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1.
BMC Psychol ; 12(1): 484, 2024 Sep 13.
Article in English | MEDLINE | ID: mdl-39272175

ABSTRACT

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.


Subject(s)
Creativity , Emotional Intelligence , Social Media , Humans , Social Media/statistics & numerical data , Male , Adult , Female , Psychological Distance , Social Isolation/psychology , Employment/psychology , Rumination, Cognitive , Middle Aged , China
2.
PLoS One ; 19(9): e0306895, 2024.
Article in English | MEDLINE | ID: mdl-39269937

ABSTRACT

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.


Subject(s)
Rural Population , Transients and Migrants , Ukraine , Poland , Humans , Transients and Migrants/statistics & numerical data , Transients and Migrants/psychology , Female , Male , Adult , Employment/statistics & numerical data , Surveys and Questionnaires , Middle Aged , Young Adult , Emigration and Immigration
3.
Inquiry ; 61: 469580241284281, 2024.
Article in English | MEDLINE | ID: mdl-39305024

ABSTRACT

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.


Subject(s)
COVID-19 , Focus Groups , Qualitative Research , SARS-CoV-2 , Humans , Uganda , COVID-19/economics , COVID-19/epidemiology , Rural Population , Urban Population , Food Insecurity/economics , Female , Socioeconomic Factors , Pandemics , Male , Employment/economics , Communicable Disease Control/economics , Quarantine/economics , Adult , Interviews as Topic
4.
JMIR Public Health Surveill ; 10: e48047, 2024 Sep 20.
Article in English | MEDLINE | ID: mdl-39302342

ABSTRACT

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.


Subject(s)
Cardiovascular Diseases , Employment , Humans , Male , Female , Retrospective Studies , Adult , Middle Aged , Republic of Korea/epidemiology , Cardiovascular Diseases/mortality , Cardiovascular Diseases/epidemiology , Young Adult , Employment/statistics & numerical data , Mortality/trends , Poverty/statistics & numerical data , Health Status Disparities , Cohort Studies , Risk Factors
5.
Front Public Health ; 12: 1407005, 2024.
Article in English | MEDLINE | ID: mdl-39224560

ABSTRACT

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.


Subject(s)
Educational Status , Employment , Food Insecurity , Hispanic or Latino , Humans , Hispanic or Latino/statistics & numerical data , Male , Female , Employment/statistics & numerical data , Adult , Middle Aged , United States , Family Characteristics , Ethnicity/statistics & numerical data , Marital Status/statistics & numerical data , Family Structure
6.
Hum Resour Health ; 22(1): 65, 2024 Sep 20.
Article in English | MEDLINE | ID: mdl-39304901

ABSTRACT

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.


Subject(s)
Health Personnel , State Medicine , Humans , United Kingdom , Health Personnel/psychology , Health Personnel/statistics & numerical data , Motivation , Personnel Turnover/statistics & numerical data , Job Satisfaction , Workplace , Employment
7.
Front Public Health ; 12: 1433215, 2024.
Article in English | MEDLINE | ID: mdl-39220461

ABSTRACT

Drawing from the conservation of resources theory, this study proposes that individuals who perceive environmental competitiveness may improve their mental health through their job crafting behaviors at work. Data were collected from 450 full-time Chinese employees using a three-wave time-lagged approach. The results showed that perceived environmental competitiveness is positively correlated with job crafting, and job crafting has a positive relationship with mental health. Moreover, the results indicated that job crafting mediates the relationship between perceived environmental competitiveness and mental health. Additionally, the present study found that work-family conflict plays a moderating role in the relationships among environmental competitiveness, job crafting and mental health. A moderated mediation model was proposed in this study. Finally, theoretical and practical implications of this study are also discussed.


Subject(s)
Mental Health , Humans , Female , Male , Adult , China , Surveys and Questionnaires , Workplace/psychology , Middle Aged , Competitive Behavior , Employment/psychology
8.
Turk Kardiyol Dern Ars ; 52(6): 420-428, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39225644

ABSTRACT

OBJECTIVE: Coronary artery disease is one of the most common causes of disability and work loss among working-age individuals. Since the ability to return to work after cardiovascular events depends on several factors, identifying these factors can be helpful in treatment planning and effective rehabilitation. In this study, we aimed to assess the employment status and related factors one year after angiography in patients with stable angina and acute coronary syndrome and to investigate the impact of occupational factors on angiographic characteristics. METHODS: This retrospective study included 447 patients with coronary artery disease who underwent angiography between February 2020 and March 2021 at a teaching hospital. Data regarding employment status and other related variables, including the Job Content Questionnaire, were collected through medical record reviews and telephone interviews one year after hospital discharge. The participants' occupational factors and return-to-work status were then compared. RESULTS: One year after angiography, the rate of returning to work was 70%. Of these, 86.3% had resumed their previous job. Factors associated with a reduced return to work included major coronary artery involvement, a history of hypertension, lower ejection fraction, and increased hospitalization days. Occupational risk factors such as low income, longer working hours, and high job demand also decreased the likelihood of returning to employment. CONCLUSION: Various clinical and socioeconomic factors can predict the probability of returning to work after angiography in patients with coronary artery disease. Considering these factors could be useful in formulating clinical guidelines to improve employment outcomes for these patients.


Subject(s)
Coronary Angiography , Return to Work , Humans , Return to Work/statistics & numerical data , Male , Female , Middle Aged , Retrospective Studies , Coronary Angiography/statistics & numerical data , Risk Factors , Coronary Artery Disease/diagnostic imaging , Acute Coronary Syndrome/diagnostic imaging , Acute Coronary Syndrome/rehabilitation , Aged , Adult , Employment/statistics & numerical data , Angina, Stable/diagnostic imaging
9.
Front Public Health ; 12: 1341213, 2024.
Article in English | MEDLINE | ID: mdl-39228850

ABSTRACT

Objectives: This article studied the single-factor causal relationships between the social environment, health cognition, and health behavior of the individuals with non-fixed employment and their adverse health outcomes, as well as the complex causal relationships of multiple factors on these outcomes. Methods: Partial Least Squares Structural Equation Modeling (PLS-SEM) and Fuzzy-Set Qualitative Comparative Analysis (fsQCA) are employed. Data is collected from the results of an open questionnaire Psychology and Behavior Investigation of Chinese Residents 2021. Results: PLS-SEM analysis reveals that health risk behaviors and cognition play a mediating role in impact of the social environment on adverse health outcomes, indicating that individuals with non-fixed employment susceptible to adverse health outcomes. fsQCA analysis identifies that weak social support is a core condition leading to outcomes of depression and anxiety. There are shared configurations and causal pathways between the outcomes of physical health and depression. Conclusion: The study supports the social determinants theory of health and suggests that the fundamental reason for people being trapped in adverse health outcomes is the health inequality caused by social stratification, and the external shock of uncertainty in the era of VUCA (Volatility, Uncertainty, Complexity, and Ambiguity).


Subject(s)
Cognition , Health Behavior , Social Environment , Humans , China , Female , Male , Adult , Surveys and Questionnaires , Middle Aged , Employment/statistics & numerical data , Latent Class Analysis , Least-Squares Analysis , Fuzzy Logic , Social Determinants of Health
10.
PLoS One ; 19(9): e0307412, 2024.
Article in English | MEDLINE | ID: mdl-39226269

ABSTRACT

Endometriosis and provoked vestibulodynia (PVD) are prevalent pain conditions among women of reproductive age, significantly impacting their quality of life and psychological well-being. However, comprehensive evidence regarding the lifelong health and socioeconomic outcomes for these individuals remains scarce. Additionally, many prior studies rely on limited and sometimes unrepresentative samples. This study aims to inform on the long-term consequences of these disorders by examining health, fertility, and employment outcomes in a cohort of women diagnosed with endometriosis and/or PVD, tracing their experiences from childhood to their 40s. Leveraging nationwide administrative data from Sweden and employing a matched case-control design, we investigate both similarities and differences between women with these diagnoses and those without. Our findings indicate that women diagnosed with endometriosis and/or PVD demonstrate elevated healthcare utilization patterns, commencing in their early teenage years and progressively increasing over time. Notably, disparities in labor market outcomes emerge in their 20s, showcasing lower labor earnings and a rise in sickness benefit receipt. Moreover, our results show a higher likelihood among these women to experience mental health disorders and concurrent chronic pain diseases, as well as infertility. While the association between endometriosis and infertility is well-documented, this study offers novel insights into a potential similar link between PVD and infertility. Our study informs healthcare professionals and policymakers about the considerable burden of compromised health, adverse psychosocial well-being, and reduced productivity in the labor market faced by young women with these common pain conditions. These findings underscore the urgency of addressing the multifaceted challenges encountered by individuals diagnosed with endometriosis and PVD across their lifespan.


Subject(s)
Endometriosis , Registries , Vulvodynia , Humans , Female , Endometriosis/psychology , Endometriosis/complications , Endometriosis/epidemiology , Sweden/epidemiology , Adult , Vulvodynia/psychology , Vulvodynia/epidemiology , Young Adult , Longitudinal Studies , Adolescent , Quality of Life , Socioeconomic Factors , Case-Control Studies , Middle Aged , Employment , Infertility, Female/psychology , Infertility, Female/epidemiology
11.
BMJ ; 386: q1960, 2024 Sep 12.
Article in English | MEDLINE | ID: mdl-39266240
12.
Saudi Med J ; 45(9): 935-944, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39218461

ABSTRACT

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.


Subject(s)
Birth Rate , Life Expectancy , Socioeconomic Factors , Humans , Birth Rate/trends , Female , Life Expectancy/trends , Middle East/epidemiology , Gross Domestic Product , Longitudinal Studies , Economic Factors , Literacy/statistics & numerical data , Kuwait/epidemiology , United Arab Emirates/epidemiology , Fertility , Urbanization/trends , Demography , Employment/statistics & numerical data
13.
Hum Resour Health ; 22(1): 61, 2024 Sep 02.
Article in English | MEDLINE | ID: mdl-39223496

ABSTRACT

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.


Subject(s)
Employment , Internship and Residency , Medicine , Motivation , Physicians , Humans , Prospective Studies , Cross-Sectional Studies , Internship and Residency/statistics & numerical data , Kenya , Employment/psychology , Employment/statistics & numerical data , Medicine/statistics & numerical data , Male , Female , Adult , Physicians/psychology , Physicians/statistics & numerical data
14.
Eval Program Plann ; 107: 102493, 2024 Dec.
Article in English | MEDLINE | ID: mdl-39236357

ABSTRACT

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.


Subject(s)
Employment , Humans , Republic of Korea , Longitudinal Studies , Vocational Education/organization & administration , Female , Male , Adult , Program Evaluation , Workplace/legislation & jurisprudence
15.
Cien Saude Colet ; 29(10): e01862023, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39292030

ABSTRACT

This article aims to examine differences in suicidal narrative and suicide crisis syndrome symptoms, and suicidal ideation among those who maintained, lost, and gained employment or student status during the COVID-19 pandemic. It is a cross-sectional study based on an online and anonymous self-report questionnaire. Participants were recruited through social media platforms between November 2020 and October 2021. Changes in occupational status were assessed in 2,259 individuals. The sample was divided into four groups according to work (full-time/part-time) and study status (1) maintained, (2) lost, (3) gained, and (4) unemployed. Suicide outcomes were investigated by the Suicidal Narrative Inventory, Suicide Crisis Inventory, and Columbia - Suicide Severity Rating Scale Screener version. Changes in occupational status influenced symptoms of the suicide crisis syndrome and suicidal narrative, but not suicidal ideation. Those who maintained their work, such as full-time/part-time scored lower on the total scores of the Suicidal Narrative Inventory and Suicide Crisis Inventory-2 compared to those who lost their employed status and unemployed. Our findings suggest that it is appropriate to consider changes in employed status as a mental health risk factor during pandemics.


Subject(s)
COVID-19 , Employment , Suicidal Ideation , Humans , COVID-19/epidemiology , COVID-19/psychology , Brazil/epidemiology , Male , Female , Cross-Sectional Studies , Adult , Employment/psychology , Middle Aged , Suicide/psychology , Suicide/statistics & numerical data , Young Adult , Risk Factors , Surveys and Questionnaires , Self Report , SARS-CoV-2
16.
Nursing ; 54(10): 54-61, 2024 Oct 01.
Article in English | MEDLINE | ID: mdl-39302754

ABSTRACT

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.


Subject(s)
Multiple Sclerosis , Qualitative Research , Humans , Female , Multiple Sclerosis/psychology , Ontario , Middle Aged , Adult , Employment , Health Services Accessibility , Interviews as Topic , Health Status
17.
Sci Rep ; 14(1): 21683, 2024 09 17.
Article in English | MEDLINE | ID: mdl-39289504

ABSTRACT

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.


Subject(s)
Educational Status , Employment , Marriage , Humans , Marriage/psychology , Female , Bangladesh , Adolescent , Young Adult , Adult , Socioeconomic Factors
18.
Europace ; 26(9)2024 Aug 30.
Article in English | MEDLINE | ID: mdl-39230873

ABSTRACT

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.


Subject(s)
Atrial Fibrillation , Catheter Ablation , Educational Status , Healthcare Disparities , Registries , Humans , Atrial Fibrillation/surgery , Atrial Fibrillation/epidemiology , Denmark/epidemiology , Male , Female , Catheter Ablation/statistics & numerical data , Middle Aged , Adult , Aged , Aged, 80 and over , Health Services Accessibility/statistics & numerical data , Employment/statistics & numerical data , Age Factors , Sex Factors , Risk Factors , Unemployment/statistics & numerical data
19.
N Z Med J ; 137(1602): 27-54, 2024 Sep 06.
Article in English | MEDLINE | ID: mdl-39236325

ABSTRACT

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.


Subject(s)
Employment, Supported , Mental Disorders , Adult , Female , Humans , Male , Middle Aged , Young Adult , Employment/statistics & numerical data , Health Status , Income , Mental Disorders/therapy , Mental Disorders/epidemiology , Mental Health Services/statistics & numerical data , New Zealand , Substance-Related Disorders/therapy , Substance-Related Disorders/epidemiology
20.
BMC Health Serv Res ; 24(1): 1038, 2024 Sep 06.
Article in English | MEDLINE | ID: mdl-39243013

ABSTRACT

BACKGROUND: Ensuring a sufficient, appropriately qualified health workforce is of global concern. Understanding the attributes that employers seek is critical in recruitment, retention, and educational design. In physiotherapy, there is a dearth of evidence on desirable attributes that employers seek from early-career physiotherapists. This study directly addresses this gap. The aims of this study were to identify the characteristics of the jobs advertised for early-career physiotherapists in Australia; determine which attributes were most desired when employing an early-career physiotherapist; and identify if there were differences in the attributes required based upon workplace location. METHODS: New graduate and early-career physiotherapy job advertisements were collected for six months from 1st October 2020 until 31st March 2021 from SEEK.com.au, a large online employment marketplace that operates across ten countries in the Asia Pacific and Latin America. Job advertisements needed to specify new graduate or early-career physiotherapist eligibility and be located within Australia. Data extraction were completed using QuestionPro®. The Modified Monash Model was used to classify rurality of job location. Job advertisements were analysed descriptively and using content analysis to identify attributes. RESULTS: The search yielded 578 job advertisements with the greatest number collected in October 2020 (25.3%). Of the advertisements, 428 (74.0%) were in metropolitan locations (Modified Monash 1), 47 (8.1%) were in regional (Modified Monash 2), 99 (17.1%) were in rural locations (Modified Monash 3-5), and 4 (0.8%) were in remote locations (Modified Monash 6-7). Most roles were in private practice (63.3%) or aged care (21.7%). The top five attributes requested by employers were client focus, communication and interpersonal skills, team player, willingness to learn, and being able to build rapport, relationships, and networks. Academic results, resilience, and empathy were the least requested attributes. Differences in requested employability attributes increased with rurality. CONCLUSIONS: This study addresses the current knowledge about attributes sought by employers for early-career physiotherapists. The most prevalent attributes requested were client focus and communication and interpersonal skills. This exploration of attributes can help to better prepare graduates for their first roles, align expectations, and increase understanding of priorities for entry level university programs, as well as identify priorities for support during transition to practice. Desired attributes should be clearly defined by employers in recruitment and retention processes.


Subject(s)
Advertising , Physical Therapists , Humans , Australia , Physical Therapists/psychology , Male , Employment , Female , Workplace/psychology , Personnel Selection , Professional Practice Location
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