Home > Research > Publications & Outputs > Do Area-Level Environmental Factors Influence E...


Text available via DOI:

View graph of relations

Do Area-Level Environmental Factors Influence Employment for People with Disability? A Scoping Review

Research output: Contribution to Journal/MagazineJournal articlepeer-review

  • Nicola Fortune
  • Bernadette Curryer
  • Hannah Badland
  • Jennifer Smith-Merry
  • Alexandra Devine
  • Roger J. Stancliffe
  • Eric Emerson
  • Gwynnyth Llewellyn
Article number9082
<mark>Journal publication date</mark>26/07/2022
<mark>Journal</mark>International Journal of Environmental Research and Public Health
Issue number15
Number of pages16
Publication StatusPublished
Early online date26/07/22
<mark>Original language</mark>English


Employment is an important social determinant of health and wellbeing. People with disability experience labour market disadvantage and have low labour force participation rates, high unemployment rates, and poor work conditions. Environmental factors are crucial as facilitators of or barriers to participation for people with disability. Understanding how the physical, social, and economic characteristics of local areas influence employment for people with disability can potentially inform interventions to reduce employment inequalities. We conducted a scoping review of research investigating associations between area-level environmental factors and employment for people with disability. Eighteen articles published between 2000 and 2020 met the inclusion criteria, and data were extracted to map the current evidence. Area-level factors were categorised into six domains relating to different aspects of environmental context: socioeconomic environment, services, physical environment, social environment, governance, and urbanicity. The urbanicity and socioeconomic environment domains were the most frequently represented (15 and 8 studies, respectively). The studies were heterogeneous in terms of methods and data sources, scale and type of geographic units used for analysis, disability study population, and examined employment outcomes. We conclude that the current evidence base is insufficient to inform the design of interventions. Priorities for future research are identified, which include further theorising the mechanisms by which area-level factors may influence employment outcomes, quantifying the contribution of specific factors, and interrogating specific factors underlying the association between urbanicity and employment outcomes for people with disability.