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
Journal article
Journal article
Health care providers' experiences and perceptions participating in a chronic pain telementoring education program: a qualitative study
Published: Canadian Journal of Pain, January 2020

Impact case study
IWH researchers help MPs examine episodic disabilities and work issues
IWH senior scientists presented expert testimony to a federal standing committee looking at the needs of people with episodic disabilities—an example of how research can support policy-makers in addressing important societal issues.
Published: November 2019
Journal article
Journal article
Exposure to crystalline silica in Canadian workplaces and the risk of kidney cancer
Published: Occupational and Environmental Medicine, September 2019

Research Highlights
Comparing the retirement expectations of older workers with and without chronic conditions
Workers with arthritis and diabetes, despite their health difficulties, have similar retirement plans as their healthy peers. Yet workers with chronic conditions are more likely than their healthy peers to report having retired previously and returned to work, often in part-time positions.
Published: August 2019

At Work article
Despite pain and fatigue, older workers with chronic conditions want to work to age 65
Having a health condition or a chronic disease can be challenging for older workers, but it doesn't necessarily decrease their desire to work and retire at about the same age as healthy peers, finds an IWH study of retirement expectations.
Published: July 2019

At Work article
Psychosocial work conditions linked with both positive and negative mental health
Greater job control, job security and social support at work not only lower the risks of mental disorders; they may also raise the likelihood of flourishing mental well-being.
Published: July 2019

At Work article
Raising awareness about caregiver supports results in savings for employer: study
It's one thing to have workplace policies to support employees with unpaid caregiving duties at home. It's another to raise awareness about such policies among staff and their supervisors. That alone can result in savings for the employer, according to a new cost-benefit analysis.
Published: July 2019
Journal article
Journal article
Dermatitis among workers in Ontario: results from the Occupational Disease Surveillance System
Published: Occupational and Environmental Medicine, July 2019

Research Highlights
Psychosocial work conditions and mental health
Having positive mental health is not the same as having no mental illness. The two are related, but distinct, concepts. A study by IWH suggests that better psychosocial work conditions—greater job security, job control and social support—can have greater influence on one more than the other.
Published: June 2019

Research Highlights
Gender differences in the impact of eldercare on work
Women are much more likely than men to stop working, to work part time and to temporarily take time off work in order to care for an older relative. These differences are seen even after taking into account factors such as marital status, having children, hours of work, pay level, job tenure, and status as main wage earner in the household.
Published: June 2019