Employment Quality and Mental and Self-Reported Health Inequities among Latinx Housecleaners: The Safe and Just Cleaners Study.

Employment Quality and Mental and Self-Reported Health Inequities among Latinx Housecleaners: The Safe and Just Cleaners Study.
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DOI:
10.3390/ijerph192315973
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发表时间:
2022-11-30
影响因子:
--
通讯作者:
Harari, Homero
Harari, Homero
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Baron, Sherry;Cuervo, Isabel;Winkel, Gary;Flores, Deysi;Gonzalez, Ana;Harari, Homero

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不稳定的就业,如打扫房屋,是造成健康不平等的一个重要的结构性因素。我们使用就业质量(EQ)框架来表征就业条件对纽约市大都会地区拉丁裔房屋清洁工的心理和自我报告的健康不良的影响。采用基于社区的参与式研究方法,收集了402名保洁员在2019年8月至2020年2月期间的横断面调查数据,以表征保洁员的情商及其与抑郁、感知压力和自我报告健康的关系。我们还测量了与工作相关的刺激性眼睛、皮肤和呼吸道症状,先前的研究表明,这些症状与家庭清洁工接触清洁产品的化学成分有关。我们的家庭清洁工主要是女性和移民,大多数人至少工作了五年。调查项目捕捉到不平衡的人际关系、低物质资源和侵犯工人权利等情商维度,与抑郁、感觉到的压力和自我报告的健康不良的几率增加有关。与工作相关的刺激性眼睛、皮肤和呼吸道症状也独立地与精神和自我报告的健康不良有关,情商对健康的一些影响可能通过它们与与工作相关的刺激症状的关联而部分中介。调查结果可以为以社区为基础的教育和政策倡议提供方向,以提高家庭清洁工的就业质量。
Precarious employment, such as housecleaning, is one important structural contributor to health inequities. We used an employment quality (EQ) framework to characterize the impact of employment conditions on mental and self-reported ill-health among Latinx housecleaners in the New York City metropolitan area. Using a community-based participatory research approach, we collected cross-sectional survey data from 402 housecleaners between August 2019 and February 2020 to characterize housecleaners’ EQ and its association with depression, perceived stress, and self-reported health. We also measured work-related irritant eye, skin, and respiratory symptoms, which have been shown in previous research to be associated with housecleaners’ exposure to chemical components of cleaning products. Our housecleaner cohort was largely female and immigrant and most had worked at least five years. Survey items capturing the EQ dimensions of unbalanced interpersonal relations, low material resources, and violations of workers’ rights were associated with increased odds of depression, perceived stress, and self-reported ill-health. Work-related irritant eye, skin, and respiratory symptoms were also independently associated with mental and self-reported ill-health and some of the effects of EQ on health were potentially partially mediated through their association with work-related irritant symptoms. Findings can inform directions for community-based educational and policy initiatives to improve housecleaners’ employment quality.
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