2023-09-28 14:46:10 +00:00
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abstract: 'Previous studies have reported a considerable employment disadvantage
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among people with epilepsy. In a cohort of men and women who had
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experienced a single seizure or had early epilepsy at study entry we
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explored employment status and social mobility over 4 years and
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investigated whether employment outcomes were more disadvantageous for
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certain social groups.
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Analyses were based on 350 individuals of working age identified via the
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UK Multicentre Study of Early Epilepsy and Single Seizures. Employment
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rates were calculated for the cohort and general population. Employment
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trajectories over 4 years were explored according to occupational social
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class. The relative risk of employment was calculated by clinical
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features of seizures and social class.
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Individuals with single seizures or early epilepsy had significantly
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lower employment rates than the general population at study entry, and
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2- and 4-year follow-up. Employment rates of men and women in the cohort
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did not differ significantly. Although little social class mobility
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occurred during follow-up, there was evidence of some downward mobility
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between first seizure(s) and study entry. In the fully adjusted model,
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nonemployment was predicted at all time points by having fair/poor
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self-rated health and experiencing four or more seizures. We observed
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that some individuals continued to work in hazardous occupations or
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drive professionally within a year of experiencing seizure(s).
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People who have recently experienced a single seizure or who have early
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epilepsy are exposed to substantial employment disadvantage. Greater
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efforts are necessary to help these people return to work and stay
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employed.'
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affiliation: 'Holland, P (Corresponding Author), Univ Lancaster, Div Hlth Res, Bowland
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Tower E, Lancaster LA1 4YK, England.
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Holland, Paula; Whitehead, Margaret; Jacoby, Ann, Univ Liverpool, Div Publ Hlth,
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Liverpool L69 3BX, Merseyside, England.
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Lane, Steven, Univ Liverpool, Ctr Med Stat \& Hlth Evaluat, Liverpool L69 3BX, Merseyside,
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England.
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Marson, Anthony G., Univ Liverpool, Div Neurosci, Liverpool L69 3BX, Merseyside,
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England.'
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author: Holland, Paula and Lane, Steven and Whitehead, Margaret and Marson, Anthony
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G. and Jacoby, Ann
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author-email: p.j.holland@lancaster.ac.uk
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author_list:
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- family: Holland
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given: Paula
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- family: Lane
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given: Steven
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- family: Whitehead
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given: Margaret
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- family: Marson
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given: Anthony G.
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- family: Jacoby
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given: Ann
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da: '2023-09-28'
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doi: 10.1111/j.1528-1167.2008.01819.x
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files: []
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issn: 0013-9580
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journal: EPILEPSIA
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keywords: 'New-onset epilepsy; Single seizures; Employment; Social mobility;
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Longitudinal'
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keywords-plus: 'QUALITY-OF-LIFE; WELL-CONTROLLED EPILEPSY; EMPLOYMENT STATUS; SINGLE
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SEIZURES; ILL HEALTH; PEOPLE; UNEMPLOYMENT; STIGMA; ADULT; MOBILITY'
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language: English
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month: MAY
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number: '5'
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number-of-cited-references: '37'
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orcid-numbers: 'Marson, Anthony/0000-0002-6861-8806
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Holland, Paula/0000-0002-8324-9957'
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pages: 1030-1039
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papis_id: 39a58af4ccea65fb13d8c7cad825120c
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ref: Holland2009labormarket
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researcherid-numbers: 'Marson, Anthony/AAW-9776-2020
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'
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times-cited: '30'
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title: 'Labor market participation following onset of seizures and early epilepsy:
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Findings from a UK cohort'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000265770000009
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usage-count-last-180-days: '1'
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usage-count-since-2013: '7'
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volume: '50'
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web-of-science-categories: Clinical Neurology
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year: '2009'
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