Insertion professionnelle et maintien dans l'emploi des patients souffrant d'Epilepsie au Bénin

Abstract : Background: in Benin, the misknowledge of the reality of epilepsy and its consequencescould cause difficulties encountered by people with epilepsy (PWE) when searching for a jobbut also in the course of their professional career.Purpose: to study the employability and retention in employment of people with epilepsy inBenin.Methods: a first cross-sectional study (study 1) was conducted between 1st september and 30november 2012 with 300 people belonging to three categories of actors that can promote theemployability of the PWE (caregivers, employers and political decision-makers) and assesstheir knowledge, attitudes and practices against this disease and the PWE. A second crosssectionalstudy (study 2) was conducted between 1st july and 1st november 2013 in order tostudy the impact of epilepsy on employment and professional integration. A first comparisonwas made between a group of 51 PWE employees and a group of 51 PWE without work and asecond comparison was conducted between the same group of 51 PWE employed and a groupof 51 free employees of epilepsy in the same companies.Results: study 1 allowed to highlight that 93.0% of respondents had information on thedisease and 82.0% felt that a PSE could work. For nearly three quarters of respondents,epilepsy was a disease of natural origin, curable by antiepileptic treatments effective and noncontagious.Study 2 helped to highlight that 90.2% of the PSE to labour were active,inadequately controlled seizures with tonic-clonic predominating and that the age of onset ofthe first seizure was significantly later compared the PWE without employment. Analysis ofworkstations were 10 PWE exposed to routine professional tasks at risk (driving, working atheight or assignment to security positions requiring a weapon port). There was a certaininsecurity of the PWE with a larger proportion of term contract and a shorter workplaceseniority position with equal skills. Accidents at work, even if they were not more frequent,were more severe and longer off periods training. The PWE to work were more stressed thanother workers but the perception of the constraints of the psycho-social environment and theexperience of work was similar in the 2 groups.Conclusion: the lack of occurrence of epilepsy in the workplace remains the key integrationand retention in employment. Only suitable treatment associated with a regular lifestyle tocontrol seizures will consider the PWE as one worker like the others and avoiding anydiscrimination and stigma at work.
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Cocou Hubert Hounsossou. Insertion professionnelle et maintien dans l'emploi des patients souffrant d'Epilepsie au Bénin. Médecine humaine et pathologie. Université de Limoges, 2014. Français. ⟨NNT : 2014LIMO0056⟩. ⟨tel-01161656⟩

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