Work as an Inclusive Part of Population Health Inequities Research and Prevention
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Published on: January 28, 2014
Emily Quinn Ahonen1, Kaori Fujishiro1, Thomas Cunningham1
1Emily Quinn Ahonen is with the departments of Environmental Health Science and Social and Behavioral Sciences, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis. Kaori Fujishiro is with the Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention, Cincinnati, OH. Thomas Cunningham is with the Training Research and Evaluation Branch, Education and Information Division, NIOSH. Michael Flynn is with the Occupational Health Equity Program, NIOSH.
Abstract:
Despite its inclusion in models of social and ecological determinants of health, work has not been explored in most health inequity research in the United States. Leaving work out of public health inequities research creates a blind spot in our understanding of how inequities are created and impedes our progress toward health equity. We first describe why work is vital to our understanding of observed societal-level health inequities. Next, we outline challenges to incorporating work in the study of health inequities, including (1) the complexity of work as a concept; (2) work's overlap with socioeconomic position, race, ethnicity, and gender; (3) the development of a parallel line of inquiry into occupational health inequities; and (4) the dearth of precise data with which to explore the relationships between work and health status. Finally, we summarize opportunities for advancing health equity and monitoring progress that could be achieved if researchers and practitioners more robustly include work in their efforts to understand and address health inequities.
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