Amsterdam UMC Location Vrije Universiteit Amsterdam, Public and Occupational Health, Van Der Boechorstraat 7 1081 BT, Amsterdam, the Netherlands.
Amsterdam Public Health Research Institute, Societal Participation and Health, Amsterdam, the Netherlands.
BMC Public Health. 2023 May 26;23(1):966. doi: 10.1186/s12889-023-15720-w.
The consequences of restrictive measures during the COVID-19 outbreak have potentially been enormous, especially for those in a vulnerable position in the labour market. This study aims to describe the impact of the COVID-19 crisis on work status, working conditions and health among people with (partial) work disabilities-with and in search of work-during the COVID-19 pandemic in the Netherlands.
A mixed methods design was used, combining a cross-sectional online survey and ten semi-structured interviews with people with a (partial) work disability. The quantitative data included responses to job-related questions, self-reported health, and demographics. The qualitative data consisted of participants' perceptions about work, vocational rehabilitation, and health. We used descriptive statistics to summarize the responses, conducted logistic and linear regression and integrated our qualitative findings with the quantitative findings, aiming at complementarity.
Five hundred and eighty-four participants (response rate 30.2%) completed the online survey. The majority of participants experienced no change in work status: 39 percent remained employed, 45 percent remained unemployed, six percent of respondents lost their job, and ten percent became employed during the COVID-19 crisis. In general, the results showed a deterioration in self-rated health during the COVID-19 outbreak, both for participants at work and in search of work. Participants who lost their job during the COVID-19 crisis reported the highest deterioration in self-rated health. Interview findings revealed that loneliness and social isolation were persistent during the COVID-19 crisis, especially among those in search of work. Additionally, employed participants identified a safe work environment and the possibility to work at the office as important factors for overall health.
The vast majority of study participants (84.2%) experienced no change in work status during the COVID-19 crisis. Nonetheless, people at work and in search of work encountered barriers to maintaining or (re)gaining employment. People with a (partial) work disability who lost their job during the crisis appeared to be most affected in terms of health. Employment and health protections could be strengthened for persons with (partial) work disabilities in order to build resilience in times of crisis.
新冠疫情期间采取的限制措施可能产生了巨大影响，尤其是对劳动力市场中处于弱势地位的人而言。本研究旨在描述新冠疫情期间荷兰部分残疾人士（有工作和求职中）的工作状况、工作条件和健康状况所受的影响。
采用混合方法设计，结合横断面在线调查和十名部分残疾人士的半结构式访谈。定量数据包括与工作相关问题的回答、自我报告的健康状况和人口统计学信息。定性数据包括参与者对工作、职业康复和健康的看法。我们使用描述性统计来总结回答，进行逻辑回归和线性回归，并将我们的定性发现与定量发现结合起来，旨在实现互补。
584 名参与者（响应率为 30.2%）完成了在线调查。大多数参与者的工作状况没有变化：39%的人继续就业，45%的人继续失业，6%的人失业，10%的人在新冠疫情期间就业。总的来说，结果表明在新冠疫情爆发期间，无论是在职还是求职的参与者，自我报告的健康状况都有所恶化。在新冠疫情危机期间失业的参与者报告的健康状况恶化最严重。访谈结果显示，孤独感和社会隔离在新冠疫情期间持续存在，尤其是在求职人群中。此外，在职参与者认为安全的工作环境和在办公室工作的可能性是整体健康的重要因素。
绝大多数研究参与者（84.2%）在新冠疫情期间工作状况没有变化。尽管如此，在职和求职的人在维持或（重新）就业方面仍面临障碍。在危机期间失去工作的部分残疾人士似乎在健康方面受到的影响最大。为了在危机时期增强韧性，可以加强对部分残疾人士的就业和健康保护。
