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Session: Health Disparities Research in the Work Environment: Opportunities and Obstacles
3067.0: Monday, November 8, 2004: 8:30 AM-10:00 AM
Oral
Health Disparities Research in the Work Environment: Opportunities and Obstacles
The healthcare industry provides a unique setting for examining the relationship between socio-economic position and health outcomes. It is a major sector of the U.S. economy and the industry’s workforce encompasses a wide-range of occupations, educational levels, and incomes. Healthcare worker rates of acute injuries, musculoskeletal disorders, and other work-related adverse health outcomes have rapidly increased over the past two decades. This corresponds with a period of neoliberal restructuring of the healthcare sector resulting in mergers, downsizing, reorganizing of professional patient care delivery, and the resultant impacts on work life quality and patient safety. Our project, Promoting Healthy and Safe Employment (PHASE) in Healthcare, is examining the work environment as a primary mediator of the effect of socio-economic position on population health. PHASE is conducting interdisciplinary research in participating community hospitals and nursing homes. We are also conducting focus groups with members of healthcare worker unions. We describe the multiple challenges and barriers to conducting this research: challenges in conducting occupational research with limited access to workers; employer concerns regarding union organizing; employer withdrawals due to the strains of healthcare crisis; employee concerns regarding confidentiality; participant recruitment limited by time constraints and work/family conflicts, among others. While significant state and federal funding supports study to improve patient safety and successful employee retention measures, the fundamental and underlying issue of working conditions and the occupational health of healthcare workers has received little attention nor intervention from government and industry.
Learning Objectives: The audience should be able to: Identify significant challenges in conducting health disparities research in the healthcare work environment; Become familiar with strategies that have been utilized to conduct research about the role of working conditions/occupational exposures in explaining health disparities among healthcare workers.
Organizer(s):Craig Slatin, ScDMPH
8:30 AMWork and health disparities in rural women
Hester Lipscomb, PhD, Robin Argue, MPH, Mary Anne Mcdonald, DrPH, John Dement, PhD, Carol Epling, MD, MSPH, Tamara James, MSE, CPE
8:50 AMImproving measurement of discrimination, bias and harassment in occupational health research
Meg Bond, PhD, Laura Punnett, ScD
9:10 AMOccupational injury and illness disparities research in the healthcare work environment: Opportunities and obstacles
Craig Slatin, ScD, MPH, Jamie Tessler, MPH, The PHASE in Healthcare Project, Michael O'Sullivan, DPH, Laura Punnett, ScD, Jody Lally, MSW
9:30 AMStudying gradients in occupational health among hospital workers (GROW Study): Challenges and adaptations
Deborah R. Gordon, PhD, Marion Gillen, RN, MPH, PhD, Irene Yen, PhD, Louise Swig, Genevieve M. Ames, PhD, Ira Janowitz, PT, CPE, Paul D. Blanc, MD, MSPH
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Occupational Health and Safety
Endorsed by:Injury Control and Emergency Health Services; Labor Caucus; Women's Caucus
CE Credits:CME, Health Education (CHES), Nursing

The 132nd Annual Meeting (November 6-10, 2004) of APHA