title: Struggling to be part of Swedish society: Strategies used by immigrants with late effects of polio.
abstract: OBJECTIVE
  To explore and describe strategies in daily occupations among immigrants with late effects of polio.
  
  
  METHODS
  The strategies were explored by interviews with 12 immigrants from Eastern Africa with late effects of polio. Sampling and data analysis was carried out according to grounded theory.
  
  
  RESULTS
  The participants struggled for occupational participation and normality in an effort to participate in, and be part of, society. The study identified 14 strategies used by the immigrants in their daily occupations. The strategies can be presented in the following four categories: managing physical capacity; promoting occupational performance; strategies for gaining respect; and preparing the ground for one's existence. The participants struggled to find a balance between physical capacity and meaningful occupations, conception of their own and others' norms and values, and living conditions in Swedish society. The strategies were related to the participants' will to manage daily occupations, maintain social relationships, and be part of society.
  
  
  CONCLUSIONS
  The strategies revealed that the participants strive to participate in occupations and society. This study reinforces the importance of occupation for immigrants with disability. The results highlight the need for adequate health care and rehabilitation but should also alert other social institutions.
authors.affiliation: a 1 Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at University of Gothenburg , Gothenburg, Sweden.
authors.forename: Iolanda
authors.initials: I
authors.lastname: Santos Tavares Silva
authors.forename: Anna-Lisa
authors.initials: AL
authors.lastname: Thorén-Jönsson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000351:Africa, Eastern / Q000208:ethnology; D006233:Persons with Disabilities / Q000534:rehabilitation; D054242:Emigrants and Immigrants / Q000523:psychology*; D004651:Employment / Q000523:psychology; D005260:Female; D066296:Grounded Theory; D006801:Humans; D008297:Male; D009788:Occupational Therapy; D011051:Poliomyelitis / Q000523:psychology / Q000534:rehabilitation*; D036301:Qualitative Research; D013548:Sweden; D035862:Vulnerable Populations
keywords: Adaptation; daily activities; normality; occupational therapy; participation; post-polio syndrome; qualitative study