title: Integrating paid work and chronic illness in daily life: A space-time approach to understanding the challenges.
abstract: The upward trend of chronic illness in working age populations calls for better understanding of the difficulties chronically ill people face with workforce participation. Existing research focuses primarily on physical limitations and employer attitudes about chronic illness. Here we use a space-time approach to illuminate the importance of negotiating logistical challenges and embodied rhythms when balancing work and chronic illness. We draw from time geography and rhythmanalysis in analysing interviews from a qualitative case study of 26 individuals living with chronic kidney disease in Australia. Difficulties with paid work arise from: (1) competition for space-time resources by employers and health services; (2) arrhythmias between the body, work and health services; and (3) the absence of workplace rhythms on which to 'hook' health activities. Implications for workplaces and health services design are discussed.
authors.affiliation: University of New South Wales Canberra, The Australian Defence Force Academy, PO Box 7916, Canberra BC, ACT 2610, Australia. Electronic address: j.mcquoid@student.unsw.edu.au.
authors.forename: Julia
authors.initials: J
authors.lastname: McQuoid
authors.affiliation: National Centre for Epidemiology & Population Health, Research School of Population Health, The Australian National University, Building 62, Cnr of Eggleston and Mills Roads, Canberra 0200, ACT, Australia. Electronic address: jennifer.welsh@anu.edu.au.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Welsh
authors.affiliation: National Centre for Epidemiology & Population Health, Research School of Population Health, The Australian National University, Building 62, Cnr of Eggleston and Mills Roads, Canberra 0200, ACT, Australia. Electronic address: lyndall.strazdins@anu.edu.au.
authors.forename: Lyndall
authors.initials: L
authors.lastname: Strazdins
authors.affiliation: University of New South Wales Canberra, The Australian Defence Force Academy, PO Box 7916, Canberra BC, ACT 2610, Australia. Electronic address: a.Griffin@adfa.edu.au.
authors.forename: Amy L
authors.initials: AL
authors.lastname: Griffin
authors.affiliation: National Centre for Epidemiology & Population Health, Research School of Population Health, The Australian National University, Building 62, Cnr of Eggleston and Mills Roads, Canberra 0200, ACT, Australia. Electronic address: cathy.banwell@anu.edu.au.
authors.forename: Cathy
authors.initials: C
authors.lastname: Banwell
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D002908:Chronic Disease; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D051436:Renal Insufficiency, Chronic / Q000523:psychology / Q000628:therapy; D013997:Time Factors; D014940:Work Schedule Tolerance; D055815:Young Adult
keywords: Chronic illness; Employment barriers; Health services; Rhythm; Space-time