Copenhagen Business School, Frederiksberg, Denmark.
Yale University, New Haven, CT, USA.
J Health Soc Behav. 2022 Mar;63(1):19-36. doi: 10.1177/00221465211053615. Epub 2022 Jan 31.
Pandemic frontline occupations consist of disproportionately low socioeconomic status and racial minority workers. Documenting occupational health disparities is therefore crucial for understanding COVID-19-related health inequalities in the United States. This study uses Current Population Survey microdata to estimate occupational differences in sickness-related absences (SAs) from work in March through June 2020 and their contribution to educational, racial-ethnic, and nativity health disparities. We find that there has been an unprecedented rise in SAs concentrated in transportation, food-related, and personal care and service occupations. SA rates were 6 times higher in these occupations than in non-health-care professions. The greatest increases were in occupations that are unsuitable for remote work, require workers to work close to others, pay low wages, and rarely provide health insurance. Workers in these occupations are disproportionately Black, Hispanic, indigenous, and immigrants. Occupation contributes 41% of the total of Black/white differences and 54% of educational differences in SAs.
大流行一线职业的社会经济地位和少数族裔工人比例偏低。因此,记录职业健康差距对于了解美国与 COVID-19 相关的健康不平等问题至关重要。本研究使用当前人口调查微观数据来估计 2020 年 3 月至 6 月期间与疾病相关的缺勤(SAs)在职业上的差异,以及它们对教育、种族和民族健康差距的贡献。我们发现,工作相关缺勤率出现了前所未有的上升,集中在交通、食品相关、个人护理和服务行业。这些职业的 SA 率比非医疗行业高 6 倍。增幅最大的是那些不适合远程工作、要求工人与他人密切接触、工资低且很少提供医疗保险的职业。从事这些职业的工人大部分是黑人、西班牙裔、土著和移民。职业差异导致黑人/白人之间 SAs 差异的 41%和教育差异的 54%。