Indigenous children and adolescent mortality inequity in Brazil: What can we learn from the 2010 National Demographic Census?
Indigenous children and adolescent mortality inequity in Brazil: What can we learn from the 2010 National Demographic Census?
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DOI：
10.1016/j.ssmph.2020.100537
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发表时间：
2020-04-01
影响因子：
4.7
通讯作者：
Welch, James R.
中科院分区：
文献类型：
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作者：
Santos, Ricardo Ventura;Borges, Gabriel Mendes;Welch, James R.
有充分证据表明，受过高等教育的员工比受教育程度较低的员工健康状况更好。工作场所被认为是造成这种不平等的一个因素。我们通过询问工作场所健康促进 (WHP) 在多大程度上可以解释教育与健康之间的关系，扩展了之前关于可能影响员工健康的工作场所特征的研究。 WHP 可能与健康不平等相关的两种方式得到解决：受教育程度较高的员工可能比受教育程度较低的员工更有可能使用 WHP，并且 WHP 对受教育程度较高的员工的健康影响可能比受教育程度较低的员工更强。使用欧洲可持续劳动力调查（包含 259 个组织的 11000 多名员工的信息）的数据，我们测试了三种类型的 WHP 是否调解或调节教育与健康之间的关系：健康菜单、体育设施和健康检查。我们发现受过高等教育的员工健康状况更好，并且使用 WHP 与健康呈正相关。在工作场所使用健康菜单和体育设施可能会加剧健康不平等，因为受教育程度较低的员工不太可能使用这些设施。健康检查可能有助于减少健康不平等，因为与受过高等教育的员工相比，受教育程度较低的员工更有可能使用健康检查。 WHP 的效果并不取决于教育。我们建议鼓励受教育程度较低的员工更多地利用 WHP，这有助于减少健康不平等。
It is well-documented that higher educated employees have better health than the lower educated. The workplace has been put forward as a contributor to this inequality. We extend previous work on workplace characteristics that could influence employee health by asking to what extent workplace health promotion (WHP) can account for the relation between education and health. Two ways in which WHP may relate to health inequalities are addressed: higher educated employees may be more likely to use WHP than lower educated employees and the effect of WHP on health may be stronger for higher educated than for lower educated employees. Using data from the European Sustainable Workforce Survey which contains information on over 11000 employees in 259 organisations, we test whether three types of WHP mediate or moderate the relation between education and health: healthy menus, sports facilities and health checks. We find that higher educated employees are in better health and that use of WHP positively relates to health. Use of healthy menus and sports facilities in the workplace can contribute to increasing health inequalities, as lower educated employees are less likely to make use of these. Health checks could contribute to diminishing health inequalities, as lower educated employees are more likely to use them compared to higher educated employees. The effect of WHP is not contingent on education. We advise stimulating lower educated employees to make more use of WHP, which can contribute to decreasing health inequalities.