慢性健康状况 (CHC) 涉及身体、心理和社会挑战，可能对工作能力产生重大负面影响，进而影响绩效和工作满意度。然而，CHC 对个体经营者的业务运营和维护的各种影响尚未得到充分研究。这项研究检查了四种常见的 CHC，这些疾病的特点是持续出现症状，并可能促使生活发生重大变化：呼吸系统疾病、心脏病、炎症性肠病和癌症生存。各组比较了 CHC 对业务维护（收入和活动下降，业务增长放缓）和福祉的影响。这些 CHC 的 294 名个体经营者样本完成了调查问卷，了解他们的状况如何影响他们的业务、身体症状和福祉。这四家 CHC 对业务维持产生了重大负面影响。炎症性肠病和癌症患者之间报告的收入、活动和生长变化存在差异。不同CHC 的自营职业者的幸福感没有差异。在总体样本中，缺勤和业务增长放缓与幸福感呈负相关。尽管各组在症状严重程度、生命威胁和治疗方案方面存在差异，但 CHC 对大多数业务维持因素和福祉具有相似的影响。此外，结果表明，无法维持业务会对幸福感产生负面影响。© 2024 作者。约翰·威利出版的《压力与健康》

Chronic health conditions (CHCs) involve physical, psychological, and social challenges and can have a significant negative impact on work ability, which can then affect performance and job satisfaction. However, the various effects of CHCs on business operations and maintenance among self-employed workers are understudied. This study examined four common CHCs that are characterised by persistent symptoms and can prompt major life changes: respiratory disease, heart conditions, inflammatory bowel disease, and cancer survivorship. Groups were compared regarding the CHC's impact on business maintenance (declining in income and activity, and slowing business growth), and well-being. A sample of 294 self-employed workers with these CHCs completed questionnaires about how their conditions affect their businesses, physical symptoms, and well-being. The four CHCs had substantial negative effects on business maintenance. Differences were found in reported changes in income, activity, and growth between individuals with inflammatory bowel disease and cancer. No differences in well-being occurred among self-employed people with different CHCs. In the overall sample, work absences and slowing business growth were negatively associated with well-being. Although the groups differed in the severity of symptoms, threat to life, and treatment regimen, the CHCs had similar effects on most business maintenance factors and well-being. Moreover, the results indicate that the inability to maintain a business can negatively affect well-being.© 2024 The Author(s). Stress and Health published by John Wiley & Sons Ltd.