Predictors of differential employment statuses of adults with multiple sclerosis

Richard T. Roessler · Phillip D. Rumrill · Jian Li · Mykal J. Leslie

49 citations0/0 files storedJournal of Vocational Rehabilitation

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Disability Education and Employment Multiple Sclerosis Research Studies Retirement, Disability, and Employment

Abstract

BACKGROUND: Adults with multiple sclerosis experience high rates of unemployment post-diagnosis even though they continue to have considerable employment potential. OBJECTIVE: The purpose of this study is to identify factors predictive of unemployment among adults with multiple sclerosis and to recommend interventions that increase the probability of full and part-time employment. METHODS: Responding to a national survey of the employment concerns of Americans with multiple sclerosis (MS), participants in this study consisted of 1,839 members of nine National Multiple Sclerosis Society (NMSS) chapters representing 21 states and Washington, DC. RESULTS: The sample included 397 men (22%) and 1,436 women (78%). Older (average age of 54) White (76%) individuals, the majority were unemployed (59%) but well educated (98% were high school graduates, 46% were college graduates). Findings from multinomial logistic regression analyses underscore the complexity involved in predicting who will and will not maintain full and part-time employment while coping with the physical, cognitive, psychological, and support system challenges of multiple sclerosis. CONCLUSION: Younger, better educated individuals with less severe MS and greater financial security were more likely to be involved in full or part-time employment. Early intervention efforts at the worksite are suggested as one means to enable adults with MS to maintain their employment.

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1999Mail and internet surveys 1978Foundations of the Vocational Rehabilitation Process 2007Vocational rehabilitation services for people with multiple sclerosis: what patients want from clinicians and employers 2004Predictors of Employment Status for People with Multiple Sclerosis 2013State vocational rehabilitation services and employment in multiple sclerosis 2001Determinants of Employment Status Among People with Multiple Sclerosis 2004Medical, Pyschological, Social, and Programmatic Barriers to Employment for People with Multiple Sclerosis

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2015Patterns in workplace accommodations for people with multiple sclerosis to overcome cognitive and other disease-related limitations 2020Insights into the Sustainable Return to Work of Aging Workers with a Work Disability: An Interpretative Description Study 2016Closing the gap: Longitudinal changes in employment for Australians with multiple sclerosis 2019Microaggressions experienced by people with multiple sclerosis in the workplace: An exploratory study using Sue’s taxonomy.

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