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Work organization and health among immigrant women: Latina manual workers in North Carolina
Thomas A Arcury1, Joseph G Grzywacz, Haiying Chen
1Thomas A. Arcury and Joseph G. Grzywacz are with the Department of Family and Community Medicine and Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, NC. Haiying Chen is with the Department of Biostatistical Sciences, Division of Public Health Sciences, and Center for Worker Health, Wake Forest School of Medicine. Dana C. Mora and Sara A. Quandt are with the Department of Epidemiology and Prevention, Division of Public Health Sciences, and Center for Worker Health, Wake Forest School of Medicine.
Objectives:
We sought to describe work organization attributes for employed immigrant Latinas and determine associations of work organization with physical health, mental health, and health-related quality of life.
Methods:
We conducted a cross-sectional survey with 319 employed Latinas in western North Carolina (2009-2011). Measures included job demands (heavy load, awkward posture, psychological demand), decision latitude (skill variety, job control), support (supervisor control, safety climate), musculoskeletal symptoms, mental health (depressive symptoms), and mental (MCS) and physical component score (PCS) health-related quality of life.
Results:
Three fifths reported musculoskeletal symptoms. Mean scores for depression, MCS, and PCS were 6.2 (SE = 0.2), 38.3 (SE = 0.5), and 42.8 (SE = 0.3), respectively. Greater job demands (heavy load, awkward posture, greater psychological demand) were associated with more musculoskeletal and depressive symptoms and worse MCS. Less decision latitude (lower skill variety, job control) was associated with more musculoskeletal and depressive symptoms. Greater support (supervisor's power and safety climate) was associated with fewer depressive symptoms and better MCS.
Conclusions:
Work organization should be considered to improve occupational health of vulnerable women workers. Additional research should delineate the links between work organization and health among vulnerable workers.
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