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Participation in work and leisure activities after stroke: A national study - 20/09/19

Doi : 10.1016/j.rehab.2019.04.005 
Alexis Schnitzler a, b, , Claire Jourdan b, c, Loic Josseran b, d, Philippe Azouvi a, b, Louis Jacob e, François Genêt a, f
a Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP–HP, CIC-IT 1429, 104, boulevard Raymond-Poincaré, 92380 Garches, France 
b EA4047, UFR des Sciences de la SantéUniversity Versailles Saint Quentin en Yvelines, “Handi-Resp”, Simone Veil, 78180, France 
c Physical Medicine and Rehabilitation Department, 34000 Montpellier, France 
d Department of epidemiology, Raymond Poincaré Hospital, AP–HP, 104, boulevard Raymond-Poincaré, 92380 Garches, France 
e Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France 
f “End-icap” U1179 Inserm, UFR des Sciences de la Santé, University Versailles Saint Quentin en Yvelines, Simone Veil, 78180, France 

Corresponding author at: Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP–HP, CIC-IT 1429, 104, boulevard Raymond-Poincaré, 92380 Garches, France.Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP–HPCIC-IT 1429, 104, boulevard Raymond-PoincaréGarches92380France

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Highlights

People with a history of stroke are less likely to work than controls.
Stroke survivors are less likely to participate in leisure activities than controls.
These findings were corroborated in the working age population.

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Abstract

Background

Stroke is a common and debilitating neurological disorder having a negative impact on quality of life.

Objectives

We aimed to compare differences in participation in work and leisure activities between patients with and without a self-reported stroke at the national level in France.

Methods

This study used cross-sectional data from the Disability Health Survey that was administered in people's homes (DHH) in 2008 and in institutions (DHI) in 2009. Stroke history and levels of participation in work and leisure activities were collected by interviews. The levels of participation in these activities were compared between participants with and without a history of stroke.

Results

Among the 33,785 interviewed participants, 1725 reported a history of stroke. After weighting, this represented a mean (SD) of 766,641 (36,650) people among 49 million adults living in France. After adjustment, as compared with people without stroke, those with stroke were less likely to work (odds ratio 0.19 [95% confidence interval 0.13–0.27]), use the telephone (0.21 [0.17–0.25]) and drive (0.25 [0.21–0.32]). In the age group 19–59 years, as compared with people without stroke, those with stroke less frequently worked (35.9% vs. 72.2%), drove (54.3% vs. 81.3%) and participated in sports (26.6% vs. 55.8%).

Conclusions

Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke.

El texto completo de este artículo está disponible en PDF.

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© 2019  Publicado por Elsevier Masson SAS.
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Vol 62 - N° 5

P. 351-355 - septembre 2019 Regresar al número
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