Understanding the Unmet Accommodation Needs of People Working with Mental or Cognitive Conditions: The Importance of Gender, Gendered Work, and Employment Factors.

IF 2.1 3区 医学 Q1 REHABILITATION
Journal of Occupational Rehabilitation Pub Date : 2024-03-01 Epub Date: 2023-10-25 DOI:10.1007/s10926-023-10132-4
Geneviève Jessiman-Perreault, Monique A M Gignac, Aaron Thompson, Peter M Smith
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Abstract

Purpose: Workplace support needs for women and men living with mental health conditions are not well understood. This study examined workplace accommodation and support needs among women and men with and without mental health or cognitive conditions and individual and workplace factors associated with having unmet needs.

Methods: A cross-sectional survey of 3068 Canadian workers collected information on disability, gender, gendered occupations, job conditions, work contexts, and workplace accommodations. Multivariable logistic regression analyses examined gender- and disability-based differences in unmet needs for workplace flexibility, work modifications, and health benefits, and the association of work context (i.e., work schedule, job sector) and job conditions (i.e., precarious work) on the likelihood of unmet accommodation needs. The additive (i.e., super- or sub-additive) and multiplicative effects of disability, gender, and occupational gender distribution on the probability of unmet accommodation needs were also assessed.

Results: The most common unmet workplace accommodation was work modifications reported by 35.9% of respondents with mental/cognitive disability and workplace flexibility reported by 19.6% of individuals without a mental/cognitive disability. Women, employees in female dominant occupations, and participants with mental/cognitive disabilities were more likely to report unmet needs compared with men, employees in non-female dominant occupations, and participants without disabilities but these findings were largely explained by differences in job conditions and work contexts. No interacting effects on the likelihood of reporting unmet needs for workplace accommodations were observed.

Conclusions: To support employee mental health, attention is needed to address work contexts and job conditions, especially for people working with mental/cognitive disabilities, women, and workers in female-dominated occupations where unmet accommodation needs are greatest.

了解精神或认知疾病工作者未满足的住宿需求:性别、性别化工作和就业因素的重要性。
目的:对患有心理健康状况的女性和男性的工作场所支持需求了解不多。这项研究调查了有或没有心理健康或认知状况的女性和男性的工作场所住宿和支持需求,以及与未满足需求相关的个人和工作场所因素。方法:对3068名加拿大工人进行了横断面调查,收集了有关残疾、性别、性别职业、工作条件、工作环境和工作场所住宿的信息。多变量逻辑回归分析考察了工作场所灵活性、工作修改和健康福利方面未满足需求的性别和残疾差异,以及工作环境(即工作时间表、工作部门)和工作条件(即不稳定的工作)对未满足住宿需求可能性的关联。还评估了残疾、性别和职业性别分布对未满足住宿需求概率的加性(即超加性或次加性)和乘法效应。结果:35.9%的精神/认知残疾受访者报告了未得到满足的工作场所住宿,19.6%的非精神/认知障碍受访者报告了工作场所灵活性。与男性、非女性主导职业的员工和无残疾参与者相比,女性、女性主导职业员工和精神/认知残疾参与者更有可能报告未满足的需求,但这些发现在很大程度上是由工作条件和工作环境的差异所解释的。没有观察到对报告工作场所住宿未满足需求的可能性的交互影响。结论:为了支持员工的心理健康,需要注意解决工作环境和工作条件,特别是对于患有精神/认知障碍的工作人员、妇女和女性占主导地位的职业中未满足的住宿需求最大的工人。
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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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