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自闭症谱系障碍成年人就业状况的预测因素

Predictors of employment status among adults with Autism Spectrum Disorder.

作者信息

Ohl Alisha, Grice Sheff Mira, Small Sarah, Nguyen Jamie, Paskor Kelly, Zanjirian Aliza

机构信息

Occupational Therapy, Clarkson University, Potsdam, NY, USA.

Minnesota Department of Health, Maternal & Child Health Section, MN, USA.

出版信息

Work. 2017;56(2):345-355. doi: 10.3233/WOR-172492.

Abstract

BACKGROUND

In the United States, adults with Autism Spectrum Disorder (ASD) experience high rates of unemployment and underemployment in relation to adults with other disabilities and the general population. Yet there is little research examining their employment experiences and the predictors of employment status.

OBJECTIVE

The purpose of this study was to examine the employment characteristics and histories of both employed and unemployed adults with ASD, and the factors that contributed to their employment status.

METHODS

This cross-sectional study used an online survey and the Short Effort Reward Imbalance (ERI) Scale to gather data. Multivariate logistic regression analyses were used to examine predictors of employment status and self-reported health.

RESULTS

Of the 254 adults with ASD who participated in this study, 61.42% were employed and 38.58% were unemployed. Over half of the participants reported job imbalance on the Short ERI Scale and the vast majority did not receive any job assistance. Participants who disclosed their ASD diagnosis to their employer were more than three times as likely to be employed than those who did not disclose. Education level was also a significant predictor of employment status.

CONCLUSIONS

This study suggests disability disclosure and education level are factors that contribute to employment status.

摘要

背景

在美国,与其他残疾成年人及普通人群相比,患有自闭症谱系障碍(ASD)的成年人失业率和就业不足率较高。然而,很少有研究考察他们的就业经历以及就业状况的预测因素。

目的

本研究旨在考察患有ASD的在职和失业成年人的就业特征和经历,以及影响他们就业状况的因素。

方法

这项横断面研究使用在线调查和简短努力回报失衡(ERI)量表来收集数据。多元逻辑回归分析用于考察就业状况和自我报告健康状况的预测因素。

结果

在参与本研究的254名患有ASD的成年人中,61.42%就业,38.58%失业。超过一半的参与者在简短ERI量表上报告了工作失衡,绝大多数人没有得到任何工作援助。向雇主披露自己ASD诊断的参与者就业的可能性是未披露者的三倍多。教育水平也是就业状况的一个重要预测因素。

结论

本研究表明,残疾披露和教育水平是影响就业状况的因素。

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