This research paper investigates the prevalence of functional limitations among employed adults in the United States and the association between these limitations and medical conditions. The authors administered a survey adapted from the Dutch Functional Abilities List to a nationally representative sample of US adults ages 22 and older, finding that nearly three-quarters of working adults report at least one functional limitation, with an average of nearly six functional limitations per working adult. The most common limitations were in upper body strength and torso range of motion, and with respect to the ambient environment. The study also found that mental illness, arthritis, and substance use disorder are associated with the greatest number of functional limitations in working adults. The findings have implications for economic performance, workforce planning, and social policies to support displaced and vulnerable workers with significant functional limitations. Identifying the occupations and industries with large numbers of workers with functional limitations is critical to addressing short-term labor supply disruptions (e.g., public health crises) and preparing for longer-term workforce needs (e.g., long-term care workers for an aging population).

中文翻译：

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美国劳动力中功能受限的普遍性

本研究论文调查了美国就业成年人中功能受限的患病率以及这些受限与医疗条件之间的关联。作者进行了一项根据荷兰功能能力清单改编的调查，对 22 岁及以上的美国成年人的全国代表性样本进行了调查，发现近四分之三的在职成年人报告至少一种功能限制，平均每个在职成年人有近六种功能限制。最常见的限制是上半身力量和躯干运动范围，以及周围环境。该研究还发现，精神疾病、关节炎和物质使用障碍与在职成年人中最多的功能限制有关。这些发现对经济表现、劳动力规划和社会政策具有影响，以支持功能严重受限的流离失所和弱势工人。确定拥有大量功能受限工人的职业和行业对于解决短期劳动力供应中断（例如公共卫生危机）和为长期劳动力需求（例如，老龄化人口的长期护理工作者）做好准备至关重要。