The Effects of Workplace Social Status on Minority Health Disparities

项目总结/摘要 长期以来，人们一直认为工作场所内的就业排名与广泛的健康状况有关。 包括发病率和预期寿命。我们建议的项目将扩大对 工作场所的社会地位作为健康的决定因素，通过检查广泛的 社会地位的措施和健康结果分别按种族，民族和性别。我们将 研究工作场所内的收入不平等是否加剧了就业排名的影响 少数民族的健康差异，以及工人和公司之间的人口同质性 管理人员是健康的社会决定因素。为此，我们将使用一个新的数据库， 保险登记记录和医疗索赔的行政收入数据超过1.8 在犹他州有50,000名工人和50,000家公司使用一组广泛的公司将使我们能够分离 来自公司内部社会地位措施的资金影响。 我们将考虑两个不同的研究设计，以评估工作场所的社会地位是否有因果关系， 健康的影响。第一个将利用准实验性冲击工作场所的社会地位所造成的， 公司合并、拆分，以及特定行业的国际贸易冲击改变了工人的晋升 rates.第二部分将审查工人换工作时社会地位变化对健康的影响。 为了解释社会地位变化的内在性，我们将构建工具变量 根据劳动力市场的网络统计数据。我们将把每个工人与他们的同事联系起来， 社会地位变化测量工具，用于测量每个工人的前同事的变化 也换了工作我们将通过这个设计来了解工作推荐网络的重要性 劳动力市场机会的隔离，这可能会对少数群体造成结构性障碍。 逃避心理社会和身体工作场所危险的工人。最后，我们将工人与他们的 劳动力中的成年子女，以量化健康差距的代际持续性， 通过工作场所社会地位渠道运作，以及该渠道如何有助于结构性 种族和民族健康差距。

PROJECT SUMMARY/ABSTRACT Employment rank within workplaces has long been known to be correlated with a wide a range of health outcomes, including morbidity and life expectancy. Our proposed project will extend the research on workplace social status as a determinant of health by examining the associations between a wide range of social status measures and health outcomes separately by race, ethnicity, and gender. We will examine whether inequality in earnings within workplaces exacerbates the impacts of employment rank on minority health disparities, and whether demographic homophily between workers and firm managers is a social determinant of health. To do this we will use a novel database that links health insurance enrollment records and medical claims to administrative earnings data for more than 1.8 million workers and 50,000 firms in Utah. Using a broad set of firms will allow us to separate the impacts of financial resources from within-firm social status measures. We will consider two distinct research designs to evaluate whether workplace social status has a causal effect of health. The first will leverage quasi-experimental shocks to workplace social status caused by firm mergers, splits, and by industry-specific international trade shocks that alter worker promotion rates. The second will examine the health impacts of changes in social status when workers move jobs. To account for the endogeneity of changes in social status we will construct instrumental variables based on network statistics from the labor market. We will connect each worker to their coworkers, and instrument for changes in social status measures with the changes of each worker’s former coworkers who also changed jobs. We will use this design to understand the importance of job referral networks on the segregation of labor market opportunities, which can create structural barriers to minority workers escaping psychosocial and physical workplace hazards. Finally, we will link workers to their adult children in the workforce to quantify the intergenerational persistence of health disparities that operates through the workplace social status channel, and how this channel contributes to structural racial and ethnic health disparities.