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Self-Reported Visual Disability and Unemployment: Findings from the National Health Interview Survey.
Kunal Kanwar1, Curtis E Margo2, Dustin D French1,3,4,5
1Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Ophthalmic Epidemiology
|February 5, 2024
Summary
Visual impairment significantly impacts employment, with lower education levels increasing unemployment odds. Improving education for visually impaired individuals can enhance their job prospects.
Area of Science:
- Public Health
- Epidemiology
- Health Services Research
Background:
- Visual impairment is a significant disability affecting daily life and economic participation.
- Understanding the relationship between vision loss and employment is crucial for developing targeted support strategies.
- The COVID-19 pandemic context may have altered employment dynamics for individuals with disabilities.
Purpose of the Study:
- To investigate the association between visual impairment and employment status.
- To analyze unemployment risks among adults with varying degrees of vision difficulty.
- Utilizing data from the 2022 National Health Interview Survey (NHIS).
Main Methods:
- Analysis of the 2022 National Health Interview Survey (NHIS) dataset.
- Inclusion of adults aged 18 and older, excluding retired or self-employed individuals.
- Multivariable logistic regression to assess unemployment odds based on vision, education, race, and demographics.
Main Results:
- Severe vision difficulty was associated with increased unemployment odds (OR 3.68).
- Lower educational attainment (less than high school: OR 6.05; high school: OR 3.80) significantly increased unemployment risk.
- Asian and Black race were also associated with higher unemployment odds.
Conclusions:
- Visual impairment substantially affects employment, consistent with prior research.
- Educational attainment is a critical, modifiable factor influencing employment opportunities for individuals with visual impairment.
- Targeted educational interventions can improve employment outcomes for the visually impaired population.

