title: Employment concerns of people with epilepsy in Kerala, south India.
abstract: We examined current employment status, reasons for unemployment, and related psychosocial concerns of 202 persons with epilepsy from the south Indian state of Kerala. Compared with 19% of the general population, 58% of persons with epilepsy were unemployed. Seizure remission for > or = 2 years, monotherapy, better education, ability to travel alone, and ability to drive were significantly associated with being employed. More than three-fourths of the persons with epilepsy had disclosed their epilepsy to their employers and co-workers, which did not adversely affect employment for the majority. The unemployed perceived fear of having seizures and seizure-related falls in the workplace, inadequate education, and antiepileptic drug-induced fatigue as reasons for unemployment. We conclude that unemployment is a major concern of people with epilepsy in this developing region. In addition to optimum seizure control, persons with epilepsy need support in job seeking, in reducing fear of seizures and falls in the workplace, and in identifying their individual abilities and limitations.
authors.affiliation: R. Madhavan Nayar Center for Comprehensive Epilepsy Care, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
authors.forename: Nisha P
authors.initials: NP
authors.lastname: Varma
authors.forename: Padmavathy N
authors.initials: PN
authors.lastname: Sylaja
authors.forename: Lincy
authors.initials: L
authors.lastname: George
authors.forename: P
authors.initials: P
authors.lastname: Sankara Sarma
authors.forename: Kurupath
authors.initials: K
authors.lastname: Radhakrishnan
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000927:Anticonvulsants / Q000627:therapeutic use; D001290:Attitude; D001334:Automobile Driving; D003625:Data Collection; D004651:Employment / Q000706:statistics & numerical data*; D004827:Epilepsy / Q000145:classification / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D012959:Socioeconomic Factors; D014478:Unemployment / Q000706:statistics & numerical data; D017132:Workplace
chemical_list: D000927:Anticonvulsants