Long term outcome after poliomyelitis in different health and social conditions

Rekand, Tiina; Kõrv, Janika; Farbu, Elisabeth; Roose, Mai; Gilhus, Nils Erik; Langeland, Nina; Aarli, Johan A.

doi:10.1136/jech.57.5.368

Cited by 37 publications

(21 citation statements)

References 23 publications

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“…This relatively high employment rate in persons with LSP is similar to a previous report from Israel, 17 and from other countries. 1,8,24,25 Populations with other severe neurological disabilities, such as spinal cord injury, have been found to have significantly lower employment rates than our group with LSP. 11,26 A possible explanation is the young age at the time of the acute episode of poliomyelitis followed by successful physical, mental, and environmental adaptations.…”

Section: Discussionmentioning

confidence: 51%

Functional and environmental factors affecting work status in individuals with longstanding poliomyelitis

Zeilig

Weingarden

Shemesh

et al. 2012

The Journal of Spinal Cord Medicine

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Introduction: Remunerative employment is a major concern of individuals with chronic disabilities, among them, those with longstanding poliomyelitis (LSP). Although LSP is not rare there are almost no data related to work participation. Purpose: The aims of the current study were to determine the effects of a number of social and functional variables as barriers or facilitators to work participation in persons with LSP. Patients and methods: Charts of 123 LSP patients of working age that were seen in the post-polio outpatient clinic, between the years 2000 and 2005 were reviewed for the study. Data on age, gender, family status, level of function in activities of daily living, basic, and extended (B-ADL and E-ADL), and mobility were then analyzed for correlation to the vocational status. Results: Seventy-two people (58.5%) were employed at the time of the survey. Gender and marital status were not found to significantly differ as regard to employment. Using assistive devices for mobility or being dependent for basic ADL were associated with lower levels of employment. Driving was positively associated with the employment status of the LSP individuals. Conclusion: Persons with LSP encounter important barriers to work participation, particularly on the International Classification of Functioning, Disability, and Health (ICF) components of activity and environment.

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Section: Discussionmentioning

confidence: 51%

Functional and environmental factors affecting work status in individuals with longstanding poliomyelitis

Zeilig

Weingarden

Shemesh

et al. 2012

The Journal of Spinal Cord Medicine

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“…The results are important, since the long-term outcome after GBS may be variable [3][4][5] poliomyelitis sequelae influences activities of daily living [5,10,23,24,37,38]. Clinical scales often do not reflect functional disability [39], and this study therefore used the DRI scale assessing 10 activities of daily living.…”

Section: Discussionmentioning

confidence: 99%

“…Acute poliomyelitis is rare in Europe, but many countries have numerous polio survivors from the epidemics before systematic vaccination was introduced [7]. Patients with a previous history of paralytic and nonparalytic disease may experience new deterioration in health several years after the acute disease, called the post-polio syndrome [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Fatigue, pain and muscle weakness are frequent after Guillain-Barré syndrome and poliomyelitis

2009

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“…The Basque Region (Spain) initiated its children's dental program to address this issue, resulting in elimination of incomebased and geographic inequities in decayed, missing, and filled teeth in both rural and urban areas, although they persist in Spanish regions without such programs (31). Another example of targeting to groups that have great needs for services is the continuous rehabilitation efforts in western Europe (Norway) compared with eastern Europe (Estonia): The longterm outcome after poliomyelitis is better in the former because the program improves the ability to work and lessens the need for disability pensions (73).…”

Section: What Is Known About Equity In Health Associated With Health mentioning

confidence: 99%

Clinical Care and Health Disparities

Starfield

Gérvas

Mangin

2012

Annu. Rev. Public Health

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Health disparities, also known as health inequities, are systematic and potentially remediable differences in one or more aspects of health across population groups defined socially, economically, demographically, or geographically (88). This topic has been the subject of research stretching back at least decades. Reports and studies have delved into how inequities develop in different societies and, with particular regard to health services, in access to and financing of health systems. In this review, we consider empirical studies from the United States and elsewhere, and we focus on how one aspect of health systems, clinical care, contributes to maintaining systematic differences in health across population groups characterized by social disadvantage. We consider inequities in clinical care and the policies that influence them. We develop a framework for considering the structural and behavioral components of clinical care and review the existing literature for evidence that is likely to be generalizable across health systems over time. Starting with the assumption that health services, as one aspect of social services, ought to enhance equity in health care, we conclude with a discussion of threats to that role and what might be done about them.

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Long term outcome after poliomyelitis in different health and social conditions

Cited by 37 publications

References 23 publications

Functional and environmental factors affecting work status in individuals with longstanding poliomyelitis

Functional and environmental factors affecting work status in individuals with longstanding poliomyelitis

Fatigue, pain and muscle weakness are frequent after Guillain-Barré syndrome and poliomyelitis

Clinical Care and Health Disparities

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