Saltychev Mikhail, Mattie Ryan, Starobina Elena
Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, Stanford University Hospital and Clinics, Redwood City, CA, USA.
Work. 2018;60(4):597-601. doi: 10.3233/WOR-182767.
One of the reasons for the high unemployment amongst people with disability is a lack of knowledge on factors determining their employment. Factors associated with willingness and attitudes towards work have not been studied sufficiently amongst the general population of people with impaired functioning. Recognizing and improving attitudes to work and vocational rehabilitation may increase the employment rate of persons with disabilities.
To investigate the influence of some demographic factors on a willingness to work and an interest in vocational rehabilitation amongst unemployed persons with confirmed disability.
Cross-sectional survey-based study amongst unemployed persons with disabilities in a large urban area. The sample consisted of 1 547 respondents with mostly mild or moderate disabilities. The multinomial logistic regression was used to obtain relative risk ratios (RRs) for different demographic characteristics of the sample.
An interest in vocational rehabilitation was significantly associated with older age (RR 1.36, 95% CI 1.2 to 1.5), lower disability grade (RR 1.30, 95% CI 1.06 to 1.60), and lower expectation of a desired salary (RR 0.77, 95% CI 0.67 to 0.88). Older age (RR 1.31, 95% CI 1.14 to 1.51) and more severe disability (reversed figure - RR 0.75, 95% CI 0.60 to 0.93) were associated with a delayed willingness to work.
Amongst unemployed persons with severe or moderate disabilities, a better willingness to work was mostly associated with younger age and milder disability severity. Older persons with less disabilities and realistic expectations of salary rate reported an interest in vocational rehabilitation more often.
残疾人失业率高的原因之一是对决定其就业的因素缺乏了解。在功能受损的普通人群中，与工作意愿和态度相关的因素尚未得到充分研究。认识并改善对工作和职业康复的态度可能会提高残疾人的就业率。
调查一些人口统计学因素对确诊残疾的失业人员工作意愿和职业康复兴趣的影响。
在一个大城市地区对残疾失业人员进行基于横断面调查的研究。样本包括1547名主要为轻度或中度残疾的受访者。采用多项逻辑回归分析得出样本不同人口统计学特征的相对风险比（RRs）。
对职业康复的兴趣与年龄较大（RR 1.36，95%可信区间1.2至1.5）、残疾等级较低（RR 1.30，95%可信区间1.06至1.60）以及对期望薪资的较低预期（RR 0.77，95%可信区间0.67至0.88）显著相关。年龄较大（RR 1.31，95%可信区间1.14至1.51）和残疾程度较重（反向数值 - RR 0.75，95%可信区间0.60至0.93）与工作意愿延迟相关。
在重度或中度残疾的失业人员中，更好的工作意愿主要与年龄较小和残疾程度较轻相关。残疾程度较轻且对薪资水平期望现实的老年人更常表示对职业康复感兴趣。
