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Workplace accommodations for low-wage workers: A scoping review.

Randi McArthur1, Jessica Williams1, Shawn Kneipp1

  • 1School of Nursing, University of North Carolina at Chapel Hill, USA.

Work (Reading, Mass.)
|February 20, 2025
PubMed
Summary

Low-wage workers face significant health challenges due to their jobs. This review highlights the need for more research on work accommodations to reduce health inequities for these vulnerable populations.

Keywords:
chronic conditionchronic diseasechronic illnesssocioeconomic disadvantagesocioeconomic disparities in healthworkforceworking conditionsworkplace

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Area of Science:

  • Occupational Health
  • Health Equity
  • Socioeconomic Determinants of Health

Background:

  • Low-wage workers disproportionately experience chronic conditions due to socioeconomic factors and hazardous work environments.
  • Factors contributing to poorer health include occupational hazards, high physical demands, stress, and limited access to healthcare and paid sick leave.
  • Work accommodations are workplace modifications designed to mitigate health-related limitations for employees with chronic conditions.

Purpose of the Study:

  • To conduct a scoping review identifying global knowledge on work accommodations for low-wage workers.
  • To synthesize existing literature on the implementation and effectiveness of workplace adjustments for this demographic.

Main Methods:

  • Systematic literature search conducted in PubMed, CINAHL, and Scopus databases up to July 2024.
  • PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) protocol followed for literature screening and data abstraction.
  • Inclusion criteria focused on studies incorporating work accommodations and reporting findings specific to low-wage workers.

Main Results:

  • The systematic search yielded 473 citations, with 14 studies meeting the inclusion criteria.
  • A variety of health conditions were represented across the included studies.
  • The majority of studies employed descriptive designs, with over half utilizing a qualitative approach to explore work accommodations.

Conclusions:

  • Further research is essential to understand low-wage workers' experiences with requesting and receiving work accommodations.
  • Work accommodations represent a crucial intervention point for improving health outcomes, reducing work limitations, and addressing health inequities in populations with chronic health conditions.