Institute for Work & Health, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Institute for Work & Health, Toronto, Ontario, Canada.
Disabil Health J. 2021 Oct;14(4):101161. doi: 10.1016/j.dhjo.2021.101161. Epub 2021 Jun 23.
Individuals with physical or mental health disabilities may be particularly vulnerable to the impact of COVID-19 on their health and employment.
We examined COVID-19-related concerns for health, finances, and organizational support among workers with no disability, a physical, mental health, or both physical and mental health disability, and factors associated with COVID-19 perceptions.
An online, cross-sectional survey was administered to a sample of Canadians in the first wave of the COVID-19 pandemic. Questions asked about COVID-19 perceptions, demographics (gender, age, education), work context (e.g., sector, contract work) and employment conditions (e.g., job stress, control, accommodation needs). Descriptive, multivariable, and nested regression analyses examined factors associated with COVID-19 perceptions.
A total of 3066 participants completed the survey. Workers with both a physical and mental health disability reported significantly greater health and financial concerns and less organizational support than those with no disability. Workers with a physical disability reported more health concerns and those with a mental health disability reported more financial concerns and less organizational support. Respondents with disabilities also reported significant differences in employment conditions (e.g., more contract work, stress, unmet accommodation needs) than those with no disability. Employment conditions were consistently significant predictors of COVID-19 perceptions and attenuated the significance of disability type in analyses.
Concerns about the impact of COVID-19 on one's health, finances, and organizational support reflected existing disability inequities in employment conditions and highlight the importance of creating more inclusive employment opportunities for people living with physical and mental health disabilities.
身体或精神健康有障碍的个人可能特别容易受到 COVID-19 对其健康和就业的影响。
我们研究了无残疾、身体、精神健康或身体和精神健康双重残疾的工人对健康、财务和组织支持的 COVID-19 相关关注，以及与 COVID-19 认知相关的因素。
在 COVID-19 大流行的第一波期间，我们对加拿大的一个样本进行了在线横断面调查。问题涉及 COVID-19 认知、人口统计学（性别、年龄、教育）、工作环境（例如，部门、合同工作）和就业条件（例如，工作压力、控制、住宿需求）。描述性、多变量和嵌套回归分析检查了与 COVID-19 认知相关的因素。
共有 3066 名参与者完成了调查。患有身体和精神健康双重残疾的工人报告的健康和财务问题明显更多，组织支持明显更少，而无残疾的工人报告的健康问题较少，财务问题较少，组织支持较少。身体残疾的工人报告的健康问题更多，精神健康残疾的工人报告的财务问题更多，组织支持较少。有残疾的受访者在就业条件（例如，更多的合同工作、压力、未满足的住宿需求）方面与无残疾的受访者也存在显著差异。就业条件始终是 COVID-19 认知的重要预测因素，并在分析中减弱了残疾类型的重要性。
对 COVID-19 对个人健康、财务和组织支持的影响的关注反映了就业条件方面现有的残疾不平等现象，并强调了为身体和精神健康残疾人士创造更具包容性的就业机会的重要性。
