Jetha Arif, Bowring Julie, Tucker Sean, Connelly Catherine E, Martin Ginis Kathleen A, Proulx Laurie, Gignac Monique A M
a Institute for Work & Health , Toronto , Canada.
b DeGroote School of Business , McMaster University , Hamilton , Canada.
Disabil Rehabil. 2018 Dec;40(26):3127-3135. doi: 10.1080/09638288.2017.1378387. Epub 2017 Sep 18.
To understand the similarities and differences in the employment participation of people living with arthritis across the life course.
Focus groups and interviews were conducted with young (ages 18-34 years, n = 7), middle-aged (ages 35-54 years, n = 13) and older adults (>55 years, n = 25) with arthritis. Participants were asked about the impact of arthritis on employment, experiences with health-related changes, career progression and social role involvement. A modified grounded theory approach was used to inductively analyze the data.
Young adults indicated the school-to-work transition as being influential in their employment and described the need to direct their time and energy toward finding work that accommodated health and met career aspirations. Middle-aged adults described how the transition from good health to an arthritis diagnosis disrupted involvement in diverse social roles. However, they often downplayed the impact of arthritis on employment. Older adults described the work-to-retirement transition and their decline in physical functioning as contributing to changing involvement in the labor market.
Transitions related to health, career progression and social role involvement shaped employment experiences, and represent opportunities for future research and practice that is tailored to life course issues. Implications for rehabilitation Little is known about the work experiences of young- and middle-aged adults with arthritis and how they compare to their older counterparts. Life course theory offers an important framework for research and practice by providing a perspective to enhance our understanding of how employment participation differs across phases of life. Salient and diverse changes related to health, career and social role involvement were identified at each life phase and shaped employment. Rehabilitation practitioners should pay special attention to a client's age, life phase and work history as a strategy to enhance the delivery of interventions that promote work participation.
了解关节炎患者在整个生命历程中就业参与情况的异同。
对年龄在18 - 34岁（n = 7）、35 - 54岁（n = 13）以及55岁以上（n = 25）的患有关节炎的年轻人、中年人及老年人进行了焦点小组访谈。参与者被问及关节炎对就业的影响、与健康相关变化的经历、职业发展以及社会角色参与情况。采用改良的扎根理论方法对数据进行归纳分析。
年轻人指出从学校到工作的转变对他们的就业有影响，并表示需要将时间和精力用于寻找既能适应健康状况又能满足职业抱负的工作。中年人描述了从健康状态良好到被诊断患有关节炎的转变如何扰乱了他们对各种社会角色的参与。然而，他们往往淡化关节炎对就业的影响。老年人描述了从工作到退休的转变以及身体机能的下降如何导致他们在劳动力市场参与度的变化。
与健康、职业发展和社会角色参与相关的转变塑造了就业经历，为针对生命历程问题的未来研究和实践提供了机会。对康复的启示 对于患有关节炎的年轻人和中年人的工作经历以及他们与老年人的比较情况，我们知之甚少。生命历程理论为研究和实践提供了一个重要框架，通过提供一个视角来增强我们对不同生命阶段就业参与情况差异的理解。在每个生命阶段都确定了与健康、职业和社会角色参与相关的显著且多样的变化，这些变化塑造了就业情况。康复从业者应特别关注客户的年龄、生命阶段和工作经历，以此作为加强促进工作参与干预措施实施的策略。
