The Role of Labor Unions in Creating Working Conditions That Promote Public Health

The Role of Labor Unions in Creating Working Conditions That Promote Public Health
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DOI:
10.2105/ajph.2016.303138
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发表时间:
2016-06-01
影响因子:
12.7
通讯作者:
Hagopian, Amy
Hagopian, Amy
中科院分区:
医学2区
文献类型:
--
作者:
Hagedorn, Jenn;Paras, Claudia Alexandra;Hagopian, Amy

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我们试图描绘集体谈判合同如何促进公共健康,而不仅仅是它们对个人、家庭和社区福祉的已知影响。2014年11月,我们创建了一个抽象工具,在太平洋西北部行业的16份工会合同中识别与健康相关的元素。在列举了受合同保护的福利和工作条件后,我们采访了工会组织者和成员,以了解这些如何促进健康。工会合同创造了更高的工资和福利标准、工作时间限制、工作场所危险保护和其他因素。工会还通过鼓励工人的民主参与和社区意识来促进福祉。工会合同在很大程度上没有得到充分利用,但却是公共卫生创新的潜在沃土。公共卫生从业者和工会将通过合作创建复杂的合同来解决健康的社会决定因素,从而受益。
We sought to portray how collective bargaining contracts promote public health, beyond their known effect on individual, family, and community well-being. In November 2014, we created an abstraction tool to identify health-related elements in 16 union contracts from industries in the Pacific Northwest. After enumerating the contract-protected benefits and working conditions, we interviewed union organizers and members to learn how these promoted health. Labor union contracts create higher wage and benefit standards, working hours limits, workplace hazards protections, and other factors. Unions also promote well-being by encouraging democratic participation and a sense of community among workers. Labor union contracts are largely underutilized, but a potentially fertile ground for public health innovation. Public health practitioners and labor unions would benefit by partnering to create sophisticated contracts to address social determinants of health.