Article

Objective: To document the development of work participation in young adults with
cerebral palsy who are transitioning into adulthood, examine associated
characteristics, and investigate work limitations and barriers among employed
persons. Design: Observational longitudinal cohort study. Subjects: Seventy-four
young adults with cerebral palsy of average intelligence,
aged 16-20 years at
baseline. Methods: Work participation in 3 categories (employed, unemployed,
studying) was assessed at baseline, 2-year and 4-year follow-ups using structured
interviews. At 4-year follow-up, associations of work participation with
demographic and clinical characteristics were examined using multinomial logistic
regression. Work limitations and barriers among employed persons were evaluated
using questionnaires. Results: From age range 16-20 years to age range 20-24
years the proportions of subjects who were employed and unemployed increased from
12% to 49% and 3% to 17%, respectively; the proportion who were students
decreased from 85% to 34%. In the age range 20-24 years, the employment rate of
young adults with cerebral palsy was lower and the unemployment rate higher, than
that of the general population. A lower level of gross motor function and younger
age were associated with unemployment. Employed persons experienced few work
limitations; 28% experienced situational or health barriers. Conclusion: Young
adults with cerebral palsy and average intelligence are at risk of experiencing
unfavourable developments in work participation. Rehabilitation services should
offer support to prevent unemployment and occupational disability.

Langue : ANGLAIS