In what way does health related stigma affect sustainable employment and well-being at work? A systematic review

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Abstract

Purpose:
Studies are increasingly showing that health related stigma is a barrier to employment, but it is not known how. The aim of this systematic review is to identify, appraise and analyse studies that have directly or indirectly addressed ways in which stigma afects sustainable employment and well-being at work of people with disabilities.

Methods:
Using a multiphase screening process, this review is based on a comprehensive literature search (2000–2019) carried out in six electronic databases: Embase, Web of Science, Medline Ovid, Cochrane CENTRAL, PsycINFO and Google Scholar.

Results:
7.263 publications were identifed; 96 studies were found eligible to be included in the review. 72% of the studies were conducted in North America or Europe. Few studies directly assessed how stigma afects the employment of people with disabilities. Most studies highlighted that attitudes and behaviour of employers formed a barrier to employment, as well as anticipated stigma and self-stigma in people with health problems. However, the fndings also showed that the attitudes and behaviour of co-workers, health care professionals, reintegration professionals, customers, and family and friends could act as a barrier to employment although these infuences are under-researched. Although many similarities were seen in the relevant fndings of studies about both physical and mental disabilities, several nuances were found.

Conclusion:
Stigma hampers sustainable employment and well-being in multiple ways. Whereas the number of publications on this topic is rapidly increasing, the roles of health care professionals, reintegration professionals, co-workers, customers, and family and friends particularly warrant more attention.
Original languageEnglish
Number of pages15
JournalJournal of Occupational Rehabilitation
DOIs
Publication statusE-pub ahead of print - 2021

Keywords

  • ANTICIPATED DISCRIMINATION
  • DISCLOSURE
  • Disability
  • Discrimination
  • Employment
  • FOCUS GROUPS
  • MULTIPLE-SCLEROSIS
  • NATIONWIDE SURVEY
  • PEOPLE
  • PSYCHIATRIC DISABILITIES
  • SELF-STIGMA
  • SERIOUS MENTAL-ILLNESS
  • Stigma
  • WORKPLACE
  • Well-being

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