Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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Effect of Disability Types by Disability Severity Levels on Employment: Based on the Employment Panel Survey for the Disabled

장애 중증도 수준에 따른 장애 유형이 고용에 미치는 영향: 장애인고용패널조사를 중심으로

  • Choi, Junhyeok (Dept. of Education & Training, Wonju Health System, Yonsei University) ;
  • Lee, Jisoo (Dept. of Medicine, Wonju College of Medicine, Yonsei University) ;
  • Chung, Sunwoo (Team of Education & Training, Samsung Medical Center) ;
  • Oh, Sung Soo (Dept. of Occupational & Environmental Medicine, Wonju College of Medicine, Yonsei University) ;
  • Jo, Hoon (Artificial Intelligence Big Data Medical Center, Wonju College of Medicine, Yonsei University)
  • 최준혁 (연세대학교 원주연세의료원 교육수련부) ;
  • 이지수 (연세대학교 원주의과대학 의학과) ;
  • 정선우 (삼성서울병원 교육수련팀) ;
  • 오성수 (연세대학교 원주의과대학 직업환경의학교실) ;
  • 조훈 (연세대학교 원주의과대학 인공지능빅데이터의학센터)
  • Received : 2021.11.19
  • Accepted : 2022.03.08
  • Published : 2022.05.31
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Abstract

Objective : The purpose of this study is to examine the relationship with employment of the disabled considering the severity and the type of disability. Methods : Data from the 4th data of the 2nd wave Panel Survey of Employment for the Disabled (PSED) by Korea Employment Agency for Persons with Disabilities (KEAD) were used. The odds ratio of employment in disability types according to severity of disability was calculated by logistic regression analysis. Results : When the related variables were adjusted, the employment of internal disability type was significantly lower than that of external disability type by 0.413(95% CI:0.271-0.629) times in the group with severe disability. On the other hand, in the group with less severe disability, internal disability was 0.475(95% CI:0.327-0.690) times lower than that of external disability (p=<.001). Conclusions : Employment may vary depending on the type of disability, even if the disability severity level is the same. It is necessary to prepare judgment criteria that can reduce the variation in employment by considering both the type and severity of the disability.

목적 : 본 연구의 목적은 장애 중증도 수준뿐만 아니라 장애 유형 또한 함께 고려하여 장애인의 고용현황을 분석함으로써 기존의 장애 중증도 수준에 기반한 의학적 손상을 기준으로 하여 직업적 능력을 고려하는 것에 한계가 있음을 지적하는 데에 있다. 연구방법 : 장애인고용공단(2019)에서 조사한 장애인 고용패널조사 2차 웨이브 4차 조사 자료를 사용하였다. 독립변수는 장애인의 장애 중증도와 장애 유형, 종속변수는 고용여부로 하여 장애 중증도에 따른 장애 유형의 고용가능성 오즈비를 로지스틱 회귀분석으로 산출하였다. 결과 : 장애정도가 심한 군은 고용가능성은 관련 변수들을 보정했을 때, 신체외부장애 유형에 비해 신체내부장애의 고용가능성이 0.413(95% CI: 0.271-0.629)배로 유의하게 낮았고(p<.001), 장애정도가 심하지 않은 군에서는 신체외부장애에 비해 신체내부장애가 0.475(95% CI: 0.327-0.690)배로 고용가능성이 낮았다(p<.001). 결론 : 장애 중증도 수준이 같다 하더라도 장애 유형에 따라 고용가능성이 달라질 수 있음을 확인하였다. 장애 유형과 중증도를 모두 고려하여 고용가능성의 편차를 줄일 수 있는 판정 기준의 마련이 필요하다.

Keywords

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