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Occupational segregation as a determinant of US worker health.

Chung-Bridges-K; Muntaner-C; Fleming-LE; Lee-DJ; Arheart-KL; LeBlanc-WG; Christ-SL; McCollister-KE; Caban-AJ; Davila-EP

Am J Ind Med 2008 Aug; 51(8):555-567

http://dx.doi.org/10.1002/ajim.20599

20034380

BACKGROUND: Racial segregation provides a potential mechanism to link occupations with adverse health outcomes. METHODS: An African-American segregation index (I(AA)) was calculated for US worker groups from the nationally representative pooled 1986-1994 National Health Interview Survey (n = 451,897). Ranking and logistic regression analyses were utilized to document associations between I(AA) and poor worker health. RESULTS: There were consistent positive associations between employment in segregated occupations and poor worker health, regardless of covariate adjustment or stratification (e.g., age, gender, income, education, or geographic region). This association between segregation and poor health was stronger for White as compared to African-American workers. CONCLUSIONS: Occupational segregation negatively affects all workers. Potential mechanisms need to be identified through which occupational segregation may adversely impact worker health.

Occupational-health; Occupational-health-programs; Risk-analysis; Risk-factors; Work-environment; Work-performance; Work-practices; Worker-health; Workplace-studies; Age-factors; Education; Statistical-analysis

Lora E. Fleming, Department of Epidemiology & Public Health, Leonard M. Miller School of Medicine, 1120 N.W. 14 Street, Room 1049, Miami, FL 33136

AJIMD8

20080801

Journal Article

lfleming@med.miami.edu

Grant

2008

Grant-Number-K01-OH-009010; Grant-Number-R01-OH-003915

8

0271-3586

American Journal of Industrial Medicine

FL; MD; NC

University of Miami - Rosentiel School