Assessing the role of social determinants of health in health disparities: The need for data on work-Reference-Cited by-同舟云学术

Assessing the role of social determinants of health in health disparities: The need for data on work

Published:2023-12-16 Issue:2 Volume:67 Page:129-142
ISSN:0271-3586
Container-title:American Journal of Industrial Medicine
language:en
Short-container-title:American J Industrial Med

Author:

Silver Sharon R.¹^ORCID,Sweeney Marie H.¹^ORCID,Sanderson Wayne T.²^ORCID,Pana‐Cryan Regina³^ORCID,Steege Andrea L.¹^ORCID,Quay Brian⁴^ORCID,Carreón Tania⁵^ORCID,Flynn Michael A.⁶^ORCID

Affiliation:

1. Division of Field Studies and Engineering, National Institute for Occupational Safety and Health Health Informatics Branch Cincinnati Ohio USA

2. Department of Biosystems and Agricultural Engineering, Southeast Center for Agricultural Health and Injury Prevention, Central Appalachian Regional Education Research Center, College of Agriculture Food and Environment University of Kentucky Lexington Kentucky USA

3. National Institute for Occupational Safety and Health Economic Research and Support Office Washington District of Columbia USA

4. National Institutes of Health (work performed at NIOSH) Bethesda MD USA

5. World Trade Center Health Program National Institute for Occupational Safety and Health Cincinnati Ohio USA

6. Division of Science Integration National Institute for Occupational Safety and Health Cincinnati Ohio USA

Abstract

AbstractBackgroundWork is a key social determinant of health. Without the collection of work‐related information in public health data systems, the role of social determinants in creating and reinforcing health disparities cannot be fully assessed.MethodsThe Centers for Disease Control and Prevention (CDC) maintains or supports a number of public health surveillance and health monitoring systems, including surveys, case‐based disease and exposure systems, vital status records, and administrative data systems. We evaluated a convenience sample of these systems for inclusion of information in three work‐related domains: employment status, industry and occupation, and working conditions.ResultsWhile 12 of 39 data systems were identified as collecting work‐related data, this information was often minimal (e.g., only employment status), restricted to a subset of respondents, or only gathered periodically. Information on working conditions was particularly sparse.ConclusionHistorically, the limited and inconsistent collection of work‐related information in public health data systems has hindered understanding of the role work plays in health disparities. Current CDC data modernization efforts present opportunities to enhance the identification and mitigation of health disparities by prioritizing inclusion of an expanded set of work‐related data elements.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/ajim.23557

Reference47 articles.

1. WHO. Social determinants of health.2023. Accessed April 10 2023.https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1

2. Visual representation of work as a social determinant of health: Augmenting Silver et al., Employment status, unemployment duration, and health‐related metrics among US adults of prime working age

3. Work as an Inclusive Part of Population Health Inequities Research and Prevention

4. CDC. Public health surveillance and data.2023. Accessed February 23 2022.https://www.cdc.gov/surveillance/index.html

5. Collection of Data on Race, Ethnicity, Language, and Nativity by US Public Health Surveillance and Monitoring Systems: Gaps and Opportunities