The Effects of Workplace Social Status on Minority Health Disparities

工作场所社会地位对少数族裔健康差异的影响

• 批准号: 10504720
• 负责人: Kurt Lavetti
• 金额: $ 52.6万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-22 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10504720
• 关键词: Adult; Adult Children; Age; American Indians; Area; Child; Code; Data; Databases; Death Records; Diagnosis; Economics; Employment; Enrollment; Ethnic Origin; Etiology; Evolution; Gender; Generations; Geographic state; Geography; Health; Health Insurance; Health Status; Healthcare; Hospitalization; Household; Industry; Inequality; International; Life Expectancy; Link; Literature; Measures; Medical; Methodology; Minority; Morbidity - disease rate; Names; Occupations; Outcome; Parents; Pathway interactions; Pattern; Persons; Play; Population; Psychosocial Factor; Public Policy; Race; Records; Reduce health disparities; Research; Research Design; Resources; Risk; Role; Shock; Social Network; Social status; Socioeconomic Status; Structure; Techniques; Testing; Time; Utah; Variant; Work; Workplace; base; career; design; disparities in morbidity; ethnic disparity; ethnic health disparity; ethnic minority; gender disparity; hazard; health care service utilization; health difference; health disparity; instrument; intergenerational; minority health disparity; mortality; novel; psychosocial; racial and ethnic; racial disparity; racial health disparity; racial minority; residence; segregation; social health determinants; socioeconomics; statistics; tribal Nation

PROJECT SUMMARY/ABSTRACT Employment rank within workplaces has long been known to be correlated with a wide a range of health outcomes, including morbidity and life expectancy. Our proposed project will extend the research on workplace social status as a determinant of health by examining the associations between a wide range of social status measures and health outcomes separately by race, ethnicity, and gender. We will examine whether inequality in earnings within workplaces exacerbates the impacts of employment rank on minority health disparities, and whether demographic homophily between workers and firm managers is a social determinant of health. To do this we will use a novel database that links health insurance enrollment records and medical claims to administrative earnings data for more than 1.8 million workers and 50,000 firms in Utah. Using a broad set of firms will allow us to separate the impacts of financial resources from within-firm social status measures. We will consider two distinct research designs to evaluate whether workplace social status has a causal effect of health. The first will leverage quasi-experimental shocks to workplace social status caused by firm mergers, splits, and by industry-specific international trade shocks that alter worker promotion rates. The second will examine the health impacts of changes in social status when workers move jobs. To account for the endogeneity of changes in social status we will construct instrumental variables based on network statistics from the labor market. We will connect each worker to their coworkers, and instrument for changes in social status measures with the changes of each worker’s former coworkers who also changed jobs. We will use this design to understand the importance of job referral networks on the segregation of labor market opportunities, which can create structural barriers to minority workers escaping psychosocial and physical workplace hazards. Finally, we will link workers to their adult children in the workforce to quantify the intergenerational persistence of health disparities that operates through the workplace social status channel, and how this channel contributes to structural racial and ethnic health disparities.

项目摘要/摘要 就业等级Wothin工作场所长期以来已知 结局，包括病态和预期寿命。 工作场所的社会地位作为健康的决定因素，通过检查广泛范围之间的关联 我们将通过种族，种族和性别分别采取社会地位措施和健康成果。 检查工作场所中的不平等是否加剧了就业等级的影响 关于少数族裔健康差异，以及工人和公司之间的人口统计学 经理是健康的社会决定因素。 保险招生记录和对行政收益数据的医疗索赔超过1.8 犹他州的百万工人和50,000家公司。 从形式的社会地位措施中影响财务资源。 我们将考虑两种不同的研究设计来评估工作场所的社会状况 健康的影响。 公司合并，分割和通过特定于行业的国际贸易贸易冲击，改变工人晋升 价格。 为了说明社会状况变化的内生性，我们将构建工具可变性 根据劳动力市场的网络统计数据。 随着每个工人的前同事的变化，改变社会地位措施的工具 谁也改变了工作。 关于劳动力市场机会的隔离，可以为少数派创造结构性障碍 工人逃避了心理和身体工作的危害。 劳动力中的成年子女，以量化健康差异的代际持久性 通过工作场所的社会状况渠道运作，该渠道如何贡献结构 种族和种族健康差异。