Andrea Sarah B, Eisenberg-Guyot Jerzy, Peckham Trevor, Oddo Vanessa M, Hajat Anjum
OHSU-PSU School of Public Health, Portland, OR, USA.
Lifespan Biostatistics Epidemiology and Research Design Core, Rhode Island Hospital, Providence, RI, USA.
SSM Popul Health. 2021 Jul 9;15:100868. doi: 10.1016/j.ssmph.2021.100868. eCollection 2021 Sep.
Americans' working lives have become more precarious over the past several decades. Worsening employment quality has been linked to poorer physical and mental health and may disproportionately impact marginalized working populations. We examined differences in the quality and character of worker-employer relationships among older workers in the United States (US) across intersecting gender-racial/ethnic-educational subgroups. Using longitudinal data on employment stability, material rewards, workers' rights, working-time arrangements, unionization, and interpersonal power relations from the Health and Retirement Study (1992-2016), we used principal components analysis to construct an employment quality (EQ) score. We estimated intersectional differences in EQ, overall and over time, using generalized estimating equations. Overall, EQ was greatest for white men with college degrees and poorest for Latinx women with < high school degrees. Over time, EQ tended to remain unchanged or slightly worsen across intersectional strata; the greatest EQ reduction was for Latinx women with college degrees, while the greatest improvement was for white women with high school degrees. There are enduring and growing inequities in EQ for older marginalized adults in the US, which may contribute to growing health inequities.
在过去几十年里,美国人的工作生活变得更加不稳定。就业质量的恶化与身心健康状况较差有关,并且可能对边缘化劳动人口产生不成比例的影响。我们研究了美国老年工人中,不同性别、种族/族裔、教育程度交叉分组的工人与雇主关系在质量和特征上的差异。利用健康与退休研究(1992 - 2016年)中关于就业稳定性、物质奖励、工人权利、工作时间安排、工会化以及人际权力关系的纵向数据,我们使用主成分分析构建了一个就业质量(EQ)得分。我们使用广义估计方程来估计EQ在总体上以及随时间推移的交叉差异。总体而言,拥有大学学位的白人男性就业质量最高,而高中以下学历的拉丁裔女性就业质量最差。随着时间的推移,各交叉阶层的就业质量往往保持不变或略有恶化;就业质量下降幅度最大的是拥有大学学位的拉丁裔女性,而改善幅度最大的是拥有高中学历的白人女性。在美国,老年边缘化成年人在就业质量方面存在持续且不断扩大的不平等现象,这可能导致健康不平等现象加剧。