title: Disclosure of diagnosis of multiple sclerosis in the workplace positively affects employment status and job tenure.
abstract: For many employees with multiple sclerosis (MS), disclosure of their diagnosis at work is seen as a high-risk strategy that might lead to diminished perceptions of their capabilities by supervisors and colleagues, if not outright discrimination. The consequence of this mistrust surrounding the disclosure process is that employees with MS may leave it until too late to effectively manage symptoms at work.
  
  
  
  The objective of this paper is to statistically evaluate the relationship between disclosure of diagnosis at work and maintenance of employment.
  
  
  
  Three annual, large-sample self-report surveys of MS patients prospectively examined the relationship between disclosure of diagnosis at work and employment status. A total of 1438 people responded to all three surveys. Of employed persons in 2010 (n = 946), 673 also responded to the 2012 survey. Of these 673 respondents 564 were still employed.
  
  
  
  People who had disclosed their MS status to an employer were more likely to remain in employment in Year 3. The effect of disclosure in predicting employment status remained after controlling for age, gender, hours worked and level of disability.
  
  
  
  This study provides the first empirical support for the positive role of disclosure in maintaining employment status, measured both as job retention and tenure in current employment.
authors.affiliation: Department of Management, Monash University, Australia Andrea.Kirk-Brown@monash.edu.
authors.forename: A K
authors.initials: AK
authors.lastname: Kirk-Brown
authors.affiliation: Department of Management, Monash University, Australia.
authors.forename: P A
authors.initials: PA
authors.lastname: Van Dijk
authors.affiliation: Australian MS Longitudinal Study, Canberra Hospital, Australia.
authors.forename: R D
authors.initials: RD
authors.lastname: Simmons
authors.affiliation: Australian MS Longitudinal Study, Canberra Hospital, Australia.
authors.forename: M P
authors.initials: MP
authors.lastname: Bourne
authors.affiliation: Department of Management, Monash University, Australia.
authors.forename: B K
authors.initials: BK
authors.lastname: Cooper
mesh_terms: D000328:Adult; D000368:Aged; D017281:Cost of Illness; D004185:Disability Evaluation; D004192:Discrimination, Psychological; D004651:Employment / Q000523:psychology*; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology*; D011446:Prospective Studies; D057566:Self Report; D012720:Severity of Illness Index; D013997:Time Factors; D014342:Truth Disclosure; D017132:Workplace / Q000523:psychology*; D055815:Young Adult
keywords: Multiple sclerosis; disclosure; employer attitudes; employment status