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The Effects of Workplace Social Status on Minority Health Disparities

工作场所社会地位对少数族裔健康差异的影响

基本信息

批准号：
10670392
负责人：
Kurt Lavetti
金额：
$ 52.83万
依托单位：
OHIO STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-07-22 至 2027-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10670392
关键词：
Adult Adult Children Age American Indians Area Child Code Data Databases Death Records Diagnosis Economics Employment Enrollment Ethnic Origin Etiology Evolution Gender Generations Geography Health Health Insurance Health Status Healthcare Hospitalization Household Industry Inequality International Life Expectancy Link Literature Marketing Measures Medical Methodology Minority Morbidity - disease rate Names Occupations Outcome Parents Pathway interactions Pattern Persons Play Population Psychosocial Factor Public Policy Quasi-experiment Race Records Reduce health disparities Research Research Design Resources Risk Role Shock Social Network Social status Socioeconomic Status Structure Techniques Testing Time US State Utah Variant Work Workplace career design disparities in morbidity ethnic disparity ethnic health disparity ethnic minority gender disparity hazard health care disparity health care service utilization health determinants health difference health disparity instrument intergenerational minority health disparity mortality novel psychosocial racial disparity racial health disparity racial minority racial population residence segregation social health determinants socioeconomics statistics tribal Nation

项目摘要

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.

项目总结/文摘