Participation in work and leisure activities after stroke: A national study.


Journal

Annals of physical and rehabilitation medicine
ISSN: 1877-0665
Titre abrégé: Ann Phys Rehabil Med
Pays: Netherlands
ID NLM: 101502773

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 07 12 2018
revised: 13 03 2019
accepted: 06 04 2019
pubmed: 17 5 2019
medline: 4 3 2020
entrez: 17 5 2019
Statut: ppublish

Résumé

Stroke is a common and debilitating neurological disorder having a negative impact on quality of life. We aimed to compare differences in participation in work and leisure activities between patients with and without a self-reported stroke at the national level in France. This study used cross-sectional data from the Disability Health Survey that was administered in people's homes (DHH) in 2008 and in institutions (DHI) in 2009. Stroke history and levels of participation in work and leisure activities were collected by interviews. The levels of participation in these activities were compared between participants with and without a history of stroke. Among the 33,785 interviewed participants, 1725 reported a history of stroke. After weighting, this represented a mean (SD) of 766,641 (36,650) people among 49 million adults living in France. After adjustment, as compared with people without stroke, those with stroke were less likely to work (odds ratio 0.19 [95% confidence interval 0.13-0.27]), use the telephone (0.21 [0.17-0.25]) and drive (0.25 [0.21-0.32]). In the age group 19-59 years, as compared with people without stroke, those with stroke less frequently worked (35.9% vs. 72.2%), drove (54.3% vs. 81.3%) and participated in sports (26.6% vs. 55.8%). Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke.

Sections du résumé

BACKGROUND BACKGROUND
Stroke is a common and debilitating neurological disorder having a negative impact on quality of life.
OBJECTIVES OBJECTIVE
We aimed to compare differences in participation in work and leisure activities between patients with and without a self-reported stroke at the national level in France.
METHODS METHODS
This study used cross-sectional data from the Disability Health Survey that was administered in people's homes (DHH) in 2008 and in institutions (DHI) in 2009. Stroke history and levels of participation in work and leisure activities were collected by interviews. The levels of participation in these activities were compared between participants with and without a history of stroke.
RESULTS RESULTS
Among the 33,785 interviewed participants, 1725 reported a history of stroke. After weighting, this represented a mean (SD) of 766,641 (36,650) people among 49 million adults living in France. After adjustment, as compared with people without stroke, those with stroke were less likely to work (odds ratio 0.19 [95% confidence interval 0.13-0.27]), use the telephone (0.21 [0.17-0.25]) and drive (0.25 [0.21-0.32]). In the age group 19-59 years, as compared with people without stroke, those with stroke less frequently worked (35.9% vs. 72.2%), drove (54.3% vs. 81.3%) and participated in sports (26.6% vs. 55.8%).
CONCLUSIONS CONCLUSIONS
Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke.

Identifiants

pubmed: 31096014
pii: S1877-0657(19)30061-2
doi: 10.1016/j.rehab.2019.04.005
pii:
doi:

Types de publication

Evaluation Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

351-355

Informations de copyright

Copyright © 2019. Published by Elsevier Masson SAS.

Auteurs

Alexis Schnitzler (A)

Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP, CIC-IT 1429, 104, boulevard Raymond-Poincaré, 92380 Garches, France; EA4047, UFR des Sciences de la SantéUniversity Versailles Saint Quentin en Yvelines, "Handi-Resp", Simone Veil, 78180, France. Electronic address: alexis.schnitzler@rpc.aphp.fr.

Claire Jourdan (C)

EA4047, UFR des Sciences de la SantéUniversity Versailles Saint Quentin en Yvelines, "Handi-Resp", Simone Veil, 78180, France; Physical Medicine and Rehabilitation Department, 34000 Montpellier, France.

Loic Josseran (L)

EA4047, UFR des Sciences de la SantéUniversity Versailles Saint Quentin en Yvelines, "Handi-Resp", Simone Veil, 78180, France; Department of epidemiology, Raymond Poincaré Hospital, AP-HP, 104, boulevard Raymond-Poincaré, 92380 Garches, France.

Philippe Azouvi (P)

Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP, CIC-IT 1429, 104, boulevard Raymond-Poincaré, 92380 Garches, France; EA4047, UFR des Sciences de la SantéUniversity Versailles Saint Quentin en Yvelines, "Handi-Resp", Simone Veil, 78180, France.

Louis Jacob (L)

Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France.

François Genêt (F)

Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP, CIC-IT 1429, 104, boulevard Raymond-Poincaré, 92380 Garches, France; "End-icap" U1179 Inserm, UFR des Sciences de la Santé, University Versailles Saint Quentin en Yvelines, Simone Veil, 78180, France.

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