Self-Identified Employment Challenges for Young Adults with a Cleft Lip and Palate: A Qualitative Exploration

As individuals with a cleft lip and palate (CLP) transition into adulthood, they face unique employment challenges related to income, job stability, and fewer career options. This study explored these challenges through two focus group discussions with 19 participants (aged 21–38), primarily women,...

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Main Authors: Haslina Rani, Hasherah Mohd Ibrahim, Nurshazwanie Amira Mohamed Noor Shafie, Suziyani Mohamed, Azianura Hani Shaari, Murshida Marizan Nor, Tuti Ningseh Mohd-Dom
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Behavioral Sciences
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Online Access:https://www.mdpi.com/2076-328X/15/1/91
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author Haslina Rani
Hasherah Mohd Ibrahim
Nurshazwanie Amira Mohamed Noor Shafie
Suziyani Mohamed
Azianura Hani Shaari
Murshida Marizan Nor
Tuti Ningseh Mohd-Dom
author_facet Haslina Rani
Hasherah Mohd Ibrahim
Nurshazwanie Amira Mohamed Noor Shafie
Suziyani Mohamed
Azianura Hani Shaari
Murshida Marizan Nor
Tuti Ningseh Mohd-Dom
author_sort Haslina Rani
collection DOAJ
description As individuals with a cleft lip and palate (CLP) transition into adulthood, they face unique employment challenges related to income, job stability, and fewer career options. This study explored these challenges through two focus group discussions with 19 participants (aged 21–38), primarily women, to understand their employment experiences. Thematic analysis revealed the following three main themes: (1) physical factors, (2) psychosocial factors, and (3) overcoming employment challenges, with nine sub-themes including speech, hearing, appearance, health, childhood experiences, societal expectations, lack of self-confidence, communication improvement, and self-esteem building. The findings highlighted that physical and psychosocial factors significantly shape employment outcomes for CLP individuals. Difficulties with speech often hinder professional communication, while appearance concerns can reduce confidence in interviews and workplaces. To address these issues, the participants used strategies like targeted speech therapy and self-esteem building, which helped improve their communication and resilience. This study emphasises the need for targeted interventions such as specialised career counselling, access to assistive technologies, and inclusive workplace policies to support CLP individuals in overcoming employment barriers and achieving stable careers.
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institution Kabale University
issn 2076-328X
language English
publishDate 2025-01-01
publisher MDPI AG
record_format Article
series Behavioral Sciences
spelling doaj-art-2ce823c92ec74150b46082092c32a0db2025-01-24T13:22:52ZengMDPI AGBehavioral Sciences2076-328X2025-01-011519110.3390/bs15010091Self-Identified Employment Challenges for Young Adults with a Cleft Lip and Palate: A Qualitative ExplorationHaslina Rani0Hasherah Mohd Ibrahim1Nurshazwanie Amira Mohamed Noor Shafie2Suziyani Mohamed3Azianura Hani Shaari4Murshida Marizan Nor5Tuti Ningseh Mohd-Dom6Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, MalaysiaFaculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, MalaysiaFaculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, MalaysiaFaculty of Education, Universiti Kebangsaan Malaysia, Bangi 43600, MalaysiaFaculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, Bangi 43600, MalaysiaFaculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, MalaysiaFaculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, MalaysiaAs individuals with a cleft lip and palate (CLP) transition into adulthood, they face unique employment challenges related to income, job stability, and fewer career options. This study explored these challenges through two focus group discussions with 19 participants (aged 21–38), primarily women, to understand their employment experiences. Thematic analysis revealed the following three main themes: (1) physical factors, (2) psychosocial factors, and (3) overcoming employment challenges, with nine sub-themes including speech, hearing, appearance, health, childhood experiences, societal expectations, lack of self-confidence, communication improvement, and self-esteem building. The findings highlighted that physical and psychosocial factors significantly shape employment outcomes for CLP individuals. Difficulties with speech often hinder professional communication, while appearance concerns can reduce confidence in interviews and workplaces. To address these issues, the participants used strategies like targeted speech therapy and self-esteem building, which helped improve their communication and resilience. This study emphasises the need for targeted interventions such as specialised career counselling, access to assistive technologies, and inclusive workplace policies to support CLP individuals in overcoming employment barriers and achieving stable careers.https://www.mdpi.com/2076-328X/15/1/91cleft lip and palatepsychologybehavioural sciencesoccupationself-esteemmultidisciplinary
spellingShingle Haslina Rani
Hasherah Mohd Ibrahim
Nurshazwanie Amira Mohamed Noor Shafie
Suziyani Mohamed
Azianura Hani Shaari
Murshida Marizan Nor
Tuti Ningseh Mohd-Dom
Self-Identified Employment Challenges for Young Adults with a Cleft Lip and Palate: A Qualitative Exploration
Behavioral Sciences
cleft lip and palate
psychology
behavioural sciences
occupation
self-esteem
multidisciplinary
title Self-Identified Employment Challenges for Young Adults with a Cleft Lip and Palate: A Qualitative Exploration
title_full Self-Identified Employment Challenges for Young Adults with a Cleft Lip and Palate: A Qualitative Exploration
title_fullStr Self-Identified Employment Challenges for Young Adults with a Cleft Lip and Palate: A Qualitative Exploration
title_full_unstemmed Self-Identified Employment Challenges for Young Adults with a Cleft Lip and Palate: A Qualitative Exploration
title_short Self-Identified Employment Challenges for Young Adults with a Cleft Lip and Palate: A Qualitative Exploration
title_sort self identified employment challenges for young adults with a cleft lip and palate a qualitative exploration
topic cleft lip and palate
psychology
behavioural sciences
occupation
self-esteem
multidisciplinary
url https://www.mdpi.com/2076-328X/15/1/91
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