Department of Community, Environment, and Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
Ann Work Expo Health. 2023 Jan 12;67(1):87-100. doi: 10.1093/annweh/wxac048.
The COVID-19 pandemic has simultaneously exacerbated and elucidated inequities in resource distribution for small businesses across the United States in terms of worker health and the financial stability of both owners and employees. This disparity was further intensified by the constantly changing and sometimes opposing health and safety guidelines and recommendations to businesses from the local, state, and federal government agencies. To better understand how the pandemic has impacted small businesses, a cross-sectional survey was administered to owners, managers, and workers (n = 45) in the beauty and auto shop sectors from Southern Arizona. The survey identified barriers to safe operation that these businesses faced during the pandemic, illuminated worker concerns about COVID-19, and elicited perceptions of how workplaces have changed since the novel coronavirus outbreak of 2019. A combination of open-ended and close-ended questions explored how businesses adapted to the moving target of pandemic safety recommendations, as well as how the pandemic affected businesses and workers more generally. Almost all the beauty salons surveyed had to close their doors (22/25), either temporarily or permanently, due to COVID-19, while most of the auto repair shops were able to stay open (13/20). Beauty salons were more likely to implement exposure controls meant to limit transmission with customers and coworkers, such as wearing face masks and disallowing walk-ins, and were also more likely to be affected by pandemic-related issues, such as reduced client load and sourcing difficulties. Auto shops, designated by the state of Arizona to be 'essential' businesses, were less likely to have experienced financial precarity due to the pandemic. Content analysis of open-ended questions using the social-ecological model documented current and future worker concerns, namely financial hardships from lockdowns and the long-term viability of their business, unwillingness of employees to return to work, uncertainty regarding the progression of the pandemic, conflict over suitable health and safety protocols, and personal or family health and well-being (including anxiety and/or stress). Findings from the survey indicate that small businesses did not have clear guidance from policymakers during the pandemic and that the enacted regulations and guidelines focused on either health and safety or finances, but rarely both. Businesses often improvised and made potentially life-changing decisions with little to no support. This analysis can be used to inform future pandemic preparedness plans for small businesses that are cost-efficient, effective at reducing environmental exposures, and ultimately more likely to be implemented by the workers.
新冠疫情大流行同时加剧并阐明了美国各地小企业在工人健康和业主及员工财务稳定方面资源分配的不平等。这种差距因地方、州和联邦政府机构向企业提供的不断变化且有时相互矛盾的健康和安全准则和建议而进一步加剧。为了更好地了解疫情对小企业的影响,对来自亚利桑那州南部的美容和汽车店行业的业主、经理和工人(n=45)进行了横断面调查。该调查确定了这些企业在疫情期间面临的安全运营障碍,说明了工人对 COVID-19 的担忧,并了解了自 2019 年新型冠状病毒爆发以来工作场所的变化情况。开放式和封闭式问题的组合探讨了企业如何适应疫情安全建议的不断变化的目标,以及疫情对企业和工人的普遍影响。由于 COVID-19,接受调查的几乎所有美容院(22/25)都不得不关门,要么暂时关门,要么永久关门,而大多数汽车修理店都能够继续营业(13/20)。美容院更有可能实施旨在限制与顾客和同事之间传播的暴露控制措施,例如佩戴口罩和禁止顾客随意进入,并且更有可能受到与疫情相关的问题的影响,例如客户减少和采购困难。亚利桑那州指定为“必要”企业的汽车店由于疫情而经历财务不稳定的可能性较小。使用社会生态模型对开放式问题进行的内容分析记录了当前和未来工人的担忧,即因封锁造成的经济困难以及他们业务的长期可行性、员工不愿返回工作岗位、对疫情进展的不确定性、对合适的健康和安全协议的冲突,以及个人或家庭的健康和福祉(包括焦虑和/或压力)。调查结果表明,小企业在疫情期间没有得到政策制定者的明确指导,而颁布的法规和准则主要侧重于健康和安全或财务,很少两者兼顾。企业经常即兴创作,并在几乎没有支持的情况下做出可能改变生活的决定。这项分析可用于为小企业提供未来的大流行准备计划,这些计划具有成本效益、在减少环境暴露方面有效,并且最终更有可能得到工人的实施。