The role of nonstandard and precarious jobs in the well-being of disabled workers during workforce reintegration.
The role of nonstandard and precarious jobs in the well-being of disabled workers during workforce reintegration.
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DOI：
10.1002/ajim.23254
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发表时间：
2021-08
影响因子：
3.5
通讯作者：
Peckham T
中科院分区：
文献类型：
--
作者：
Edmonds AT;Sears JM;O'Connor A;Peckham T
非标准就业安排越来越普遍，可以为残疾工人提供必要的灵活性。然而，这些安排可能表明就业不稳定，即就业的特点是不稳定、无权、工人权利和福利有限。人们对非标准和不稳定工作在残疾人因工伤或疾病造成永久性损伤后重返劳动力市场期间对他们的福祉所起的作用知之甚少。我们使用了相关的调查和行政数据的样本442华盛顿州的工人谁最近返回工作，并收到了工人的赔偿永久部分残疾（PPD）奖后，永久性损害的工伤。多变量逻辑回归模型被用来检查非标准就业和工人福利和持续就业相关的结果之间的关联。我们还研究了不稳定就业的多维度衡量标准与这些结果之间的关联。其次，定性内容分析方法被用来编码工人的建议，工作场所如何支持持续返回工作（RTW）。从事（1）非标准工作（与全职，永久性工作相比）和（2）不稳定工作（与不太不稳定的工作相比）的工人对持续RTW的低期望的调整后几率更高。此外，从事不稳定工作的工人报告健康状况一般或较差以及残疾人住宿需求未得到满足的几率更高。从事非标准和不稳定工作的工人经常报告说，他们希望工作场所更安全，工作人员配备充足，以确保安全和维持持续就业。确保残疾工人安全、有保障的就业可以在他们的福祉和持续的RTW方面发挥重要作用。
Nonstandard employment arrangements are becoming increasingly common and could provide needed flexibility for workers living with disabilities. However, these arrangements may indicate precarious employment, that is, employment characterized by instability, powerlessness, and limited worker rights and benefits. Little is known about the role of nonstandard and precarious jobs in the wellbeing of disabled persons during workforce reintegration after permanent impairment from work-related injuries or illnesses. We used linked survey and administrative data for a sample of 442 Washington State workers who recently returned to work and received a workers’ compensation permanent partial disability (PPD) award after permanent impairment from a work-related injury. Multivariable logistic regression models were used to examine associations between nonstandard employment and outcomes related to worker wellbeing and sustained employment. We also examined associations between a multidimensional measure of precarious employment and these outcomes. Secondarily, qualitative content analysis methods were used to code worker suggestions on how workplaces could support sustained return to work (RTW). Workers in (1) nonstandard jobs (compared to full-time, permanent jobs) and (2) precarious jobs (compared to less precarious jobs) had higher adjusted odds of low expectations for sustained RTW. Additionally, workers in precarious jobs had higher odds of reporting fair or poor health and unmet need for disability accommodation. Workers in nonstandard and precarious jobs frequently reported wanting safer and adequately staffed workplaces to ensure safety and maintain sustained employment. Ensuring safe, secure employment for disabled workers could play an important role in their wellbeing and sustained RTW.
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