工作场所种族隔离,工作流动性和心血管疾病死亡率在美国黑人汽车工人中
Hilary L Colbeth1, Corinne A Riddell1,2, Marilyn D Thomas3
1Division of Epidemiology (H.L.C., C.A.R.), School of Public Health, University of California, Berkeley.
Circulation. Population health and outcomes
|February 16, 2026
概括
工作场所的种族隔离增加了黑人工人的心血管疾病 (CVD) 死亡风险. 这种关联无论工作流动性如何,都会持续存在,突出显示了系统性的职场健康差异.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 关于非住宅隔离对健康的影响的研究有限,特别是在工作场所.
- 工作场所的种族歧视会阻碍职业发展,并加剧心血管疾病 (CVD) 风险因素.
- 这项研究调查了制造业工人中黑人和白人职场隔离以及心血管疾病死亡率.
研究的目的:
- 评估黑人和白人职场种族隔离与心血管疾病死亡风险之间的关系.
- 检查就业流动性作为黑人工人之间这种关系的潜在改变者.
- 了解职场隔离对心血管健康结果的影响.
主要方法:
- 对5047名黑人制造业工人 (1941-2015年) 的回顾性队列研究.
- 累计的年度隔离暴露和计算的职业流动性在工作生涯.
- 使用考克斯模型和处罚线条来分析隔离对心血管疾病死亡率的影响.
主要成果:
- 在更高的工作场所种族隔离和心血管疾病死亡率 (HR 1.61) 之间发现了强烈的积极关联.
- 在中度/高隔离暴露的工人中观察到心血管疾病风险增加,特别是那些工作流动性较低的工人.
- 分离与心血管疾病死亡率之间的关联在不同水平的职业流动性中是显而易见的.
结论:
- 工作场所黑人与白人的隔离与黑人工人心血管疾病死亡率的增加有关.
- 工作场所种族隔离造成的心血管损伤发生在职位流动性和工作流动性不相关的情况下.
- 研究结果强调了工作场所环境对心血管健康差异的重大影响.
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