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Wang PP, Badley EM, Gignac MAM. Perceived need for workplace accommodation and labor force participation in Canadian adults with activity limitations. Am J Public Health 2004;94:1515-1518. [Pub Med ID 15333305]

Abstract

We examined how perceived need for workplace accommodation affects labour-force participation in people with disabilities. We analyzed a Canadian survey with structural equation modelingi to test a model incorporating activity limitations and perceived need for workplace accommodations. The results suggested that the effect of upper- and lower-body activity limitation on labour-force participation was mediated by perceived need for workplace accommodations. Thus, the provision of adequate workplace accommodations could enhance labour-force participation in people with disabilities.

Methods

The data was taken from the 1991 Canadian Health and Activity Limitation Survey, a national post census survey of people with disabilities. The analytic population comprised people aged 25-64 years, with a sample size of 18, 384. Physical activity limitations were measured by 12 variables and were represented by 2 latent constructs – lower- and upper-body activity limitations. The “perceived need for workplace accommodation” variable was derived from participants’ answers to 8 workplace accommodation questions regarding the availability of (1) handrails, (2) accessible parking, (3) elevators, (4) accessible workstations, (5) accessible washrooms, (6) transportation, (7) job re-design, and (8) flexible work hours.

Results

See Figure 1 and Table 1 with interpretation below.

List of Tables and Figures (in the publication)

  • Figure 1. Conceptual model illustrating the relations among activity limitation, perceived need for workplace accommodation, and labour-force participation.
  • Table 1. Labour-force participation status, by selected characteristics: Results from the Canadian working-age (25-64 years) population.
  • No figures for this paper.

Selected Tables from the Publication (with interpretation)

Figure 1. Conceptual model illustrating the relations among activity limitation, perceived need for workplace accommodation, and labour-force participation.

Note: Path coefficients in structural equation modeling can be viewed as regression coefficients derived from a set of multiple regression models. Path coefficients assess the magnitude of the relationships among the measured and latent variables in the model. Because all path coefficients have been standardized, they can be compared across variables.

The results for the final structural modeling analyses (Figure 1) suggest that lower- and upper-body activity limitations affected labour-force participation both directly and indirectly through perceived need for workplace accommodation (see Table 1 in next section). However, the perceived need for workplace accommodation mediated most of the effects of lower- and upper-body activity limitations on labour-force participation. With severe activity limitations, a person was more likely to perceive the need for workplace accommodation, which discouraged him or her from being in the labour force.

As expected, older people and women were less likely to be in the labour force, with overall effects of -0.266 and -0.163 respectively. Older people also were slightly less likely to report the need for workplace accommodation (path coefficient = -0.066). Higher education was significantly associated with increased labour force participation. The protective effect of education on labour force participation was partially mediated by occupation – people with higher education were more likely to have professional jobs, which enhanced labour force participation.

Supplementary Tables (with interpretation)

Table 1. Effects of activity limitations and perceived need for workplace accommodation on labour force participation.ii

Variables Direct effect Indirect effect through perceived need for workplace accommodation Total effect
Lower body activity limitation -0.064 0.708 * (-0.396) = -0.280 -0.344
Upper body activity limitation -0.054 0.471 * (-0.396) = -0.187 -0.241
Perceived need for workplace accommodation -0.396 0 -0.396

The indirect effects of lower- and upper-body activity limitations on labour-force participation (mediated by the perceived need for workplace accommodation) were -0.280 and -0.187 respectively, and were higher than the direct effects (see Table 1 for calculations). Lower-body activity limitation affected labour-force participation more than did upper-body activity limitation, with corresponding total effects of -0.344 and -0.241.

  1. Structural equation modeling (SEM) is a multivariate technique that is particularly useful in nonexperimental research testing hypothesized associations and can incorporate both unobserved (i.e., latent or theoretical constructs) and observed variables. In this study, latent variables were used to represent the underlying concepts of activity limitations (the difficulties an individual may have in performing a task or an action) and perceived need for workplace accommodations. The model is tested statistically using multiple regression and factor analysis techniques.
  2. A negative coefficient indicates that the effect reduced the likelihood of labour force participation. E.g., The effect of the lower body activity limitation variable (coefficient = -0.064) indicates that if you had a lower body limitation, you were less likely to be in the labour force.