Guardiano Megan, Matthews Timothy A, Robbins Wendie, Li Jian
School of Nursing, University of California Los Angeles, Los Angeles, CA, United States.
Department of Environmental and Occupational Health, College of Health & Human Development, California State University Northridge, Northridge, United States.
Saf Health Work. 2024 Dec;15(4):491-495. doi: 10.1016/j.shaw.2024.09.004. Epub 2024 Sep 11.
Immigrants in the United States (U.S.) healthcare workforce face challenging working conditions. This study aimed to compare the working conditions of healthcare workers based on immigration status. Using National Health Interview Survey (NHIS) 2015 data, we compared the sociodemographic characteristics and working conditions between 374 non-U.S. born and 1,986 U.S. born healthcare workers. Multivariable logistic regression was used to examine associations between immigration status and selected working conditions. It was found that non-U.S. born and U.S. born healthcare workers differed in sociodemographic and occupational characteristics. After adjusting for sociodemographic covariates, non-U.S. born healthcare workers had higher odds of non-permanent contract work (aOR: 1.87, 95% CI [1.25, 2.79], < 0.01) and lower odds of workplace harassment (aOR: 0.51, 95% CI [0.31, 0.83], < 0.01), compared to U.S. born healthcare workers. Immigrant healthcare workers' occupational experiences should be further explored to improve organizational and psychosocial working conditions.
美国医疗保健行业劳动力中的移民面临着具有挑战性的工作条件。本研究旨在比较基于移民身份的医护人员的工作条件。利用2015年全国健康访谈调查（NHIS）的数据，我们比较了374名非美国出生的医护人员和1986名美国出生的医护人员的社会人口学特征和工作条件。多变量逻辑回归用于检验移民身份与选定工作条件之间的关联。研究发现，非美国出生和美国出生的医护人员在社会人口学和职业特征方面存在差异。在对社会人口学协变量进行调整后，与美国出生的医护人员相比，非美国出生的医护人员签订非长期合同工作的几率更高（调整后的优势比：1.87，95%置信区间[1.25，2.79]，<0.01），而遭受工作场所骚扰的几率更低（调整后的优势比：0.51，95%置信区间[0.31，0.83]，<0.01）。应进一步探索移民医护人员的职业经历，以改善组织和社会心理工作条件。
