增加劳动力的种族多样性对心血管疾病死亡率的黑人和白人差异的影响
Hilary L Colbeth1, Corinne A Riddell2,3, Marilyn Thomas4
1School of Public Health, Division of Epidemiology, University of California Berkeley, Berkeley, California, USA hcolbeth@berkeley.edu.
Journal of epidemiology and community health
|September 9, 2024
概括
工作场所的种族多样性可能会降低黑人工人的心血管疾病 (CVD) 死亡风险. 促进招聘和留住员工的多样性可以改善所有员工的健康状况,尤其是边缘化群体.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 在健康方面存在差异.
- 心血管疾病流行病学
背景情况:
- 结构性种族主义影响劳动力政策,并导致种族健康差异.
- 这项研究是首次调查劳动力种族多样性与心血管疾病 (CVD) 差异之间的联系.
研究的目的:
- 检查劳动力种族多样性和在汽车工人中心血管疾病结果的种族差异之间的关联.
主要方法:
- 在三家密歇根工厂 (1941-2015年) 的39,693名汽车工人的回顾性队列研究.
- 劳动力种族多样性 (黑人汽车工人百分比) 被分析为工厂和年级变量.
- 对劳动力多样性的时间变化暴露被分类 (低,中等,高);按年龄标准化的心脏病发病率和按种族估计的Cox比例危险比率 (HRs).
主要成果:
- 心血管疾病死亡率随着时间的推移而下降,但黑人工人总是比白人工人有更高的死亡率.
- 增加劳动力种族多样性显示,与黑人工人心血管疾病死亡率有着强烈的保护性关联.
- 在黑人工人比例较低的工厂 (<20%),观察到对白人工人的保护作用,当黑人工人占多数时,无效结果.
结论:
- 工作场所的种族多样性与降低心血管疾病死亡风险有关,特别是在黑人工人中.
- 促进在工作场所招聘和留住多元化的政策可能会改善工人的整体健康状况,特别是在社会上种族化的群体中.
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