Goddard Kelsey S, Kurth Noelle K, Hall Jean P, Koon Lyndsie M, Moore Corey L, Dentleegrand Kacie R
Institute for Health and Disability Policy Studies, University of Kansas, Lawrence, KS, United States.
Department of Rehabilitation and Disability Studies, Langston University, Langston, OK, United States.
Front Rehabil Sci. 2024 Sep 4;5:1443302. doi: 10.3389/fresc.2024.1443302. eCollection 2024.
The employment landscape for multiply marginalized people with disabilities presents significant challenges, exacerbated by intersecting identities such as race/ethnicity, sexual orientation, gender identity, poverty, and geography. Recent studies highlight the compounded employment disparities faced by this group, including discriminatory hiring practices, inadequate accommodations, and uneven gains in employment during the COVID-19 public health emergency.
Our study employed a three-round Delphi process with 20 diverse experts across 14 states across the United States (U.S.) to formulate recommendations for improving employment experiences for multiply marginalized people with disabilities. The panel's insights were gathered through surveys administered online, with each round designed to refine the collective recommendations. This iterative process aimed to build a consensus on the most effective policy and practice recommendations for improving employment outcomes within this population.
The Delphi study identified key areas for strategic focus, including emergency preparedness, education and training, transportation, assistive technology, workplace accommodations, and combating discrimination and stigma. Notable recommendations included improving emergency preparedness training, enhancing employment education, increasing funding for accessible transportation and assistive technology, and promoting inclusive hiring practices. The study also emphasized the need for policies supporting telework and simplifying disability-related benefits.
The findings highlight the critical role of tailored strategies to address employment challenges faced by people with disabilities from marginalized communities. Meaningfully and fully implementing these recommendations would create a more inclusive environment that improves employment outcomes for multiply marginalized people with disabilities.
多重边缘化的残疾人士的就业前景面临重大挑战，种族/族裔、性取向、性别认同、贫困和地理位置等交叉身份因素使这些挑战更加严峻。最近的研究突出了这一群体所面临的复合就业差距，包括歧视性招聘做法、不充分的便利措施，以及在新冠疫情公共卫生紧急事件期间就业机会增长不均衡等问题。
我们的研究采用三轮德尔菲法，邀请了美国14个州的20位不同领域的专家，为改善多重边缘化残疾人士的就业体验制定建议。通过在线调查收集专家小组的意见，每一轮调查都旨在完善集体建议。这一迭代过程旨在就改善该群体就业成果的最有效政策和实践建议达成共识。
德尔菲研究确定了战略重点的关键领域，包括应急准备、教育与培训、交通、辅助技术、工作场所便利措施，以及消除歧视和污名。值得注意的建议包括改进应急准备培训、加强就业教育、增加无障碍交通和辅助技术的资金投入，以及推广包容性招聘做法。该研究还强调了支持远程工作和简化与残疾相关福利政策的必要性。
研究结果凸显了量身定制策略在应对边缘化社区残疾人士就业挑战方面的关键作用。切实全面地实施这些建议将创造一个更具包容性的环境，改善多重边缘化残疾人士的就业成果。
