Working Conditions and Wellbeing Among Prison Nurses During the COVID-19 Pandemic in Comparison to Community Nurses

Details

• Personal Author:
  Chantarat T ; Dill J ; Enns EA ; Hardeman RR ; McGovern, Patricia M. ; Myers SL Jr.
• Description:
  In the United States (US), Black-particularly Black female-healthcare workers are more likely to hold occupations with high job demand, low job control with limited support from supervisors or coworkers and are more vulnerable to job loss than their white counterparts. These work-related factors increase the risk of hypertension. This study examines the extent to which occupational segregation explains the persistent racial inequity in hypertension in the healthcare workforce and the potential health impact of workforce desegregation policies. We simulated a US healthcare workforce with four occupational classes: health diagnosing professionals (i.e., highest status), health treating professionals, healthcare technicians, and healthcare aides (i.e., lowest status). We simulated occupational segregation by allocating 25-year-old workers to occupational classes with the race- and gender-specific probabilities estimated from the American Community Survey data. Our model used occupational class attributes and workers' health behaviors to predict hypertension over a 40-year career. We tracked the hypertension prevalence and the Black-white prevalence gap among the simulated workers under the staus quo condition (occupational segregation) and the experimental conditions in which occupational segregation was eliminated. We found that the Black-white hypertension prevalence gap became approximately one percentage point smaller in the experimental than in the status quo conditions. These findings suggest that policies designed to desegregate the healthcare workforce may reduce racial health inequities in this population. Our microsimulation may be used in future research to compare various desegregation policies as they may affect workers' health differently. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Communicable Diseases Healthcare Disparities Health Personnel Occupational Health Race Factors Safety Sex Characteristics Stress, Psychological
• Keywords:
  Author Keywords: Occupational Segregation Blood Pressure COVID-19 Gender Factors Health Care Workers Healthcare Workers Health Disparities Hypertension Job Stress Microsimulation Occupational Sociology Policy Racial Factors

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• ISSN:
  2520-8411
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Minnesota ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  267-282
• Volume:
  5
• Issue:
  4
• NIOSHTIC Number:
  nn:20066011
• Citation:
  J Econ Race Policy 2022 Dec; 5(4):267-282
• Contact Point Address:
  Tongtan Chantarat, Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, 55455, USA
• Email:
  chant083@umn.edu
• Federal Fiscal Year:
  2023
• Performing Organization:
  University of Minnesota Twin Cities
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Economics, Race, and Policy
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8d3555a688e55ea63f6bb7fb9facc34c72b329aeeb1780e31e6b1bf540905e65deaf0e2cc61085d189c0fc074371ce99fa24abaed42c9299f248862bf091b5e8
• Download URL:
  https://stacks.cdc.gov/view/cdc/209099/cdc_209099_DS1.pdf
• File Type:
  [PDF - 1.07 MB ]