Employment and accommodation needs and the effect of COVID-19 on men and women with traumatic brain injury.

Male Humans Female Quality of Life Cross-Sectional Studies COVID-19 Employment Workplace Brain Injuries, Traumatic / complications
Gender role pandemics rehabilitation sex work

Journal

Work (Reading, Mass.)
ISSN: 1875-9270
Titre abrégé: Work
Pays: Netherlands
ID NLM: 9204382

Informations de publication

Date de publication:
2023
Historique:
medline: 23 5 2023
pubmed: 3 1 2023
entrez: 2 1 2023
Statut: ppublish

Résumé

Traumatic brain injury (TBI) impacts an individual's workforce involvement post-injury. Support services and workplace accommodations that can help with work re-integration post-TBI may differ based on a person's sex and gender. The added impact of COVID-19 remains under-explored. We aimed to investigate the support services and workplace accommodation needs and the impact of COVID-19 on work and mental health for persons with TBI, considering sex and gender. A cross-sectional online survey was distributed. Descriptive and regression analyses were applied to uncover sex and gender differences, along with content analysis for open-ended responses. Thirty-two persons with TBI (62% women, 38% men) participated. Physiotherapy, occupational therapy, and counselling services were indicated as the most needed services by women and men. Modified hours/days and modified/different duties were the most needed workplace accommodations. Mental challenges impacting well-being was a highlighted concern for both men and women. Women scored poorer on the daily activity domain of the Quality of Life after Brain Injury - Overall Scale (p = 0.02). Assistance with daily activities was highlighted by women for a successful transition to work, including housekeeping and caregiving. Men were more likely than women to experience change in employment status because of COVID-19 (p = 0.02). Further, a higher percentage of men expressed concern about the inability to pay for living accommodations, losing their job, and not having future job prospects. Findings reveal important differences between men and women when transitioning to work post-TBI and emphasize the need for sex and gender considerations.

Sections du résumé

BACKGROUND BACKGROUND
Traumatic brain injury (TBI) impacts an individual's workforce involvement post-injury. Support services and workplace accommodations that can help with work re-integration post-TBI may differ based on a person's sex and gender. The added impact of COVID-19 remains under-explored.
OBJECTIVE OBJECTIVE
We aimed to investigate the support services and workplace accommodation needs and the impact of COVID-19 on work and mental health for persons with TBI, considering sex and gender.
METHODS METHODS
A cross-sectional online survey was distributed. Descriptive and regression analyses were applied to uncover sex and gender differences, along with content analysis for open-ended responses.
RESULTS RESULTS
Thirty-two persons with TBI (62% women, 38% men) participated. Physiotherapy, occupational therapy, and counselling services were indicated as the most needed services by women and men. Modified hours/days and modified/different duties were the most needed workplace accommodations. Mental challenges impacting well-being was a highlighted concern for both men and women. Women scored poorer on the daily activity domain of the Quality of Life after Brain Injury - Overall Scale (p = 0.02). Assistance with daily activities was highlighted by women for a successful transition to work, including housekeeping and caregiving. Men were more likely than women to experience change in employment status because of COVID-19 (p = 0.02). Further, a higher percentage of men expressed concern about the inability to pay for living accommodations, losing their job, and not having future job prospects.
CONCLUSION CONCLUSIONS
Findings reveal important differences between men and women when transitioning to work post-TBI and emphasize the need for sex and gender considerations.

Identifiants

DOI: 10.3233/WOR-220437 PMID: 36591690
pubmed: 36591690
pii: WOR220437
doi: 10.3233/WOR-220437
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

41-58

Auteurs

Sara Hanafy (S)

Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.

Angela Colantonio (A)

Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.

Tatyana Mollayeva (T)

Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.

Sarah Munce (S)

Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.

Sally Lindsay (S)

Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Employment and accommodation needs and the...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Employment and accommodation needs and the...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Employment and accommodation needs and the...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Employment and accommodation needs and the...
questionsmedicales.fr › Caractéristiques de la population › Facteurs socioéconomiques › Emploi › Employment and accommodation needs and the...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Lieu de travail › Employment and accommodation needs and the...
questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Lésions encéphaliques › Lésions traumatiques de l'encéphale › Employment and accommodation needs and the...