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The relationship between employment and health and health care among working-age adults with and without disabilities in the United States.
- Source :
- Disability & Rehabilitation; Sep2019, Vol. 41 Issue 19, p2299-2307, 9p, 4 Charts
- Publication Year :
- 2019
-
Abstract
- Purpose: To better understand the relationship between employment and health and health care for people with disabilities in the United States (US). Methods: We pooled US Medical Expenditure Panel Survey (2004–2010) data to examine health status, and access to health care among working-age adults, comparing people with physical disabilities or multiple disabilities to people without disabilities, based on their employment status. Logistic regression and least squares regression were conducted, controlling for sociodemographics, health insurance (when not the outcome), multiple chronic conditions, and need for assistance. Results: Employment was inversely related to access to care, insurance, and obesity. Yet, people with disabilities employed in the past year reported better general and mental health than their peers with the same disabilities who were not employed. Those who were employed were more likely to have delayed/forgone necessary care, across disability groups. Part-time employment, especially for people with multiple limitations, was associated with better health and health care outcomes than full-time employment. Conclusion: Findings highlight the importance of addressing employment-related causes of delayed or foregone receipt of necessary care (e.g., flex-time for attending appointments) that exist for all workers, especially those with physical or multiple disabilities. These findings demonstrate that rehabilitation professionals who are seeking to support employment for persons with physical limitations need to ensure that overall health concerns are adequately addressed, both for those seeking employment and for those who are currently employed. Assisting clients in prioritizing health equally with employment can ensure that both areas receive sufficient attention. Engaging with employers to develop innovative practices to improve health, health behaviors and access to care for employees with disabilities can decrease turnover, increase productivity, and ensure longer job tenure. [ABSTRACT FROM AUTHOR]
- Subjects :
- SMOKING & psychology
EMPLOYMENT of people with disabilities
MEDICAL care
ANALYSIS of variance
CHI-squared test
COMPARATIVE studies
EMPLOYMENT
HEALTH
INTERVIEWING
MEDICAL care costs
MULTIVARIATE analysis
QUESTIONNAIRES
REGRESSION analysis
RESEARCH funding
SURVEYS
WORK
LOGISTIC regression analysis
SOCIOECONOMIC factors
INDEPENDENT living
CROSS-sectional method
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 09638288
- Volume :
- 41
- Issue :
- 19
- Database :
- Complementary Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 137129768
- Full Text :
- https://doi.org/10.1080/09638288.2018.1465131