Evidence map›Paper›PMID 42032441›Full record

ArticleJournal of occupational rehabilitation2026

Working with a Chronic Health Condition: Is Choosing Not to Disclose the Same as Hiding Information?

Monique A M Gignac, Marta Pienkowski, Julie Bowring

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of occupational rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Monique A M GignacInstitute for Work and Health, 400 University Avenue, Suite 1800, Toronto, ON, M5G 1S5, Canada. mgignac@iwh.on.ca.ORCID http://orcid.org/0000-0003-4445-3274
Marta PienkowskiInstitute for Work and Health, 400 University Avenue, Suite 1800, Toronto, ON, M5G 1S5, Canada.
Julie BowringInstitute for Work and Health, 400 University Avenue, Suite 1800, Toronto, ON, M5G 1S5, Canada.

Funding

CIHR #890-2016-3002Social Sciences and Humanities Research Council #890-2016-3002
6 · The paper itself

Abstract

BACKGROUND AND

objectivesHiding personal information from others can come at a negative psychological cost. Yet studies on workplace disclosure of a chronic or episodic disability have not differentiated between decisions not to disclose information vs actively hiding information. We examined differences in decisions around nondisclosure and active hiding of health information, and factors associated with these decisions, including workplace support and job impacts.

methodsAn online, cross-sectional survey asked workers with physical and mental health/cognitive conditions creating job limitations (disability) about disclosing and hiding health information from a supervisor. Relationships between disclosure/nondisclosure and hiding/not hiding and their associations with demographic and work context factors, perceptions of disclosure decisions, workplace support, and job outcomes were examined in multinomial regression analyses.

resultsParticipants were 695 workers (51% men) with physical (40%), mental health/cognitive (25%), or both types of conditions (35%). Participants hiding health information (disclosure-hiding 20.9%; no disclosure-hiding 24.0%) were more likely to have mental health/cognitive conditions, avoidance goals, negative workplace perceptions, and report challenges in decision making than those not hiding information (disclosure-no hiding 37.5%; no disclosure-no hiding 17.6%). Those who had disclosed reported more workplace support, but those in the disclosure-hiding group reported more absenteeism, worse productivity, and more job disruptions.

conclusionsThe findings underscore the complexity of working with a disability and that many workers report hiding information from their supervisor. Understanding reasons for nondisclosure and hiding, and its implications, has the potential to improve workplace support provision for workers with disabilities and improve work inclusivity and sustainability.

Indexed as

Chronic diseaseConcealmentDecision-makingDisabilityDisclosureEmploymentHiding informationMental healthPhysical healthSupport

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.