Relationship Between Socioeconomic Status and Job Accommodation for Workers with Health Problems in Japan during the COVID-19 Pandemic

IF 2.9 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yu Igarashi , Seiichiro Tateishi , Arisa Harada , Kosuke Mafune , Mayumi Tsuji , Akira Ogami , Tomohisa Nagata , Ryutaro Matsugaki , Yoshihisa Fujino , for the CORoNaWork project
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引用次数: 0

Abstract

Background

During the COVID-19 pandemic, many health-impaired workers of vulnerable socioeconomic status (SES) suffered employment and health problems. This study investigated the relationship between workers with health problems in vulnerable SES and job accommodation.

Methods

This cross-sectional internet monitoring study was conducted among 33,302 Japanese workers from December 22 to 26, 2020. Of the total survey participants, 6,309 who reported that they needed accommodations from their companies were included in the analysis. Using a multilevel logistic regression model, we examined the relationship between their SES and the lack of job accommodations from their companies, and age-sex-adjusted and multivariate-adjusted odds ratios (ORs) were estimated.

Results

Multivariate analysis revealed that the OR for the lack of accommodations from companies was significantly higher for non-desk jobs than desk jobs (OR=1.15, 95% CI: 1.04–1.28, p=0.01). The ORs also differed based on household incomes and number of employees. ORs were significantly higher for those with an equivalent household income of less than 2.9 million yen compared with 9 million yen or more (OR=1.66, 95% CI: 1.39–1.97, p<0.01). Comparing with firms with 1,000 or more employees, the ORs were significantly higher for those with fewer than 30 employees (OR=1.21, 95% CI: 1.05–1.40, p<0.01).

Conclusions

We found a relationship between SES and the lack of job accommodation for workers with health problems. The lack of job accommodation may further worsen SES and health conditions, reinforcing the importance of accommodating the needs of vulnerable SES workers.
新冠肺炎大流行期间日本健康问题工人社会经济地位与就业安置的关系
在2019冠状病毒病大流行期间,许多处于弱势社会经济地位的健康受损工人面临就业和健康问题。本研究旨在探讨弱势社会经济阶层工人健康问题与工作环境的关系。方法于2020年12月22日至26日对33,302名日本员工进行了横断面互联网监测研究。在所有调查参与者中,6309名报告说他们需要公司提供住宿的人被纳入了分析。采用多水平logistic回归模型,我们检验了他们的社会经济地位与公司缺乏工作安排之间的关系,并估计了年龄-性别调整和多变量调整的比值比(or)。结果多变量分析显示,非案头工作的员工缺少公司住宿的OR值显著高于案头工作的员工(OR=1.15, 95% CI: 1.04-1.28, p=0.01)。根据家庭收入和雇员人数的不同,ORs也有所不同。同等家庭收入低于290万日元的家庭,其or值明显高于高于900万日元的家庭(or =1.66, 95% CI: 1.39-1.97, p<0.01)。与拥有1000名或更多员工的公司相比,员工少于30人的公司的or显著更高(or =1.21, 95% CI: 1.05-1.40, p<0.01)。结论我们发现社会经济地位与有健康问题的工人缺乏工作场所之间存在关系。工作场所的缺乏可能进一步恶化社会经济状况和健康状况,从而加强了满足弱势社会经济状况工人需求的重要性。
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来源期刊
Safety and Health at Work
Safety and Health at Work Social Sciences-Safety Research
CiteScore
6.40
自引率
5.70%
发文量
1080
审稿时长
38 days
期刊介绍: Safety and Health at Work (SH@W) is an international, peer-reviewed, interdisciplinary journal published quarterly in English beginning in 2010. The journal is aimed at providing grounds for the exchange of ideas and data developed through research experience in the broad field of occupational health and safety. Articles may deal with scientific research to improve workers'' health and safety by eliminating occupational accidents and diseases, pursuing a better working life, and creating a safe and comfortable working environment. The journal focuses primarily on original articles across the whole scope of occupational health and safety, but also welcomes up-to-date review papers and short communications and commentaries on urgent issues and case studies on unique epidemiological survey, methods of accident investigation, and analysis. High priority will be given to articles on occupational epidemiology, medicine, hygiene, toxicology, nursing and health services, work safety, ergonomics, work organization, engineering of safety (mechanical, electrical, chemical, and construction), safety management and policy, and studies related to economic evaluation and its social policy and organizational aspects. Its abbreviated title is Saf Health Work.
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