Occupational Segregation as a Determinant of Racial Health Disparities

描述（由申请人提供）：凯瑟琳钟，医学博士，公共卫生硕士，是一个委员会认证的家庭医生，和研究奖学金训练有素的流行病学家，谁研究，写作，并教非裔美国人的健康差距的社会决定因素，包括社会阶层和家庭结构。她正在职业健康差异方面开展独立的研究事业。通过拟议的K 01指导研究科学家发展奖，钟博士将发展她的职业健康差异研究技能，取得切实成果，包括手稿出版物，科学报告，以及提交独立的研究建议，包括研究人员发起的R 03和R 01申请。她还计划通过在迈阿密大学攻读流行病学博士学位来获得更密集的流行病学培训。Chung博士将由Lora Fleming，MD，PhD，MPH，MSc，大卫李，PhD，Carles Muntaner，MD，PhD，MHS和Kris Arheart，EdD，MS，MS指导。Chung博士的拟议项目（也将作为她的博士论文）侧重于阐明非裔美国人，拉丁美洲人和白色工人的职业隔离和健康结果之间的关系。工作中的种族隔离模式尚未被视为将职业与种族差异的健康结果和行为联系起来的潜在机制。职业隔离的定义是不同种族群体成员在每一职业群体中的比例或集中程度。本研究将使用1986-1994年的全国健康访谈调查（NHIS）数据，研究职业隔离、家庭结构、社会阶层和种族差异的健康结果（发病率、死亡率和健康行为）之间的潜在关联。本研究提案至少满足3个NIOSH研究优先领域（诺拉）：监测研究方法和独特的死亡率和发病率数据，1）整个美国劳动力; 2）老年人，种族-民族，较低的社会经济和性别特定的工人亚群;和3）工作场所疾病和伤害的社会和经济成本。通过使用具有代表性的样本，本研究适用于所有美国工人及其特定职业。

DESCRIPTION (provided by applicant): Katherine Chung, MD, MPH, is a board certified family physician, and research fellowship trained epidemiologist, who has researched, written, and taught on the social determinants of African American health disparities, including social class and family structure. She is developing an independent research career in occupational health disparities. Through the proposed K01 Mentored Research Scientist Development Award, Dr. Chung will develop her occupational health disparities research skills, with tangible outcomes including manuscript publications, scientific presentations, and the submission of independent research proposals including investigator-initiated R03 and R01 applications. She also plans to gain more intense epidemiology training by pursuing her PhD in Epidemiology at the University of Miami. Dr. Chung will be mentored by Lora Fleming, MD, PhD, MPH, MSc, David Lee, PhD, Carles Muntaner, MD, PhD, MHS, and Kris Arheart, EdD, MS, MS. Dr. Chung's proposed project (which will also serve as her PhD dissertation) focuses on elucidating the relationship between occupational segregation and health outcomes for African American, Latino, and White workers. Patterns of racial segregation in jobs are as yet unexamined as a potential mechanism linking occupation with racially disparate health outcomes and behaviors. Occupational segregation is defined as the proportion or concentration of members of different racial groups in each occupational group. This study will examine potential associations between occupational segregation, family structure, social class, and racially disparate health outcomes (morbidity, mortality, and health behaviors) using the National Health Interview Survey (NHIS) data for years 1986-1994. This study proposal satisfies at least 3 NIOSH research priority areas (NORA): Surveillance research methods with unique mortality and morbidity data on 1) the entire US workforce; 2) older, race-ethnic, lower socio-economic and gender-specific worker subpopulations; and 3) social and economic costs of workplace disease and injury. By using a representative sample, this research is applicable to all US workers and their specific occupations.