulator. To verify our hypothesis, we gathered data with the help of the HR department from 244 workers of nine Chinese organizations. Our research shows that psychological rumination and social media exclusion are significantly correlated, but only in workers with low emotional intelligence. Furthermore, for individuals with strong emotional intelligence, we did not discover a statistically negative association between psychological safety and social media exclusion. Findings suggest that psychological safety and psychological rumination serve as mediating factors in the relationship between employee creativity and social media exclusion. This study illuminates the negative aspects of social media ostracism and reveals how it might hinder creativity. It also emphasizes how emotional intelligence functions as a moderator. Organizations may learn a lot from this study on how to lessen the negative impacts of social media exclusion on employee creativity.


Sujet(s)
Créativité , Intelligence émotionnelle , Médias sociaux , Humains , Médias sociaux/statistiques et données numériques , Mâle , Adulte , Femelle , Distance psychologique , Isolement social/psychologie , Emploi/psychologie , Rumination cognitive , Adulte d'âge moyen , Chine
11.
Appl Nurs Res ; 79: 151845, 2024 Oct.
Article de Anglais | MEDLINE | ID: mdl-39256014

RÉSUMÉ

BACKGROUND: Technological advancements have extended the lifespan of individuals with congenital heart disease (CHD), but physical and mental health issues can affect their life and job satisfaction. AIMS: This study examined whether grit can protect full-time employed adults with CHD from depression by exploring its mediating role between depressive symptoms and life or job satisfaction. METHODS: A cross-sectional design involved 181 adults with CHD assessed using the Patient Health Questionnaire, Grit-10, Satisfaction with Life Scale, and Basic Psychological Need Satisfaction at Work Scale. Data analysis was conducted with SPSS and Smart PLS software for partial least squares structural equation modeling, adhering to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. RESULTS: Indicated that depressive symptoms were negatively correlated with grit, life satisfaction, and job satisfaction, while grit was positively correlated with both satisfaction measures. Grit partially mediated the relationship between depressive symptoms and life/job satisfaction, accounting for 30.70 % and 29.11 % of the variance, respectively. CONCLUSIONS: Grit significantly mitigates the negative impact of depressive symptoms on life and job satisfaction in full-time employed adults with CHD. Nurses should identify signs of depression in adults with CHD and evaluate their grit levels. Interventions to increase grit and reduce depressive symptoms could enhance life and job satisfaction.


Sujet(s)
Dépression , Cardiopathies congénitales , Satisfaction professionnelle , Humains , Mâle , Adulte , Femelle , Études transversales , Cardiopathies congénitales/psychologie , Dépression/psychologie , Adulte d'âge moyen , Enquêtes et questionnaires , Emploi/psychologie , Emploi/statistiques et données numériques , Satisfaction personnelle , Jeune adulte
12.
N Z Med J ; 137(1602): 27-54, 2024 Sep 06.
Article de Anglais | MEDLINE | ID: mdl-39236325

RÉSUMÉ

AIM: To examine the impact of integrated employment support and mental health treatment (Individual Placement and Support, or "IPS") on Aotearoa New Zealand participants' employment, income, health, education and justice outcomes. METHOD: De-identified linked data from the Stats NZ Integrated Data Infrastructure and propensity score matching were used to estimate effects. RESULTS: In total, 1,659 IPS participants were matched to 1,503 non-participants. Compared with matched non-participants, matched participants were 1.6 times more likely to be in employment at 12 months. Over 3 years, matched IPS participants had more earnings, more time in employment, greater total income and were more likely to gain qualifications. They also had more face-to-face contacts with mental health teams, mental health-related inpatient stays and mental health service crisis contacts than matched non-participants. Effects for Maori were similar in direction and scale to the overall results. CONCLUSION: Our results show that people with mental health conditions or problematic substance use who receive employment support made available together with mental health and addiction treatment have more employment, gains in qualifications and more independent income when compared to similar people who do not receive this support. More research is needed to understand differences in engagement with mental health services and effects on participants' health and wellbeing.


Sujet(s)
Emploi accompagné pour les personnes handicapées , Troubles mentaux , Adulte , Femelle , Humains , Mâle , Adulte d'âge moyen , Jeune adulte , Emploi/statistiques et données numériques , État de santé , Revenu , Troubles mentaux/thérapie , Troubles mentaux/épidémiologie , Services de santé mentale/statistiques et données numériques , Nouvelle-Zélande , Troubles liés à une substance/thérapie , Troubles liés à une substance/épidémiologie
13.
Front Public Health ; 12: 1407005, 2024.
Article de Anglais | MEDLINE | ID: mdl-39224560

RÉSUMÉ

Background: Higher education is widely recognized as a strategy to mitigate food insecurity. However, marginalized and racialized groups, especially Latinos, often do not experience the same economic and health benefits from their educational achievements as non-Latino Whites, highlighting a pattern of diminished returns within these communities. Aims: This study aims to explore the disparities in how educational attainment influences marital status and employment, and subsequently, food insecurity among Latino and non-Latino adults. Methods: Utilizing data from the 2022 National Health Interview Survey (NHIS), which encompassed 27,648 adults from both Latino and non-Latino backgrounds, this research applied a structural equation model to examine the relationship between educational attainment, ethnicity, and food insecurity. The study specifically focused on the mediating roles of marital status and employment. Results: Findings reveal significant interactions between education and ethnicity affecting marital status and employment, both of which serve as protective factors against food insecurity. These results indicate that higher levels of unemployment and lower marriage rates may disproportionately escalate food insecurity among Latinos, irrespective of educational attainment. Conclusion: The study highlights profound societal and environmental obstacles that prevent Latinos from leveraging educational achievements to improve their marital and employment statuses, and thereby, their food security. Addressing these disparities demands targeted interventions directed at Latino communities to bridge gaps in employment and marriage rates stemming from educational disparities. A holistic strategy that transcends mere access to education is essential to dismantle the societal barriers that undermine the educational dividends for Latino communities.


Sujet(s)
Niveau d'instruction , Emploi , Insécurité alimentaire , Hispanique ou Latino , Humains , Hispanique ou Latino/statistiques et données numériques , Mâle , Femelle , Emploi/statistiques et données numériques , Adulte , Adulte d'âge moyen , États-Unis , Caractéristiques familiales , Ethnies/statistiques et données numériques , Situation de famille/statistiques et données numériques ,
14.
F1000Res ; 13: 389, 2024.
Article de Anglais | MEDLINE | ID: mdl-39262836

RÉSUMÉ

Background: A major workforce inadequacy and the change in skill demanded have been observed due to the digital transformation. This study aims to identify the digital skills demanded by employers, focusing on exploring the skills gaps among the graduates that impact graduate employability. Methods: A cross sectional online survey was conducted among the companies registered with the Malaysian Productivity Corporation (MPC). Demand for digital skills was assessed using descriptive analysis of mean scores of the employers' rating in digital skills at present and in future. A pair sample t-test was performed to explore the existence of skill gaps, by comparing the demand versus competencies of the graduates' digital skills in the workplace. Results: Of the 393 responses collected, 376 responses were used for final analysis. The findings show that the current top three digital skills in demand are "information and data literacy", "problem-solving", and "digital content creation". Whereas the top digital skills for future demand are "problem-solving", "safety", and "communication and collaboration". In addition, the most significant (digital) skill gap is found in "communication and collaboration skills" followed by "problem-solving" and "safety" skills. Conclusions: These findings provide insights into the digital skills demanded by employers in IR 4.0, allowing the practitioners, education service providers and policymakers to do better planning on human capital management and training development. By focusing on identifying the current and future demand for digital skills while exploring the digital skill gaps among the graduates, this study provides insight into the employability skills required by the graduate before entering the job market.


Sujet(s)
Emploi , Malaisie , Humains , Études transversales , Mâle , Enquêtes et questionnaires , Femelle , Adulte , Lieu de travail
16.
J Environ Manage ; 369: 122358, 2024 Oct.
Article de Anglais | MEDLINE | ID: mdl-39226811

RÉSUMÉ

Public service sectors play crucial roles in maintaining societal functioning through the provision of essential services. However, amidst the backdrop of air pollution, their developmental trajectories may veer off course from their intended goals. Quantifying the impact of air pollution on public service sectors, particularly from an employment perspective, offers valuable insights for policymakers aiming to foster the sustainable growth of these sectors and expand the analysis framework on air pollution externalities. Drawing on monthly data spanning from January 2015 to December 2019 across 269 prefecture cities, this paper therefore explores the impact of air pollution on public service sector employment using a cross-lagged panel model with fixed effects. I find that air pollution negatively affects the employment scales in public service sectors. This negative employment shock is also unevenly distributed across areas and sub-sectors and intensifies over time. Cities belong to key areas for air pollution prevention and control, small and medium-sized cities, and secondary-industry dominated cities, suffer disproportionately negative employment shocks in their public service sectors. These findings offer actionable insights for policymakers to implement targeted measures supporting the continued growth of public service sectors and deepen understanding of the economic ramifications of air pollution.


Sujet(s)
Pollution de l'air , Emploi , Villes , Humains
17.
Inquiry ; 61: 469580241284281, 2024.
Article de Anglais | MEDLINE | ID: mdl-39305024

RÉSUMÉ

Lockdowns were a key policy response to the COVID-19 pandemic. While they were viewed as a necessary intervention, concerns were raised about their potential for harmful economic and livelihood impacts. However, few studies have addressed the unequal economic and livelihood impacts of lockdowns. Our article reports findings from a qualitative study conducted in Uganda on economic and livelihood impacts of COVID-19 lockdowns in urban and rural settings. This study used 14 focus group discussions, 40 household, and 31 key informant interviews in both urban (Kampala district) and rural (Wakiso district) areas in central Uganda. Data analysis was conducted thematically with NVivo 2020 (QSR International). The findings emphasize the unequal impacts of the COVID-19 lockdowns across a range of dimensions: informal sector activities, formal employment, fluctuating prices alongside scarcity and surpluses, food insecurity, and government interventions. Wealthier households in urban areas were least affected, with urban households reliant on informal sector activities experiencing the most significant impacts. Our findings also suggest that longer-term development strategies, such as increased food self-sufficiency and informal sector interventions can support future pandemic preparedness and response. To address these impacts, policymakers should provide targeted support, alongside protecting key productive sectors, and supply chains.


Sujet(s)
COVID-19 , Groupes de discussion , Recherche qualitative , SARS-CoV-2 , Humains , Ouganda , COVID-19/économie , COVID-19/épidémiologie , Population rurale , Population urbaine , Insécurité alimentaire/économie , Femelle , Facteurs socioéconomiques , Pandémies , Mâle , Emploi/économie , Contrôle des maladies transmissibles/économie , Quarantaine/économie , Adulte , Entretiens comme sujet
18.
Public Health Nutr ; 27(1): e181, 2024 Sep 26.
Article de Anglais | MEDLINE | ID: mdl-39324333

RÉSUMÉ

OBJECTIVE: The study sought to explore nutrition graduates' employability and role of employability capitals in supporting nutrition science graduate outcomes. DESIGN: In-depth semi-structured, audio-recorded interviews were conducted with nutrition graduates who had completed a nutrition science degree between 2015 and 2021. Interpretivism guided this study, which endeavoured to co-construct meaning with participants. Transcribed interviews were thematically analysed, whereby data were coded, themes identified and discussed by all authors. The data were further mapped against the graduate capital model (GCM) by deductively coding against the five graduate capitals (human, identity, social, psychological and cultural). SETTING: Ireland and Australia. PARTICIPANTS: Forty-two nutrition graduates from across nine universities in Ireland and twenty-two from a single university programme in Australia. RESULTS: All elements of the GCM were identified with human, social and identity capital most dominant and identified as significantly influential on employability. Presence or absence of these capitals could be clearly identified within each graduates' experience. Formation of professional identity and connection to the profession was strongest amongst Irish graduates. However, more than half of the Australian cohort perceived barriers to professional identity formation, including lack of regulation, imposter syndrome, presence of non-qualified individuals and comparison to dietetics. Both psychological and cultural capitals were rarely spoken about. CONCLUSION: The development of human, social and identity capital is observed among nutrition science graduates. Further investigation is required to enhance the process of identity development and ascertain potential remedies for obstacles. The absence of psychological and cultural capital, therefore, poses a significant issue for the resilience and comprehension of prospective graduates.


Sujet(s)
Sciences de la nutrition , Recherche qualitative , Humains , Australie , Irlande , Femelle , Mâle , Sciences de la nutrition/enseignement et éducation , Adulte , Emploi , Enseignement supérieur , Universités , Identification sociale , Nutritionnistes/psychologie , Entretiens comme sujet
19.
JMIR Public Health Surveill ; 10: e48047, 2024 Sep 20.
Article de Anglais | MEDLINE | ID: mdl-39302342

RÉSUMÉ

Background: Self-employment is a significant component of South Korea's labor force; yet, it remains relatively understudied in the context of occupational safety and health. Owing to different guidelines for health checkup participation among economically active individuals, disparities in health maintenance may occur across varying employment statuses. Objective: This study aims to address such disparities by comparing the risk of all-cause mortality and comorbidities between the self-employed and employee populations in South Korea, using nationwide data. We sought to provide insights relevant to other countries with similar cultural, social, and economic contexts. Methods: This nationwide retrospective study used data from the Korean National Health Insurance Service database. Participants (aged 20-59 y) who maintained the same insurance type (self-employed or employee insurance) for ≥3 years (at least 2008-2010) were recruited for this study and monitored until death or December 2021-whichever occurred first. The primary outcome was all-cause mortality. The secondary outcomes were ischemic heart disease, ischemic stroke, cancer, and hospitalization with a mental illness. Age-standardized cumulative incidence rates were estimated through an indirect method involving 5-unit age standardization. A multivariable Cox proportional hazards model was used to estimate the adjusted hazard ratio (HR) and 95% CI for each sex stratum. Subgroup analyses and an analysis of the effect modification of health checkup participation were also performed. Results: A total of 11,652,716 participants were analyzed (follow-up: median 10.92, IQR 10.92-10.92 y; age: median 42, IQR 35-50 y; male: n=7,975,116, 68.44%); all-cause mortality occurred in 1.27% (99,542/7,851,282) of employees and 3.29% (124,963/3,801,434) of self-employed individuals (P<.001). The 10-year cumulative incidence rates of all-cause mortality differed significantly by employment status (1.1% for employees and 2.8% for self-employed individuals; P<.001). The risk of all-cause mortality was significantly higher among the self-employed individuals when compared with that among employees, especially among female individuals, according to the final model (male: adjusted HR 1.44, 95% CI 1.42-1.45; female: adjusted HR 1.89, 95% CI 1.84-1.94; P<.001). The risk of the secondary outcomes, except all types of malignancies, was significantly higher among the self-employed individuals (all P values were <.001). According to subgroup analyses, this association was prominent in younger individuals with lower incomes who formed a part of the nonparticipation groups. Furthermore, health checkup participation acted as an effect modifier for the association between employment status and all-cause mortality in both sexes (male: relative excess risk due to interaction [RERI] 0.76, 95% CI 0.74-0.79; female: RERI 1.13, 95% CI 1.05-1.21). Conclusions: This study revealed that self-employed individuals face higher risks of all-cause mortality, cardio-cerebrovascular diseases, and mental illnesses when compared to employees. The mortality risk is particularly elevated in younger, lower-income individuals who do not engage in health checkups, with health checkup nonparticipation acting as an effect modifier for this association.


Sujet(s)
Maladies cardiovasculaires , Emploi , Humains , Mâle , Femelle , Études rétrospectives , Adulte , Adulte d'âge moyen , République de Corée/épidémiologie , Maladies cardiovasculaires/mortalité , Maladies cardiovasculaires/épidémiologie , Jeune adulte , Emploi/statistiques et données numériques , Mortalité/tendances , Pauvreté/statistiques et données numériques , Disparités de l'état de santé , Études de cohortes , Facteurs de risque
20.
Rev Lat Am Enfermagem ; 32: e4335, 2024.
Article de Anglais, Espagnol, Portugais | MEDLINE | ID: mdl-39319891

RÉSUMÉ

OBJECTIVE: to interpret young nursing professionals' perceptions about the relationship between working, employment and health conditions. METHOD: a qualitative study with an interpretive approach regarding the work-related experiences of 15 young nurses, who took part in the research through voluntary snowball sampling. The data from the interviews and the focus group were analyzed to reach an approximation to the realities inherent to the nurses' work life. RESULTS: the relevant study findings pointed out that work precariousness is a characteristic feature in the population group, mainly related to hiring modalities and to wages. According to the participants, the psychosocial working conditions (which were intensified during the COVID-19 pandemic) were the ones that caused the most effects on their mental and physical health. CONCLUSION: from the young nurses' perspective, this study reports how the macro- and micro-structural working conditions and their relationship with health are perceived, pointing out the key elements to devise interventions focused on life paths that foster decent and healthy work postulates in their work environments, as well as actions to prevent injuries or harms to nurses' health.


Sujet(s)
COVID-19 , Emploi , Recherche qualitative , Humains , Femelle , Emploi/psychologie , Adulte , Mâle , Infirmières et infirmiers/psychologie , Jeune adulte , Lieu de travail/psychologie , Attitude du personnel soignant , État de santé , Groupes de discussion , Santé au travail
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