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
A woman works at a laundry service
At Work article

Precarity more likely for older, new workers with disabilities

An IWH study finds the risks of working in precarious jobs are the same for people with and without disabilities. But among people with disabilities, precarity is more likely when people are older or have less job tenure.
Published: March 2021
Journal article
Journal article

Combined associations of work and leisure time physical activity on incident diabetes risk

Published: American Journal of Preventive Medicine, March 2021
A woman works at a laundry service
Research Highlights

Is precarious work more prevalent for people with disabilities? The role of age and job tenure

Workers with disabilities are no more likely than those without to work in precarious jobs. However, some subsets of people with disabilities are more likely to work in precarious jobs—older people or people with shorter job tenure. Contrary to expectation, younger people with disabilities are not more likely than older people with disabilities to have precarious jobs. Among people with and without disabilities, having better health is linked to a lower likelihood of working in precarious jobs.
Published: February 2021
Two women sharing a confidence at work
At Work article

People’s reasons for disclosing episodic disabilities linked to support they receive

Should people with an episodic disability disclose their condition at work? It's a complex decision. This new study looks at people's reasons for disclosing (or not) and explores whether they are linked to outcomes.
Published: February 2021
Journal article
Journal article
Journal article
Journal article

Online resources supporting workers with chronic episodic disabilities: an environmental scan

Published: International Journal of Workplace Health Management, January 2021
Journal article
Journal article

The working disadvantaged: the role of age, job tenure and disability in precarious work

Published: BMC Public Health, December 2020