Elwes R D, Marshall J, Beattie A, Newman P K
Department of Neurology, Middlesbrough General Hospital, Cleveland, UK.
J Neurol Neurosurg Psychiatry. 1991 Mar;54(3):200-3. doi: 10.1136/jnnp.54.3.200.
A community based survey was undertaken to assess the work record of patients with epilepsy in an area of high unemployment. One hundred and thirty seven epileptic patients were identified from a population of 23,837 persons of employable age registered with three urban group practices in North East England. The unemployment rate for economically active patients with epilepsy was 46% compared with 19% for an age and sex matched control population (p less than 0.01). Fifty nine per cent of patients with active epilepsy were unemployed. In those with an associated neurological or psychiatric handicap and those who were unskilled manual workers the unemployment rates were 79% and 77%, respectively. Patients with epilepsy were less likely to leave school with qualifications or undergo subsequent training or apprenticeships. They were more likely to be unskilled manual workers, single and living in rented accommodation. In an area of high unemployment patients with epilepsy have disproportionately greater difficulty finding work. High unemployment rates among patients with epilepsy are only one aspect of a spectrum of social and economic disadvantage.
在一个高失业率地区进行了一项基于社区的调查，以评估癫痫患者的工作记录。在英格兰东北部三家城市团体诊所登记的23,837名适龄就业人口中，识别出137名癫痫患者。有经济活动能力的癫痫患者失业率为46%，而年龄和性别匹配的对照人群失业率为19%（p<0.01）。活动性癫痫患者中有59%处于失业状态。伴有相关神经或精神障碍的患者以及非技术体力劳动者的失业率分别为79%和77%。癫痫患者获得学历离校或接受后续培训或学徒训练的可能性较小。他们更有可能是非技术体力劳动者、单身且居住在出租房里。在高失业率地区，癫痫患者在找工作方面面临的困难格外大。癫痫患者的高失业率只是一系列社会和经济劣势的一个方面。
