Abstract The aging of workforces combined with the prevalence of age-related chronic diseases has generated interest in whether large numbers of older workers will need workplace accommodations. This research applied work functioning theory to examine accommodation availability, need and use in workers with arthritis, diabetes, or no chronic disabling diseases; factors associated with accommodation needs; and the relationship of accommodation needs met, unmet or exceeded to job outcomes. Participants were aged 50–67 years, employed, and had arthritis (n = 631), diabetes (n = 286), both arthritis/diabetes (n = 111) or no chronic disabling conditions (healthy controls n = 538). They were recruited from a national panel of 80,000 individuals and a cross-sectional survey was administered online or by telephone. Questionnaires assessed demographics, health, work context, workplace accommodations, and job outcomes. Chi-square analyses, analyses of variance, and regression analyses compared groups. Respondents were similar in many demographic and work context factors. As expected, workers with arthritis and/or diabetes often reported poorer health and employment outcomes. Yet, there were few differences across health conditions in need for or use of accommodations with most participants reporting accommodations needs met. In keeping with work functioning theory, unmet accommodation needs were largely related to work context, not health. Workers whose accommodation needs were exceeded reported better job outcomes than those with accommodation needs met. Findings highlight both work context and health in understanding workplace accommodations and suggest that many older workers can meet accommodation needs with existing workplace practices. However, additional research aimed at workplace support and the timing of accommodation use is needed.

中文翻译：

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患有关节炎、糖尿病和非慢性病的老年工人的工作场所住宿需求、使用需求和未满足需求是否存在差异？检查健康和工作环境的作用

摘要 劳动力老龄化以及与年龄相关的慢性病的流行引起了对大量老年工人是否需要工作场所住宿的兴趣。这项研究应用工作功能理论来检查患有关节炎、糖尿病或没有慢性致残疾病的工人的住宿可用性、需求和使用情况；与住宿需求相关的因素；满足、未满足或超出的住宿需求与工作成果之间的关系。参与者年龄在 50-67 岁之间，有工作，并且患有关节炎（n = 631）、糖尿病（n = 286）、关节炎/糖尿病（n = 111）或没有慢性残疾（健康对照 n = 538）。他们是从一个由 80,000 人组成的全国小组中招募的，并通过在线或电话进行了横断面调查。问卷评估人口统计，健康、工作环境、工作场所住宿和工作成果。卡方分析、方差分析和回归分析对组进行了比较。受访者在许多人口统计和工作环境因素方面相似。正如预期的那样，患有关节炎和/或糖尿病的工人经常报告健康和就业结果较差。然而，需要或使用便利的健康状况几乎没有差异，大多数参与者报告满足了便利需求。根据工作功能理论，未满足的住宿需求主要与工作环境有关，与健康无关。超出住宿需求的工人报告的工作成果比满足住宿需求的工人更好。调查结果强调了理解工作场所便利的工作环境和健康状况，并表明许多老年工人可以通过现有的工作场所实践来满足便利需求。然而，需要针对工作场所支持和住宿使用时间进行额外研究。