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针对低薪和不稳定工人的外展工作:公共卫生官员的概念映射。

Outreach to Low-Wage and Precarious Workers: Concept Mapping for Public Health Officers.

机构信息

Division of Community Health Sciences (Dr Velonis); Division of Environmental and Occupational Health Sciences (Dr Forst), University of Illinois at Chicago School of Public Health, Chicago, Illinois.

出版信息

J Occup Environ Med. 2018 Nov;60(11):e610-e617. doi: 10.1097/JOM.0000000000001462.

DOI:10.1097/JOM.0000000000001462
PMID:30256304
Abstract

OBJECTIVE

To explore concept mapping (CM) as a participatory methodology that can be used by public health officials to strategize approaches to reducing health inequities among low wage workers and workers with unstable employment.

METHODS

In a workshop of 68 occupational health officers, mainly from government agencies, CM was demonstrated through gathering and prioritizing ideas for reaching underserved, at-risk working populations.

RESULTS

Prior to the workshop, occupational health officers generated 99 brainstormed ideas on how to reach underserved workers. These were reduced to 39 unique items, which workshop participants then sorted into themes and prioritized based on perceived effectiveness and feasibility. Twelve specific approaches covering enhanced surveillance methods, occupational safety and health (OSH) training, and partnering with employers, other agencies, and community groups were considered most actionable by occupational/public health officers to address the health of low-wage, and precarious workers. In a follow-up session 1 year later, a subset of participants discussed the findings.

CONCLUSION

Concept mapping can be used to elucidate actionable approaches by government agencies to better address occupational health inequities experienced by low wage and precarious workers.

摘要

目的

探索概念映射(CM)作为一种参与式方法,可供公共卫生官员用于制定策略,以减少低薪工人和就业不稳定工人的健康不平等。

方法

在一个由 68 名职业卫生官员参加的研讨会上,主要来自政府机构,通过收集和优先考虑针对服务不足、处于危险之中的劳动人口的想法,展示了 CM。

结果

在研讨会之前,职业卫生官员提出了 99 条关于如何接触服务不足的工人的头脑风暴想法。这些想法被减少到 39 个独特的项目,然后研讨会参与者根据感知的有效性和可行性对其进行分类和优先排序。12 种具体方法涵盖了增强监测方法、职业安全与健康(OSH)培训以及与雇主、其他机构和社区团体合作,被职业/公共卫生官员认为是最可行的方法,以解决低工资和不稳定工人的健康问题。在一年后的后续会议上,一部分参与者讨论了研究结果。

结论

概念映射可用于阐明政府机构采取的可行方法,以更好地解决低薪和不稳定工人所经历的职业健康不平等问题。

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