Am J Ind Med

Nearly one of every three workers in the United States is low-income. Low-income populations have a lower life expectancy and greater rates of chronic diseases compared to those with higher incomes. Low- income workers face hazards in their workplaces as well as in their communities. Developing integrated public health programs that address these combined health hazards, especially the interaction of occupational and non-occupational risk factors, can promote greater health equity.|We apply a social-ecological perspective in considering ways to improve the health of the low-income working population through integrated health protection and health promotion programs initiated in four different settings: the worksite, state and local health departments, community health centers, and community-based organizations.|Examples of successful approaches to developing integrated programs are presented in each of these settings. These examples illustrate several complementary venues for public health programs that consider the complex interplay between work-related and non work-related factors, that integrate health protection with health promotion and that are delivered at multiple levels to improve health for low-income workers.|Whether at the workplace or in the community, employers, workers, labor and community advocates, in partnership with public health practitioners, can deliver comprehensive and integrated health protection and health promotion programs. Recommendations for improved research, training, and coordination among health departments, health practitioners, worksites and community organizations are proposed.U19 OH008857/OH/NIOSH CDC HHS/United StatesU45 ES006173/ES/NIEHS NIH HHS/United StatesZ99 ES999999/Intramural NIH HHS/United States2014-05-01T00:00:00Z23532780PMC3843946vault:2748

Promoting Integrated Approaches to Reducing Health Inequities among Low-Income Workers: Applying a Social Ecological Framework

Nearly one of every three workers in the United States is low-income. Low-income populations have a lower life expectancy and greater rates of chronic diseases compared to those with higher incomes. Low- income workers face hazards in their workplaces as well as in their communities. Developing integrated public health programs that address these combined health hazards, especially the interaction of occupational and non-occupational risk factors, can promote greater health equity. We apply a social-ecological perspective in considering ways to improve the health of the low-income working population through integrated health protection and health promotion programs initiated in four different settings: the worksite, state and local health departments, community health centers, and community-based organizations. An example of successful approaches to developing integrated programs in each of these settings is described. Recommendations for improved research, training, and coordination among health departments, health practitioners, worksites and community organizations are proposed

Blue-Green Coalitions: Fighting for Safe Workplaces and Healthy Communities

[Excerpt] My goal in this book is to examine the formation of labor-environmental alliances that focus on health issues. Health concerns are increasingly a common ground on which blue-green coalitions are developing across the United States. Activists from both movements often see health issues through different lenses, which lends a particular slant to how they approach potential solutions for reducing exposures to toxics. The coalition framework emphasizes the fundamental link between occupational and environmental health, providing an internal cohesion and a politically persuasive agenda based on the centrality of health-related issues. By engaging labor and environmental activists in a common dialogue regarding the need for cooperative action to reduce the risks of community and workplace exposures, blue-green coalitions are creating new opportunities for progressive social change

Fertile Women May Now Apply: Fetal Protection Policies after Johnson Controls

In its recent interpretation of Title VII of the Civil Rights Act, the U.S. Supreme Court leaves little room for permissible occupational sex discrimination. However, its decision has wider implications. Here, Professor Grumet takes a look at some of them from both a legal and a social perspective, including matters such as employees\u27 reproductive freedom and employers\u27 potential liability for a variety of possible injuries to employees\u27 offspring

Organizing for Safe Work in a Safe World

[Excerpt] Health and safety is a promising issue for organizing workers, whether as new members or in revitalizing local unions. Working conditions have dramatically deteriorated over the past decade, and millions of workers now work in workplaces that are unbelievably dangerous and unhealthy. There are many different organizing strategies. The authors start from the premise that from day one the goal of any organizing campaign is union building. Recognizing that there are different ways to get there, and that resources and circumstances differ from campaign to campaign, we attempt in this article to outline the basic ingredients and a general strategic approach. While our focus here is on organizing new members, the general approach we outline is equally effective for union building in already constituted local unions

An inquiry into the theory, causes and consequences of monitoring indicators of health and safety at work

This paper engages in an interdisciplinary survey of the current state of knowledge related to the theory, determinants and consequences of occupational safety and health (OSH). First, it synthesizes the available theoretical frameworks used by economists and psychologists to understand the issues related to the optimal provision of OSH in the labour market. Second, it reviews the academic literature investigating the correlates of a comprehensive set of OSH indicators, which portray the state of OSH infrastructure (social security expenditure, prevention, regulations), inputs (chemical and physical agents, ergonomics, working time, violence) and outcomes (injuries, illnesses, absenteeism, job satisfaction) within workplaces. Third, it explores the implications of the lack of OSH in terms of the economic and social costs that are entailed. Finally, the survey identifies areas of future research interests and suggests priorities for policy initiatives that can improve the health and safety of workers

Workers at Risk: Regulatory Dysfunction at OSHA

This white paper explores the causes of the Occupational Safety and Health Administration (OSHA)’s regulatory dysfunctions and describes their negative impacts on OSHA and America’s Workers. With the decreasing power of unions to organize and press employers to implement strong health and safety programs, employees in every occupation rely on OSHA to protect them from occupational hazards. Yet, in the last decade, OSHA has dropped more standards from its regulatory agenda than it has finalized, largely due to insufficient budge authority. And the agency’s enforcement program has assessed such paltry fines for even fatality-related violations of the law that many employers see no incentive in addressing hazards, much less developing precautionary health and safety programs. After describing OSHA’s problems in detail, this paper outlines a number of reforms that could enhance the agency’s performance. Although certain aspects of the Occupational Safety and Health Act could use improvement, the recommendations in this paper focus on regulatory reform—administrative actions that OSHA could implement in the short term.The Kay Bailey Hutchison Center for Energy, Law, and Busines

Community-Based Interactive Training Project for Migrant Women Workers in the Pearl River Delta

Outlines the phases of a project that was designed to explore effective social aid and services to migrant women workers, as well as to mobilize resources from the government, enterprises, local community, and other aspects of society

Organisational and occupational risk factors associated with work related injuries among public hospital employees in Costa Rica

Aims: To explore the relation between occupational and organisational factors and work related injuries (WRI) among public hospital employees in Costa Rica.Methods: A cross-sectional survey was conducted among a stratified random sample of 1000 employees from 10 of the 29 public hospitals in Costa Rica. A previously validated, self-administered questionnaire which included occupational and organisational factors and sociodemographic variables was used. From the final eligible sample ( n = 859), a total of 842 ( response rate 98%) questionnaires were returned; 475 workers were analysed after excluding not-at-risk workers and incomplete questionnaires. WRI were computed for the past six months.Results: Workers exposed to chemicals (RR = 1.36) and physical hazards ( RR = 1.26) had higher WRI rate ratios than non-exposed workers. Employees reporting job tasks that interfered with safety practices ( RR = 1.46), and a lack of safety training ( RR = 1.41) had higher WRI rate ratios than their counterparts. Low levels of safety climate ( RR = 1.51) and safety practices ( RR = 1.27) were individually associated with an increased risk of WRI. Also, when evaluated jointly, low levels of both safety climate and safety practices showed the highest association with WRI ( RR = 1.92).Conclusions: When evaluated independently, most of the occupational exposures and organisational factors investigated were significantly correlated with an increased injury risk. As expected, some of these associations disappeared when evaluated jointly. Exposure to chemical and physical hazards, lack of safety training, and low levels of safety climate and safety practices remained significant risk factors for WRI. These results will be important to consider in developing future prevention interventions in this setting