Occupational Segregation as a Determinant of Racial Health Disparities

简介(由申请人提供)：Katherine Chung，医学博士，公共卫生硕士，董事会认证的家庭医生，研究奖学金培训的流行病学家，研究、撰写和讲授非裔美国人健康差距的社会决定因素，包括社会阶层和家庭结构。她正在发展职业健康差距方面的独立研究事业。通过建议的K01导师研究科学家发展奖，钟博士将发展她的职业健康差距研究技能，取得切实的成果，包括手稿发表、科学演示和提交独立研究建议，包括研究员发起的R03和R01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高强度的流行病学培训。钟博士将由Lora Fleming，MD，PhD，MPH，MSc，David Lee，PhD，Carles Muntaner，MD，Phd，MHS和Kris ArHeart，EDD，MS指导，钟博士建议的项目(也将作为她的博士论文)专注于阐明非裔美国人、拉丁裔和白人工人的职业隔离与健康结果之间的关系。就业中的种族隔离模式尚未被视为将职业与不同种族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的成员在每个职业组中的比例或集中度。这项研究将使用1986-1994年的国家健康访谈调查(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)之间的潜在联系。这项研究建议满足了至少3个NIOSH研究优先领域(NORA)：1)整个美国劳动力的独特死亡率和发病率数据的监测研究方法；2)年龄较大、种族、较低的社会经济和性别特定的工人亚群；以及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的职业。

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.