Department of Environmental and Occupational Health Sciences, State University of New York-Downstate School of Public Health, Brooklyn, New York 111203, USA.
Am J Ind Med. 2010 Feb;53(2):95-103. doi: 10.1002/ajim.20766.
Occupational health researchers can play a pivotal role in increasing our understanding of the role of physical and psychosocial working conditions in producing socioeconomic health disparities and trends of increasing socioeconomic health disparities, contributing to interventions to reduce such disparities, and helping to improve public education materials on this subject. However, a number of methodological challenges in this field need to be considered.
Commentary, including a review of selected studies.
RESULTS/CONCLUSION: Research needs to be guided by models of the associations between social (socioeconomic position (SEP), race/ethnicity, immigration status, and gender) and occupational variables and health, to avoid inappropriate control for confounding, and to specify causal pathways (mediation) and interaction effects. Different approaches to the theory and measurement of SEP also need to be tested.
职业健康研究人员可以在增进我们对物理和社会心理工作条件在产生社会经济健康差异和社会经济健康差异日益扩大趋势方面的作用的理解方面发挥关键作用,有助于减少此类差异的干预措施,并有助于改善有关这一主题的公众教育材料。然而,该领域需要考虑一些方法学挑战。
评论,包括对选定研究的回顾。
结果/结论:研究需要以社会(社会经济地位(SEP)、种族/族裔、移民身份和性别)和职业变量与健康之间的关联模型为指导,以避免对混杂因素的不当控制,并明确因果途径(中介)和相互作用效应。还需要测试不同的社会经济地位理论和测量方法。