Igarashi Yu, Tateishi Seiichiro, Harada Arisa, Mafune Kosuke, Tsuji Mayumi, Ogami Akira, Nagata Tomohisa, Matsugaki Ryutaro, Fujino Yoshihisa
Disaster Occupational Health Center, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan.
Department of Occupational Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.
Saf Health Work. 2025 Jun;16(2):180-186. doi: 10.1016/j.shaw.2025.04.002. Epub 2025 Apr 10.
During the COVID-19 pandemic, many health-impaired workers of vulnerable socioeconomic status (SES) suffered employment and health problems. This study investigated the relationship between workers with health problems in vulnerable SES and job accommodation.
This cross-sectional internet monitoring study was conducted among 33,302 Japanese workers from December 22 to 26, 2020. Of the total survey participants, 6,309 who reported that they needed accommodations from their companies were included in the analysis. Using a multilevel logistic regression model, we examined the relationship between their SES and the lack of job accommodations from their companies, and age-sex-adjusted and multivariate-adjusted odds ratios (ORs) were estimated.
Multivariate analysis revealed that the OR for the lack of accommodations from companies was significantly higher for non-desk jobs than desk jobs (OR=1.15, 95% CI: 1.04-1.28, p=0.01). The ORs also differed based on household incomes and number of employees. ORs were significantly higher for those with an equivalent household income of less than 2.9 million yen compared with 9 million yen or more (OR=1.66, 95% CI: 1.39-1.97, p<0.01). Comparing with firms with 1,000 or more employees, the ORs were significantly higher for those with fewer than 30 employees (OR=1.21, 95% CI: 1.05-1.40, p<0.01).
We found a relationship between SES and the lack of job accommodation for workers with health problems. The lack of job accommodation may further worsen SES and health conditions, reinforcing the importance of accommodating the needs of vulnerable SES workers.
在新冠疫情期间，许多社会经济地位（SES）脆弱且健康受损的劳动者面临就业和健康问题。本研究调查了SES脆弱且有健康问题的劳动者与工作调整之间的关系。
这项横断面网络监测研究于2020年12月22日至26日在33302名日本劳动者中进行。在全部调查参与者中，6309名报告需要公司提供工作调整的人员被纳入分析。我们使用多水平逻辑回归模型，研究了他们的SES与公司未提供工作调整之间的关系，并估计了年龄性别调整和多变量调整后的优势比（OR）。
多变量分析显示，从事非坐班工作的劳动者相比坐班工作的劳动者，公司未提供工作调整的OR显著更高（OR = 1.15，95%置信区间：1.04 - 1.28，p = 0.01）。OR也因家庭收入和员工数量而异。家庭收入相当于290万日元以下的劳动者相比900万日元及以上的劳动者，OR显著更高（OR = 1.66，95%置信区间：1.39 - 1.97，p < 0.01）。与员工人数为1000人及以上的公司相比，员工人数少于30人的公司，OR显著更高（OR = 1.21，95%置信区间：1.05 - 1.40，p < 0.01）。
我们发现SES与有健康问题的劳动者缺乏工作调整之间存在关联。工作调整的缺乏可能会进一步恶化SES和健康状况，凸显了满足SES脆弱劳动者需求的重要性。
