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

Three people in business attire talk in a hallway
Impact case study

Word spreads about IWH tools, thanks to stakeholders' support

Since the release of two tools designed to support the sustained employment of people with chronic and episodic conditions, word has spread quickly, thanks to organizations that promoted the tools and helped them reach the hands of workers, employers and post-secondary students.
Published: October 16, 2025
An overhead shot of a boardroom table full of people
At Work article

IWH knowledge transfer and exchange approach a ‘perfect fit’ for episodic disabilities project

This article illustrates how a seven-year partnership project used IWH’s approach to KTE to develop and share usable outputs from the research findings.
Published: September 8, 2025
LexisNexis logo
IWH in the media

Age and length of disability for eight chronic conditions

Does an aging American workforce mean more time lost due to chronic conditions such as arthritis, cancer, chronic pulmonary disease, coronary artery disease, diabetes, depression, hypertension, and low back pain?
Published: LexisNexis Legal Newsroom/Workers' Compensation Law, April 2016
Journal article
Journal article

Comparing the relationship between age and length of disability across common chronic conditions

Published: Journal of Occupational and Environmental Medicine, January 2016
NSC Safety + Health
IWH in the media

Working with arthritis

Employees with arthritis may have limitations, but accommodations can help, according to an article that cites a study by Institute for Work & Health (IWH)'s Dr. Monique Gignac.
Published: Safety + Health, January 2016
NSC Safety + Health
IWH in the media

Benefits, accommodations help arthritis sufferers at work

Providing workplace benefits and accommodations to employees suffering from arthritis can help them maintain concentration and the pace of work, the Institute for Work & Health said in recognition of Arthritis Awareness Month in Canada.
Published: Safety + Health, September 2015
Benefits Canada logo
IWH in the media

Workplace supports help employees with arthritis

Canadians who have difficulty working because of their arthritis report fewer job disruptions when they use workplace supports, says a study by the Institute for Work & Health (IWH).
Published: Benefits Canada, September 2015
A woman grimaces while holding her back
At Work article

Employer supports improve function and productivity of workers with arthritis

Study finds not everyone needs accommodation, and that different accommodations meet the needs of different individuals
Published: February 2015
Project
Project

Understanding employment transitions among people living with arthritis across the life course

Taking a life-course approach, an IWH research team explored the unique employment-related experiences and needs of people living with arthritis at different stages of their lives and careers.
Status: Completed 2017
Project
Project

Developing an evidence base on sex/gender differences in the relationship between working conditions and injury risk, chronic illnesses and return to work

Are there important male and female differences in the assessment of work stress, the biological and behavioural reactions to work stress, and the relationship between work stress and risk of subsequent disease? This IWH study expects to find out.
Status: Completed 2018
Project
Project

Understanding the relationship between osteoarthritis and work: a systematic review

An IWH systematic review team took a look at the research to ascertain the level and quality of evidence for a causal relationship between work-related activities/exposures and the development of osteoarthritis.
Status: Completed 2018
Silhouettes of a man and a woman looking straight ahead
At Work article

IWH to explore how work affects health of women and men differently

New research chair explores role of gender and sex in work injury risk, recovery, chronic disease outcomes
Published: November 2014