Relationship Between Socioeconomic Status and Job Accommodation
for Workers with Health Problems in Japan during the COVID-19
Pandemic

Relationship Between Socioeconomic Status and Job Accommodation
for Workers with Health Problems in Japan during the COVID-19
Pandemic

Covid-19
Japan
Socioeconomic status
Job accommodation
Worker

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.
Methods: 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.
Results: Multivariate analysis revealed that the OR for the lack of accommodations from companies was
significantly higher for non-desk jobs than desk jobs (OR¼1.15, 95% CI: 1.04e1.28, p¼0.01). 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
(OR¼1.66, 95% CI: 1.39e1.97, p<0.01). Comparing with firms with 1,000 or more employees, the ORs
were significantly higher for those with fewer than 30 employees (OR¼1.21, 95% CI: 1.05e1.40, p<0.01).
Conclusions: 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

Yu Igarashi 1
, Seiichiro Tateishi 1,*, Arisa Harada 2
, Kosuke Mafune 3
, Mayumi Tsuji 4
,
Akira Ogami 5
, Tomohisa Nagata 6
, Ryutaro Matsugaki 7
, Yoshihisa Fujino 8
, for the
CORoNaWork project

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Disaster Occupational Health Center, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
2Department of Occupational Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
3Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
4Department of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Japan
5Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
6Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental
Health, Japan
7Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Japan
8Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan

10 April 2025

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