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Le retour au travail des immigrants victimes de lésions professionnelles
Les embûches de la rencontre interculturelle et la précarité du lien d'emploi Cet article rapporte une partie des résultats d'une étude exploratoire sur le processus de réadaptation et de retour au travail en contexte de relations interculturelles. Cette étude avait deux objectifs : identifier les stratégies mises de l'avant par les différents acteurs pour faciliter le processus de réadaptation et de retour au travail des travailleurs immigrants et décrire les contraintes, les obstacles et les aides au processus...
Relations interculturelles - Comprendre le processus de réadaptation et de retour au travail
Dans le domaine de la santé et de la sécurité du travail (SST), les barrières linguistiques et culturelles sont souvent décrites comme des facteurs de vulnérabilité des travailleurs. Il est rapporté que de telles barrières ont déjà été ou sont encore à l'origine d'erreurs diagnostiques ou de mauvaises évaluations cliniques, compliquant ainsi le processus de réadaptation et de retour au travail. La problématique de la réadaptation et du retour au travail dans le contexte...
Cross-cultural adaptation and validation of the Danish version of the 19-item return-to-work self-efficacy (RTWSE-19) questionnaire
A Danish version of the 19-item return-to-work self-efficacy (RTWSE-19) questionnaire was developed. The performance of a questionnaire may differ between populations and in various cultures. In order to use the RTWSE-19 in a Danish context, translation was necessary, and cross-cultural and conceptual adaptation needed to preserve the original purpose of the instrument. Source: Hedeager Momsen A-M, Rosbjerg R, Stapelfeldt CM, Lund T, Jensen C, Johansen T, Nielsen CV, Labriola M. Scand J Work Environ Health , 2016. http://dx.doi.org/10.5271/sjweh.3568
La réadaptation au travail des personnes issues de l’immigration et des minorités ethnoculturelles
Défis, perspectives et pistes de recherche Les travailleurs immigrants, et plus spécialement les immigrants récents, sont souvent définis comme une population plus vulnérable quant aux risques de lésions professionnelles et de l'absence prolongée du travail. Cette vulnérabilité est liée au fait que plusieurs d'entre eux rencontrent des barrières linguistiques et culturelles qui peuvent teinter leur rencontre avec les intervenants, en plus de moins bien connaître le système de santé et de compensation...
La notion d’appartenance ethnoculturelle dans la recherche et l’intervention en réadaptation
Au Canada, avec le vieillissement de la main-d’oeuvre et le faible taux de natalité, l’État doit faire appel à l’immigration pour éviter une croissance négative de la population et pour combler les besoins de main-d’oeuvre de l’industrie. Il est rapporté que les immigrants et les personnes issues des minorités ethnoculturelles présentent une vulnérabilité accrue face aux risques liés à la SST et à l’incapacité prolongée. Cependant, très peu de choses...
Intercultural communication in health care: challenges and solutions in work rehabilitation practices and training: a comprehensive review
Côté, Daniel (2012). Intercultural communication in health care: challenges and solutions in work rehabilitation practices and training: a comprehensive review. Disability & Rehabilitation (sous presse, disponible en ligne) Purpose: The purpose of this comprehensive literature review it to explore cross-cultural issues in occupational rehabilitation and work disability prevention. Method: A literature review on cross-cultural issues was performed in medicine, health sciences, and social sciences databases (PubMed, Ingenta, Canadian Centre for Occupational Health and Safety, Ergonomics...
Medical Interpretation for Immigrant Workers
Forst, Linda et coll. (2012). Medical Interpretation for Immigrant Workers. New Solutions: A Journal of Environment and Occupational Health Policy , 22(1): 37-50. Foreign-born workers have high rates of occupational mortality and morbidity, despite downward trends for the U.S. workforce overall. They have limited access to health care services. Medical interpreters (MIs) facilitate care of acutely injured, low-English-proficiency (LEP) patients, including those sustaining occupational injuries. Our goal was to assess the potential for MIs to serve as advocates of LEP patients injured at work and...
A national scan of employment standards, occupational health and safety and workers' compensation resources for new immigrants to Canada
Kosny, A.A, et M.E. Lifshen (2012). A national scan of employment standards, occupational health and safety and workers' compensation resources for new immigrants to Canada. Canadian Journal of Public Health , 103(1) :53-58. OBJECTIVES: The burden of work injuries in Canada is a serious public health concern. Nearly one million Canadian workers experienced nonfatal injuries that led to time off work in 2005. New employees and recent immigrants are more likely to experience a work-related injury. The purpose of this study was to examine services, programs and resources available to newcomers...
Occupational therapy practitioners’ perspectives regarding international cross-cultural work
Humbert, T. K. et al. (2011). Occupational therapy practitioners' perspectives regarding international cross-cultural work. Australian Occupational Therapy Journal , 58 (4): 300-309. Aim:  The purpose of this study was to investigate the perspectives of occupational therapy practitioners who have engaged in cross-cultural work experiences. The research question was how do occupational therapy practitioners make meaning of their lived cross-cultural experiences. Methods:  This study utilised a qualitative, phenomenological design. Eleven open-ended, semi-structured interviews were...
Are immigrants in the nursing industry at increased risk of bullying at work? A one-year follow-up study
Hogh, Annie et al. (2011). Are immigrants in the nursing industry at increased risk of bullying at work? A one-year follow-up study. Scandinavian Journal of Psychology, 52 (1) : 49-58. The purpose of this study was to explore whether (a) immigrant health care workers (HCW) are more at risk of bullying at work than Danish staff members, (b) this association is increased by previous exposure to bullying and (c) immigrants experience more bullying from supervisors, colleagues and clients/residents. We analyzed cross-sectional baseline data from 5,635 health care students of whom 10.4% were immigrants...
Ethics and the compensation of immigrant workers for work-related injuries and illnesses
Journal of Immigrant and Minority Health, Volume 1, Number 5, 707-714 This paper examines the compensation process for work-related injuries and illnesses by assessing the trajectories of a sample of immigrant and non-immigrant workers (n = 104) in Montreal. Workers were interviewed to analyze the complexity associated with the compensation process. Experts specialized in compensation issues assessed the difficulty of the interviewees' compensation process. Immigrant workers faced greater difficulties with medical, legal, and administrative issues than non-immigrants did. While immigrant workers'...
Language difficulties in outpatients and their impact on a chronic pain unit in Northwest Switzerland
Many foreign patients attending our pain clinic are unable to understand one of the four Swiss national languages and are also unable to speak English. Therefore, communication with these patients can be very difficult or even impossible. Consequently, diagnosis and treatment may also prove difficult. Recognizing that language barriers can have deleterious effects, the use of an interpreter is at times the only way to communicate, however, the financial responsibility becomes that of the health care provider. Many foreign patients attending our pain clinic are unable to understand one of the four...
Racial and ethnic disparities in functional, psychosocial, and neurobehavioral outcomes after brain injury
Because of the growing minority population in the past 3 decades in the United States and the increasing numbers of individuals who sustain a traumatic brain injury (TBI), researchers and clinicians have started to pay more attention to the role of race and ethnicity in outcomes after TBI, with the goal of better serving this population. The aim of this article is to review the literature on the influence of race/ethnicity on functional, psychosocial, and neurobehavioral outcomes after TBI. Specifically, the following 8 areas of outcomes will be examined: (1) treatment outcomes, (2) neuropsychological...
Reasons of drop-out from rehabilitation in patients of Turkish and Moroccan origin with chronic low back pain in The Netherlands: A qualitative study
Objective: To explore which factors led to drop-out in patients of Turkish and Moroccan origin with chronic non-specific low back pain who participated in a rehabilitation programme. Subjects: Patients of Turkish or Moroccan origin with chronic non-specific low back pain (n = 23) from 2 rehabilitation centres and 4 rehabilitation departments of general hospitals in the Netherlands. Methods: In-depth semi-structured interviews were conducted with patients of Turkish and Moroccan origin (n = 23), rehabilitation physicians (n = 8) and rehabilitation therapists...
Migration and occupational health: Shining a light on the problem
Global migration has dramatically increased over the past decade and is at an all-time high, approaching 200 million persons per year. Demographics and economic interdependence suggest that immigration will continue for the near future at record high levels. METHODS: A review of the few studies that have investigated occupational injury and illness rates among immigrant populations. RESULTS: Existing data indicate that higher rates of fatal and non-fatal injuries are common compared to native populations. This increase is in part due to immigrants working in higher risk occupations (e.g., agriculture...
Translating questionnaire items for a multi-lingual worker population: The iterative process of translation and cognitive interviews with English-, Spanish-, and Chinese-speaking workers
BACKGROUND: The increasing ethnic diversity of the US workforce has created a need for research tools that can be used with multi-lingual worker populations. Developing multi-language questionnaire items is a complex process; however, very little has been documented in the literature. METHODS: Commonly used English items from the Job Content Questionnaire and Quality of Work Life Questionnaire were translated by two interdisciplinary bilingual teams and cognitively tested in interviews with English-, Spanish-, and Chinese-speaking workers. RESULTS: Common problems across languages mainly concerned...
Comparisons of Catastrophizing, Pain Attitudes, and Cold-Pressor Pain Experience Between Chinese and European Canadian Young Adults
Experimental pain research indicates ethnic differences in pain experience. Most of the cross-cultural pain research studied African Americans and Hispanics with little data available for Asian groups. This study examined differences in pain catastrophizing, pain attitudes, and pain responses between Chinese and European Canadian young adults. Prior to completing a cold-pressor (CP) task, 80 Chinese and 80 European Canadian undergraduate students were administered measures of pain catastrophizing and pain attitudes, including stoicism and cautiousness. Pain threshold, pain tolerance, and pain intensity...
Multicultural and Diversity Considerations in the New Code of Professional Ethics for Rehabilitation Counselors
As the demographic transformation of the U.S. population continues, the challenges of multicultural and diversity-based considerations remain a central focus, as does the need to incorporate cultural competencies into the practice of rehabilitation. The Commission on Rehabilitation Counselor Certification's 2010 Code of Professional Ethics for Rehabilitation Counselors offers guidance for the practice of professional conduct and ethical decision making when one is working with individuals from culturally diverse groups and backgrounds. The revised code sets the expectation that the culturally...
Are immigrants, ethnic and linguistic minorities over-represented in jobs with a high level of compensated risk? Results from a Montréal, Canada study using census and workers' compensation data
Few Canadian data sources allow the examination of disparities by ethnicity, language, or immigrant status in occupational exposures or health outcomes. However, it is possible to document the mechanisms that can create disparities, such as the over-representation of population groups in high-risk jobs. We evaluated, in the Montréal context, the relationship between the social composition of jobs and their associated risk level. Methods We used data from the 2001 Statistics Canada census and from Québec's workers' compensation board for 2000-2002 to characterize job categories...
Follow-up of neck and shoulder pain among sewing machine operators: The Los Angeles garment study
BACKGROUND: The aim of the present study is to explore factors affecting or modifying self-reported neck/shoulder pain in sewing machine operators. METHODS: We investigated self-report neck/shoulder pain in 247 workers who participated in a 4-month prospective intervention study for musculoskeletal disorders. All participants were immigrants. We examine the influence of individual and work-related factors on changes in neck/shoulder pain during follow-up employing linear mixed models with time-spline functions. RESULTS: We observed a dramatic decline (72%) in self-reported pain intensity in the...
The Adequacy of Chronic Pain Management Prior to Presenting at a Tertiary Care Pain Center: The Role of Patient Socio-Demographic Characteristics
The Pain Management Index (PMI) is used to assess pain medication adequacy in black and white chronic pain patients (18–50 years) at referral to tertiary pain care. Using WHO guidelines for pain treatment, PMI was calculated from pain severity and drug analgesic potency. From 183 patients recruited, 128 provided treatment information for analyses (53% white, 60% female). Most (51.6%) had adequate PMI. Blacks were prescribed fewer pain medications ( P = .03); fewer women had adequate medication strength ( P = .04). In hierarchical regression, PMI was predicted at entry by female gender, lower...
Medical Assessments of the Years 2004 and 2005 at the Diagnostic Medical Department MEDAS, University Clinic Basel - A Critical Analysis
Les expertises commandées par l'assurance invalidité (AI) concernant des patients demandant à bénéficier d'une rente AI constituent un volet important des prestations de MEDAS/asim, Bâle. L'analyse de 593 expertises effectuées en 2004/2005 avait pour but de fournir des précisions sur les caractéristiques de cette catégorie de patients. Dans le cadre de ce travail, des données relatives à la sociodémographie, aux diagnostics et à la capacité de travail attestée ont été...
Psychological distress among immigrants and visible minorities in Canada: a contextual analysis
Immigrants to Canada are less likely to report depression compared with the non-immigrant population. This healthy migrant effect has not so far been explained by demographic and socioeconomic determinants of health. Aim: The present study examined whether the psychological health advantage of immigrants varied across Canadian health regions and investigated the hypothesis of immigrant density as a determinant of immigrant mental health advantage. Methods: Data from the 2000–2001 Canadian Community Health Survey were used to build multi-level models estimating variation in depression within...
The integration of bio-medicine and culturally based alternative medicine: implications for health care providers and patients
Complementary and alternative medicine (CAM) are therapies used along with or in place of bio-medicine. Many forms of CAM originate in culture, referred to as culturally based alternative medicines. Usage of CAM is high with large numbers of patients using CAM for mental health, pain and musculoskeletal problems. Their desire for holistic care may be the impetus for this interest, as alternative care practitioners spend more time analyzing illness symptoms. These factors along with the global migration of immigrants accustomed to traditional medicine but now immersed in biomedical health care systems...

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