Racial disparities in job strain among American and immigrant long-term care workers

Details

• Alternative Title:
  Int Nurs Rev
• Personal Author:
  Hurtado, David A. ; Sabbath, Erika L. ; Ertel, Karen A. ; Buxton, Orfeu M. ; Berkman, Lisa F. ; Cabot, Thomas D.
• Description:
  Background
  
  Nursing homes are occupational settings, with an increasing minority and immigrant workforce where several psychosocial stressors intersect.
  
  Aim
  
  To examine racial/ethnic differences in job strain between Black (n=127) and White (n=110) immigrant and American direct-care workers at nursing homes (total n=237).
  
  Methods
  
  Cross-sectional study with data collected at four nursing homes in Massachusetts, during 2006-2007. We contrasted Black and White workers within higher-skilled occupations such as Registered Nurses (RNs) or Licensed Practical Nurses (LPNs, n=82) and lower-skilled staff such as Certified Nursing Assistants (CNAs, n=155).
  
  Results
  
  Almost all Black workers (96 percent) were immigrants. After adjusting for demographic and occupational characteristics, Black employees were more likely to report job strain, compared to Whites (Relative Risk [RR]: 2.9, 95% CI 1.3 to 6.6). Analyses stratified by occupation showed that Black CNAs were more likely to report job strain, compared to White CNAs (RR: 3.1, 95% CI: 1.0 to 9.4). Black workers were also more likely to report low control (RR: 2.1, 95% CI: 1.1 to 4.0). Additionally, Black workers earned $2.58 less per hour and worked 7.1 more hours per week on average, controlling for potential confounders.
  
  Conclusion
  
  Black immigrant workers were 2.9 times more likely to report job strain than Whites, with greater differences among CNAs. These differences may reflect organizational and job characteristics, individual characteristics, or potentially interpersonal or institutional racial or ethnic discrimination. Further research should consider the role of race/ethnicity in shaping patterns of occupational stress.
  
  
• Subjects:
  Adult Black Or African American Cross-Sectional Studies Emigrants And Immigrants Female Health Status Disparities Humans Male Nurses' Aides Nursing, Practical Occupational Diseases Regression Analysis Stress, Psychological White People

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• Source:
  Int Nurs Rev. 59(2):237-244.
• Pubmed ID:
  22591096
• Pubmed Central ID:
  PMC3622248
• Document Type:
  Journal Article
• Funding:
  R01 HL107240/HL/NHLBI NIH HHS/United States ; R01HL107240/HL/NHLBI NIH HHS/United States ; U01 AG027669/AG/NIA NIH HHS/United States ; U01 HD051217/HD/NICHD NIH HHS/United States ; U01 HD051218/HD/NICHD NIH HHS/United States ; U01 HD051256/HD/NICHD NIH HHS/United States ; U01 HD051276/HD/NICHD NIH HHS/United States ; U01 HD059773/HD/NICHD NIH HHS/United States ; U01AG027669/AG/NIA NIH HHS/United States ; U01HD051217/HD/NICHD NIH HHS/United States ; U01HD051218/HD/NICHD NIH HHS/United States ; U01HD051256/HD/NICHD NIH HHS/United States ; U01HD051276/HD/NICHD NIH HHS/United States ; U01HD059773/HD/NICHD NIH HHS/United States ; U01OH008788/OH/NIOSH CDC HHS/United States
• Place as Subject:
  Africa ; Massachusetts ; West Indies
• Volume:
  59
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:cce21bd67408210e8a6587f459394f919bcf3f7f3bbfe7aa65b01c77c1b8b4d7
• Download URL:
  https://stacks.cdc.gov/view/cdc/33539/cdc_33539_DS1.pdf
• File Type:
  [PDF - 299.73 KB ]