Non-Standard Work Arrangements, Health and Wellbeing Among Hotel Housekeepers

摘要。 通过非标准工作安排（NSWA）雇用的酒店管家的健康状况 替补演员酒店管家在酒店业180万工人中占大多数， (HHs)由于几个因素，包括季节性需求， 以及对成本和劳动力控制的过分重视。HH在工作中已经经历了压力（例如，高工作压力） 和工作之外，以及健康状况不佳因此，通过NSWA雇用的HHS可能会遇到更高的 次优的工作经验和较差的经济和健康相关成果。然而， 探索通过NSWA雇用的酒店管家的健康和生活经验。通过健康 工作设计和福利计划，国家职业安全与健康研究所（NIOSH） 将NSWA确定为研究重点。NIOSH指出，通过NSWA雇用的工人的脆弱性， 它的特点是“临时性、不稳定性、不规则性、缺乏法律的保护和社会福利 所有这些都可能对工人的健康和福祉产生负面影响。为了解决联邦政府认定的 差距和响应PAR-18-797-我们建议进行混合方法序贯设计研究， 定量（N=140）探讨通过NSWA雇用的HHS与通过 标准工作（SW）和定性（n=40）探讨如何生活经验和健康状况的两个 组（NSWA vs. SW）不同。该项目将在三个方面为NIOSH的使命做出贡献。(1)研究 响应NIOSH的健康工作设计和福利计划，该计划将NSWA确定为其优先事项之一 和要求了解与职业病有关的风险和条件， 受伤(2)这第一个描述性探索性研究是必要的，为今后的研究奠定基础， 这将有助于我们进一步了解NSWA与HHS和其他健康之间的关系， 工人团体。(3)研究结果将为NSWA的指导方针和政策以及未来的 可以促进组织变革和支持个人工人的干预措施。这项研究有几个 创新方面。首先，它关注的是一个脆弱和研究不足的人群，HHS。第二，这将是 本研究系首次探讨透过国家社会福利署雇用之健康服务员之健康状况与生活经验。第三，本研究 结合身份，研究和健康对话开放式（I-ReH-DO）面试方法， 允许叙事话语理解影响健康的社会结构的动态。混合- 方法带来了科学的严谨性，使研究成为第一个包括定量和 定性方法，以了解与工人健康有关的NSWA现象的复杂性。 我们的教育经验，研究技能，以前的研究，跨学科团队和社区为基础的 与当地组织的联系确保了该项目的成功。

ABSTRACT. The health status of hotel housekeepers hired through Non-Standard Work Arrangement (NSWA) is understudied. Making up the majority of the 1.8 million workers in the hospitality industry, hotel housekeepers (HHs) are likely to face alternative work arrangements because of several factors, including seasonal demands as well as the overemphasis on cost and labor control. HHs already experience stress at work (e.g., high job strain) and outside of work, and poor health. Thus, HHs hired through NSWA are likely to encounter heightened suboptimal work experiences and poor economic and health-related outcomes. Yet there is a dearth of studies exploring the health and lived experiences of hotel housekeepers employed through NSWA. Through the Healthy Work Design and Well-Being program, the National Institute for Occupational Safety and Health (NIOSH) identified NSWA as a research priority. NIOSH noted the vulnerability of workers hired through NSWA given that it is characterized by “temporariness, instability, irregularity, and lack of legal protections and social benefits for workers” all of which may negatively affect workers’ health and wellbeing. To address this federally identified gap and in response to PAR-18-797-we propose to conduct a mixed-method sequential design study to quantitatively (N=140) explore the health status of HHs hired through NSWA compared to HHs hired through standard work (SW) and qualitatively (n=40) explore how the lived experiences and health status of the two groups (NSWA vs. SW) differ. This project will contribute to NIOSH’s mission in three ways. (1) The study responds to NIOSH’s Healthy Work Design and Well-Being program which identified NSWA as one of its priority areas and the call for an understanding of risks and conditions associated with occupational diseases and injuries. (2) This first descriptive exploratory study is necessary in laying the groundwork for future studies that will help further our scientific knowledge of the relationship between NSWA and the health of HHs and other worker groups. (3) The study findings will inform guidelines and policies on NSWA as well as future interventions that can facilitate organizational change and support the individual worker. This study has several innovative facets. First, it focuses on a vulnerable and understudied population, HHs. Second, this will be the first study to explore the health status and lived experience of HHs hired through NSWA. Third, this study incorporates the Identity, Research, and Health Dialogic Open-Ended (I-ReH-DO) interviewing approach which allows for narrative discourse for understanding dynamics of social constructs influencing health. The mixed- method approach brings scientific rigor making the study the first of its kind to include both quantitative and qualitative methods to understand the complexity of the phenomenon of NSWA in relation to workers’ health. Our educational experiences, research skills, previous studies, interdisciplinary team, and community-based connections with local organizations ensure the success of this project.