Journal of Occupational
Health and Epidemiology
Rafsanjan university Of medical sciences
Volume 14, Issue 1 (Winter 2025)
J Occup Health Epidemiol 2025, 14(1): 46-55 |
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Rose M O, Richard H, Ange A, Mênonli A V, Esdras H, Paul A, et al . Return to Work and Associated Factors among Workers with Stroke in Cotonou, Benin: A Cross-Sectional Study. J Occup Health Epidemiol 2025; 14 (1) :46-55
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URL: http://johe.rums.ac.ir/article-1-936-en.html
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Mikponhoué Olou Rose *1 
, Houézé Richard2 , Allossogbe Ange3 , Adjobimey Vissoh Mênonli4 , Hountohotegbe Esdras5 , Ayélo Paul6 , Adjien Constant7 , Hinson Antoine Vikkey6
, Houézé Richard2 , Allossogbe Ange3 , Adjobimey Vissoh Mênonli4 , Hountohotegbe Esdras5 , Ayélo Paul6 , Adjien Constant7 , Hinson Antoine Vikkey6
1- Associate Prof., Dept. of Public Health, Unit of Teaching and Research in Occupational and Environmental Health, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin. , nayetoon@yahoo.fr
2- Associate Prof., Dept. of Medicine, Unit of Teaching and Research in Neurology, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin
3- Medical Doctor, Dept. of Medicine, Unit of Teaching and Research in Neurology, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin.
4- Associate Prof., Dept. of Public Health, Unit of Teaching and Research in Occupational and Environmental Health, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin.
5- Associate Prof., Dept. of Occupational Health, National University Hospital of Pneumo-Phtisiology, Cotonou, Benin.
6- Professor, Dept. of Public Health, Unit of Teaching and Research in Occupational and Environmental Health, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin.
7- Professor, Dept. of Medicine, Unit of Teaching and Research in neurology, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin.
2- Associate Prof., Dept. of Medicine, Unit of Teaching and Research in Neurology, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin
3- Medical Doctor, Dept. of Medicine, Unit of Teaching and Research in Neurology, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin.
4- Associate Prof., Dept. of Public Health, Unit of Teaching and Research in Occupational and Environmental Health, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin.
5- Associate Prof., Dept. of Occupational Health, National University Hospital of Pneumo-Phtisiology, Cotonou, Benin.
6- Professor, Dept. of Public Health, Unit of Teaching and Research in Occupational and Environmental Health, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin.
7- Professor, Dept. of Medicine, Unit of Teaching and Research in neurology, Faculty of Health Sciences, University of Abomey-Calavi, 01 PO188 Cotonou, Benin.
Article history
Received: 2024/08/12
Accepted: 2025/01/16
ePublished: 2025/04/30
Accepted: 2025/01/16
ePublished: 2025/04/30
Subject:
Occupational Health
Abstract: (150 Views)
Background: Stroke is a major public health problem. One of the major stroke victims are workers, posing a real occupational health problem. The aim of this study was to determine the factors associated with return to work after stroke in Benin.
Materials and Methods: A cross-sectional study was carried out from May 30 to August 30, 2023 in the Neurology and Physical Medicine and Rehabilitation university clinics of the NUHC-HKM. It involved consenting stroke patients followed up in the two clinics from January 1, 2018 to December 31, 2022. Data were collected by means of a physical examination, a questionnaire and the calculation of various scores assessing the degree of disability. Statistical analysis was performed using R software. Logistic regression was performed, where the strength of associations was calculated using odds ratios. Statistical tests had a significance level of 5%.
Results: A total of 326 people participated in the study. There were 199 men (61%), presenting a sex ratio of 1.6. Just under half (48.8%) were administrative staff and the other half (51.2%) manual workers. More than half of the 144 respondents (56.6%) were self-employed. The average age at stroke was 49.8 + 9.6 years. Half of the patients (50%) had returned to work, with an average delay of 7.29 +7 months. Factors associated with reintegration included administrative employment (p=0.002), minor stroke (p<0.001), short hospital stay (p=0.002), and completion of post-stroke rehabilitation (p=0.039).
Conclusion: Post-stroke socio-professional reintegration is linked to clinical and professional factors. The absence of deficit disorders or the presence of minor deficit disorders facilitated the resumption of a professional activity. It is necessary to insist on the prevention of risk factors and to accompany self-employed workers in the care process.
Materials and Methods: A cross-sectional study was carried out from May 30 to August 30, 2023 in the Neurology and Physical Medicine and Rehabilitation university clinics of the NUHC-HKM. It involved consenting stroke patients followed up in the two clinics from January 1, 2018 to December 31, 2022. Data were collected by means of a physical examination, a questionnaire and the calculation of various scores assessing the degree of disability. Statistical analysis was performed using R software. Logistic regression was performed, where the strength of associations was calculated using odds ratios. Statistical tests had a significance level of 5%.
Results: A total of 326 people participated in the study. There were 199 men (61%), presenting a sex ratio of 1.6. Just under half (48.8%) were administrative staff and the other half (51.2%) manual workers. More than half of the 144 respondents (56.6%) were self-employed. The average age at stroke was 49.8 + 9.6 years. Half of the patients (50%) had returned to work, with an average delay of 7.29 +7 months. Factors associated with reintegration included administrative employment (p=0.002), minor stroke (p<0.001), short hospital stay (p=0.002), and completion of post-stroke rehabilitation (p=0.039).
Conclusion: Post-stroke socio-professional reintegration is linked to clinical and professional factors. The absence of deficit disorders or the presence of minor deficit disorders facilitated the resumption of a professional activity. It is necessary to insist on the prevention of risk factors and to accompany self-employed workers in the care process.
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