Work ability during the COVID-19 pandemic: A cross-sectional study in a low-income urban setting in Brazil.

Work ability is a subjective concept that reflects the balance between an individual's perception of the physical, mental, and social demands of work and their competence and resources to meet those demands. The COVID-19 crisis significantly impacted health, work, and socioeconomic conditions w...

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Main Authors: Ana Paula Cândido Oliveira, Daniela Alencar Vieira, Cristiane Wanderley Cardoso, Tereza Magalhães, Rosangela Oliveira Anjos, Eduardo José Farias Borges Reis, Kionna Oliveira Bernardes Santos, Guilherme Sousa Ribeiro
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0328127
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author Ana Paula Cândido Oliveira
Daniela Alencar Vieira
Cristiane Wanderley Cardoso
Tereza Magalhães
Rosangela Oliveira Anjos
Eduardo José Farias Borges Reis
Kionna Oliveira Bernardes Santos
Guilherme Sousa Ribeiro
author_facet Ana Paula Cândido Oliveira
Daniela Alencar Vieira
Cristiane Wanderley Cardoso
Tereza Magalhães
Rosangela Oliveira Anjos
Eduardo José Farias Borges Reis
Kionna Oliveira Bernardes Santos
Guilherme Sousa Ribeiro
author_sort Ana Paula Cândido Oliveira
collection DOAJ
description Work ability is a subjective concept that reflects the balance between an individual's perception of the physical, mental, and social demands of work and their competence and resources to meet those demands. The COVID-19 crisis significantly impacted health, work, and socioeconomic conditions worldwide. However, few studies have examined work ability in disadvantaged urban communities during this period. To analyze factors associated with work ability within the context of social vulnerability during the COVID-19 pandemic, we conducted a cross-sectional study in a low-income neighborhood in Salvador, Brazil, between February and June 2022. Sociodemographic, health, and labor data were collected, and work ability was assessed using the Work Ability Index (WAI), a widely used tool for evaluating work ability. Multivariable analyses based on a hierarchical model were run to investigate factors associated with low WAI scores. The study included 292 workers aged ≥16 years (59.6% women; median age 41 years). Most workers (84.6%) were classified as having adequate work ability based on their WAI scores. Multivariable analyses found that inadequate work ability was more frequent among women (prevalence ratio [PR]: 1.89, 95% confidence interval [CI]: 1.02-3.48), individuals who self-rated their health as moderate/good (PR: 5.91; 95% CI: 1.45-24.05) or poor/very poor (PR: 21.62; 95% CI: 5.14-90.91) compared to those with excellent/very good health, and those reporting diabetes (PR: 2.1; 95% CI: 1.13-3.9). Working >40 hours per week (PR: 0.47; 95% CI: 0.28-0.96) was negatively associated with inadequate work ability, suggesting that individuals with adequate work ability may be selected for longer working hours. A history of COVID-19 was not associated with inadequate work ability. These findings suggest that targeted interventions to improve work ability in low-income communities should prioritize women and workers with chronic health conditions, such as diabetes.
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spelling doaj-art-e2b00903062c465b995287229cd61e8c2025-08-20T02:40:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01207e032812710.1371/journal.pone.0328127Work ability during the COVID-19 pandemic: A cross-sectional study in a low-income urban setting in Brazil.Ana Paula Cândido OliveiraDaniela Alencar VieiraCristiane Wanderley CardosoTereza MagalhãesRosangela Oliveira AnjosEduardo José Farias Borges ReisKionna Oliveira Bernardes SantosGuilherme Sousa RibeiroWork ability is a subjective concept that reflects the balance between an individual's perception of the physical, mental, and social demands of work and their competence and resources to meet those demands. The COVID-19 crisis significantly impacted health, work, and socioeconomic conditions worldwide. However, few studies have examined work ability in disadvantaged urban communities during this period. To analyze factors associated with work ability within the context of social vulnerability during the COVID-19 pandemic, we conducted a cross-sectional study in a low-income neighborhood in Salvador, Brazil, between February and June 2022. Sociodemographic, health, and labor data were collected, and work ability was assessed using the Work Ability Index (WAI), a widely used tool for evaluating work ability. Multivariable analyses based on a hierarchical model were run to investigate factors associated with low WAI scores. The study included 292 workers aged ≥16 years (59.6% women; median age 41 years). Most workers (84.6%) were classified as having adequate work ability based on their WAI scores. Multivariable analyses found that inadequate work ability was more frequent among women (prevalence ratio [PR]: 1.89, 95% confidence interval [CI]: 1.02-3.48), individuals who self-rated their health as moderate/good (PR: 5.91; 95% CI: 1.45-24.05) or poor/very poor (PR: 21.62; 95% CI: 5.14-90.91) compared to those with excellent/very good health, and those reporting diabetes (PR: 2.1; 95% CI: 1.13-3.9). Working >40 hours per week (PR: 0.47; 95% CI: 0.28-0.96) was negatively associated with inadequate work ability, suggesting that individuals with adequate work ability may be selected for longer working hours. A history of COVID-19 was not associated with inadequate work ability. These findings suggest that targeted interventions to improve work ability in low-income communities should prioritize women and workers with chronic health conditions, such as diabetes.https://doi.org/10.1371/journal.pone.0328127
spellingShingle Ana Paula Cândido Oliveira
Daniela Alencar Vieira
Cristiane Wanderley Cardoso
Tereza Magalhães
Rosangela Oliveira Anjos
Eduardo José Farias Borges Reis
Kionna Oliveira Bernardes Santos
Guilherme Sousa Ribeiro
Work ability during the COVID-19 pandemic: A cross-sectional study in a low-income urban setting in Brazil.
PLoS ONE
title Work ability during the COVID-19 pandemic: A cross-sectional study in a low-income urban setting in Brazil.
title_full Work ability during the COVID-19 pandemic: A cross-sectional study in a low-income urban setting in Brazil.
title_fullStr Work ability during the COVID-19 pandemic: A cross-sectional study in a low-income urban setting in Brazil.
title_full_unstemmed Work ability during the COVID-19 pandemic: A cross-sectional study in a low-income urban setting in Brazil.
title_short Work ability during the COVID-19 pandemic: A cross-sectional study in a low-income urban setting in Brazil.
title_sort work ability during the covid 19 pandemic a cross sectional study in a low income urban setting in brazil
url https://doi.org/10.1371/journal.pone.0328127
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