Proposing a social ecological approach to address disparities in occupational exposures and health for low-wage and minority workers employed in small businesses.

Proposing a social ecological approach to address disparities in occupational exposures and health for low-wage and minority workers employed in small businesses.
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提出一种社会生态学方法,以解决小型企业雇用的低薪和少数族裔工人的职业暴露和健康方面的差异。

DOI:
10.1038/s41370-021-00317-5
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发表时间:
2021-05
影响因子:
4.5
通讯作者:
Beamer PI
Beamer PI
中科院分区:
医学3区
文献类型:
--
作者:
Ingram M;Wolf AMA;López-Gálvez NI;Griffin SC;Beamer PI

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职业病和职业伤害是美国第八大死亡原因。低工资和少数族裔工人更有可能在危险行业工作,因此面临更大的风险。特别是在小企业部门,低工资和少数民族工人的健康受到多种复杂和相互关联的因素的威胁,这些因素增加了他们受伤、死亡甚至慢性病的风险。COVID-19大流行加剧了这些担忧,因为许多低工资和少数族裔工人是必不可少的工人,许多小企业在几乎没有指导的情况下重新开业。本文介绍了与工作有关的健康风险,并回顾了目前的研究,职业和社会生态的方法,以改善健康的少数民族和低工资工人主要受雇于小企业。我们提出了一个概念框架,将社会生态模型与控制层次结构相结合,以解决低工资和少数民族工人特别是在小企业部门与工作有关的健康问题。建议采取以社区为基础的战略,让小企业主和工人参与解决他们的迫切需要,同时逐步实现可持续的政策变革。这些策略对于小企业在持续的大流行中重新开业尤为重要。
Occupational disease and injuries are the 8th leading cause of death in the United States. Low-wage and minority workers are more likely to work in hazardous industries and are thus at greater risk. Within the small business sector, in particular, the health of low-wage and minority workers is threatened by a multitude of complex and interrelated factors that increase their risk for injuries, death, and even chronic disease. The COVID-19 pandemic has amplified these concerns, as many low-wage and minority workers are essential workers, and many small businesses are reopening with little to no guidance. The article describes work-related health risks and reviews current research on occupational and social ecological approaches to improving the health of minority and low-wage workers primarily employed by small businesses. We propose a conceptual framework that integrates the social ecological model with the hierarchy of controls to address work-related health among low-wage and minority workers specifically in the small business sector. Community-based strategies are recommended to engage small business owners and workers in efforts to address their immediate needs, while building towards sustainable policy change over time. These strategies are of particular importance as small businesses reopen in the ongoing pandemic.
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