Breslin F Curtis, Lay A Morgan, Jetha Arif, Smith Peter
a Institute for Work & Health , Toronto , Ontario , Canada.
b Department of English and Liberal Studies , Seneca College of Applied Arts and Technology , King City , Ontario , Canada.
Disabil Rehabil. 2018 Sep;40(18):2138-2143. doi: 10.1080/09638288.2017.1327985. Epub 2017 May 26.
To compare workers with and without disabilities on their reported workplace hazard exposure and the presence of occupational health and safety vulnerability factors.
Working-aged adults in Ontario or British Columbia were recruited to participate in a cross-sectional survey (n = 1988). Self-reported measures included demographic factors, work-related variables, perceived level of activity limitation at work, and presence of work safety vulnerability factors utilizing a novel framework.
Reporting a disability at work was significantly associated with greater hazard exposure than those without a disability. In addition, those reporting a disability at work were more likely to be employed in conditions where hazard exposure was combined with inadequate policies and procedures, or hazard exposures were combined with inadequate empowerment.
Work safety vulnerability is one way that health inequalities can be perpetuated even among those with disabilities who have found work. Our results suggest that employers and policy makers need to focus on assessing and addressing hazard exposures and targeting occupational health and safety resources in the workplace in a way that includes workers with disabilities. Implications for Rehabilitation Workers with disabilities experience greater hazard exposure than those without a disability. Those with moderate and severe disabilities reported occupational health and safety vulnerability, suggesting that workplace accommodations should be available to a broader range of disability levels. It appears that, above and beyond standard safety procedures, providing workplace accommodations for people with disabilities may further reduce their hazard exposure and improve their safety.
比较报告有残疾和无残疾的工人在工作场所危险暴露情况以及职业健康与安全脆弱性因素方面的差异。
招募安大略省或不列颠哥伦比亚省处于工作年龄的成年人参与一项横断面调查（n = 1988）。自我报告的测量指标包括人口统计学因素、与工作相关的变量、工作中感知到的活动受限程度，以及使用一个新框架评估工作安全脆弱性因素的存在情况。
报告在工作中有残疾的工人比无残疾的工人有更高的危险暴露。此外，报告在工作中有残疾的工人更有可能受雇于危险暴露与政策和程序不完善或危险暴露与赋权不足相结合的工作环境。
工作安全脆弱性是健康不平等得以延续的一种方式，即使在已找到工作的残疾人群体中也是如此。我们的结果表明，雇主和政策制定者需要专注于评估和应对危险暴露，并以将残疾工人纳入其中的方式在工作场所分配职业健康与安全资源。对康复的启示残疾工人比无残疾的工人经历更高的危险暴露。中度和重度残疾的工人报告了职业健康与安全脆弱性，这表明工作场所应向更广泛的残疾程度人群提供便利设施。看来，除了标准安全程序之外，为残疾人士提供工作场所便利设施可能会进一步减少他们的危险暴露并提高他们的安全性。
