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

Tools and guides
Decision-support for Communicating about Invisible Disabilities that are Episodic (DCIDE)
Published: December 13, 2024

At Work article
A new tool to help workers make health disclosure decision
IWH’s new tool, called DCIDE, is designed for workers with chronic and episodic conditions.
Published: December 9, 2024

Research Highlights
Examining the link between job insecurity, work limitations and persistent symptoms among young adults with rheumatic disease
Young adults with rheumatic disease who reported high work activity limitations were also more likely to report persistent high levels of pain, fatigue and active rheumatic disease symptoms. Those who experienced job insecurity were more likely to report persistent pain and active disease symptoms. That's according to an IWH follow-up study conducted over 27 months.
Published: August 2022
Journal article
Journal article
Workers' activity profiles associated with predicted 10-year cardiovascular disease risk
Published: Journal of the American Heart Association, June 2022
Project
Project
What are the long-term health and labour market outcomes of workers who experienced work-related COVID-19 transmission?
This project fills an important knowledge gap by determining the health and return-to-work outcomes of Canadians who acquired COVID-19 at work.
Status: Ongoing
IWH in the media
IWH in the media
Rethinking Pain - A CRAM Ideas Podcast episode
Why do we feel pain long after an injury has healed? Do I feel pain differently than you? How does culture affect our perception of pain? And what’s the most effective way to treat the pain that doesn’t stop? CRAM Ideas host Mary Ito speaks with Dr. Andrea Furlan, a leading expert on pain.
Published: March 2022
Journal article
Journal article
Occupational exposure to wood dust and the burden of nasopharynx and sinonasal cancer in Canada
Published: International Journal of Environmental Research and Public Health, January 2022
Journal article
Journal article
Rheumatic disease disclosure at the early career phase and its impact on the relationship between workplace supports and presenteeism
Published: Arthritis Care & Research, January 2022

At Work article
Study probes factors behind poorer health, lower employment in injured workers’ post-claim experience
What are the work and health outcomes of injured workers after they no longer receive workers' compensation benefits or services? A study at IWH sets out to explore this little understood aspect of the post-injury experience.
Published: November 2021

IWH in the media
How workplaces can support staff with MS
Canada has one of the highest rates of multiple scleroris and employers need to do more to accommodate, according to Julie Kelndorfer of MS Society of Canada. Maia Foulis interviews her about what workplaces can do to be safe and welcoming to people with the condition, and why the society is a partner on an Institute for Work & Health research project on communicating about episodic disability.
Published: Canadian Occupational Safety, September 2021

IWH in the media
Lack of support at work makes COVID worse for people with disabilities
The coronavirus pandemic has negatively affected plenty of employees. But for those with physical or mental health challenges, a lack of support on the job has exacerbated the issues. John Dujay reports on a study conducted by Dr. Monique Gignac of the Institute for Work and Health (IWH).
Published: Canadian HR Reporter, August 2021

At Work article
COVID worries highest among workers with both physical, mental health disabilities
People with both physical and mental health disabilities were the most concerned about their work, health and finances during the early part of the pandemic.
Published: July 2021