Chronic conditions and work

Chronic conditions refer to diseases and health conditions that last a long time and generally progress slowly. Although they can occur at any age, they become more common later in life. They are often invisible, sometimes episodic (i.e. they come and go) and often characterized by fluctuating symptoms that leave people disabled one day and functional the next. Examples of chronic diseases include arthritis, diabetes, chronic pain, depression and fibromyalgia. IWH research in this area focuses on the effects of chronic disease on work participation and productivity, as well as the effectiveness of job accommodations, benefits and other programs to ensure workers with chronic disease can stay at, or return to, work.

Featured

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Impact case study

Dorcas Beaton: How a passion for MSD outcome measures made a difference in the world of work and beyond

Sometimes, an IWH scientist’s work impacts go beyond the work and health field. That is the case for Dr. Dorcas Beaton, retired IWH senior scientist whose expertise developed through work and health research spread to the broader field of clinical health outcomes.
Published: August 7, 2026
Canadian HR Reporter logo
IWH in the media

'Dr. TikTok is a real problem here'

Workplace disability support in Canada is growing in volume and complexity, and while organizations are making real progress on accessibility, new tensions are emerging around mental health, remote work and what workers expect from the accommodation process. Sarah Dobson reports on findings from a recent IWH Speaker Series presentation.
Published: Canadian HR Reporter, October 2026
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IWH in the media

Remote work emerges as a flashpoint in workplace accommodation study

A new qualitative study from the Institute for Work & Health (IWH) has found that fully remote work has become one of the most contested issues in Canadian workplace disability accommodation, with human resources staff, union representatives and disability managers split on whether it should count as an accommodation at all. Shane Mercer reports on the findings shared at a recent IWH Speaker Series webinar.
Published: Canadian Occupational Safety, October 2026
IWH Speaker Series
IWH Speaker Series

On mental health, remote work and shared accountability: Complex and evolving perspectives on workplace support and accommodation

Much has changed in recent years in the way workers and employers view workplace disability support and accommodation. Conversations around seeking and providing support have become more complex, while the number of support requests have risen and expectations around support provision have evolved. In this presentation, Dr. Monique Gignac shares the perspectives heard in her recent study based on interviews with HR professionals, disability managers, union representatives, OHS professionals, and managers.
Published: September 2026
European Committee for Treatment and Research in MS (ECRTRIMS) logo
IWH in the media

Working with MS: Navigating disclosure, support and change

A multiple sclerosis diagnosis can arrive just as a career is taking off. But an MS diagnosis does not necessarily mean giving up work. With the right support, adjustments and information, many people can continue to build fulfilling careers. Because people living with MS often say they want to stay in work for all kinds of reasons, from financial security to their own sense of worth. ECTRIMS Community Voices speaks to Dr. Monique Gignac about what people and organizations can do to create more supportive working lives.
Published: ECTRIMS Community Voice Series, September 2026
A halftone collage illustrating different types of measurement instruments
Impact case study

Dorcas Beaton: How a passion for MSD outcome measures made a difference in the world of work and beyond

Sometimes, an IWH scientist’s work impacts go beyond the work and health field. That is the case for Dr. Dorcas Beaton, retired IWH senior scientist whose expertise developed through work and health research spread to the broader field of clinical health outcomes. Her career focused on the measurement of upper extremity musculoskeletal disorders (MDSs)—notably, the widely used DASH Outcome Measure—and the adoption of common outcomes in rheumatology treatment and research.
Published: August 2026
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Research Highlights

Nearly half of workers with disabilities hide impact of health condition on work

The decision to not disclose and the decision to actively hide information about the impact of a health condition on work are distinct. This study explores how often people hide health information at the workplace, who is likely to do so, or what the impacts may be.
Published: August 2026
Journal article
Journal article

Talking about health at work: a qualitative study of worker disclosures to co-workers

Published: Disability and Rehabilitation, July 2026
Journal article
Journal article

Working with a chronic health condition: is choosing not to disclose the same as hiding information?

Published: Journal of Occupational Rehabilitation, April 2026
Journal article
Journal article

Income after cancer across gender and age among Canadian adolescents and young adults

Published: Journal of the National Cancer Institute, January 2026