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患有关节炎残疾的女性和男性劳动力经历的差异:人口健康视角

Differences in the workforce experiences of women and men with arthritis disability: a population health perspective.

作者信息

Kaptein Simone A, Gignac Monique A M, Badley Elizabeth M

机构信息

Arthritis Community Research and Evaluation Unit, Toronto Western Research Institute, Toronto, Ontario, Canada.

出版信息

Arthritis Rheum. 2009 May 15;61(5):605-13. doi: 10.1002/art.24427.

Abstract

OBJECTIVE

To examine the employment status characteristics of people with arthritis disability, with a focus on gender differences and who remains in the workforce.

METHODS

Analyses were based on cross-sectional, self-reported data of the Canadian Participation and Activity Limitation Survey, administered in 2001-2002 (n = 28,908). Labor force status was categorized into employed, unemployed, and not in the labor force. Prevalence estimates were derived from descriptive analyses, and logistic regression determined the factors associated with being out of the labor force. Chi-square and sex-stratified analyses examined gender differences.

RESULTS

An estimated 2.3% of the working-age population (ages 25-64 years) reported arthritis disability, and >50% were out of the labor force. Being female, single, older, and having less education and more severe pain and disability were associated with being out of the labor force. Employed women with arthritis disability required more accommodations in the workplace and reported more activity limitations than men. Perceived discrimination was more likely to be reported by employed men, and men reported more changes to their work than women.

CONCLUSION

This study underscores the importance of looking more closely at differences in the employment experiences of women and men. Specifically, the results suggest that arthritis may marginalize women and men in different ways. Women may be more likely to leave employment, whereas men may be more likely to remain working and report negative workplace experiences.

摘要

目的

研究患有关节炎残疾者的就业状况特征,重点关注性别差异以及仍在劳动力队伍中的人群。

方法

分析基于2001 - 2002年进行的加拿大参与和活动受限调查的横断面自我报告数据(n = 28,908)。劳动力状况分为就业、失业和不在劳动力队伍中。患病率估计值来自描述性分析,逻辑回归确定与不在劳动力队伍相关的因素。卡方检验和按性别分层分析检验性别差异。

结果

估计2.3%的工作年龄人口(25 - 64岁)报告患有关节炎残疾,超过50%不在劳动力队伍中。女性、单身、年龄较大、受教育程度较低以及疼痛和残疾更严重与不在劳动力队伍相关。患有关节炎残疾的就业女性在工作场所需要更多便利,且报告的活动受限比男性更多。在职男性更有可能报告感知到的歧视,并且男性报告的工作变化比女性更多。

结论

本研究强调更密切关注男女就业经历差异的重要性。具体而言,结果表明关节炎可能以不同方式使女性和男性处于边缘地位。女性可能更有可能离职,而男性可能更有可能继续工作并报告负面的工作场所经历。

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