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Baron et al. 2014 Introduction Concept Map (Health inequity (Challenges to…
Baron et al. 2014 Introduction Concept Map
NIOSH goal: integrating occupational safety and health promotion programs
NIOSH: National Institute of Occupational Health and Safety
Occupational safety: reducing workplace hazards (ex. slip/trip hazards
Health promotion: improving employee health with programs not limited to the workplace (ex. healthy diets)
Health inequity
Affects low-income workers
Demonstrated lower life expectancy due to low income level
Defined as workers who make <$435/week
Inequity because low income/exposures arise from racially unequal environmental exposures
Exacerbated by things like lack of exercise space, location in a food desert, proximity to hazardous industrial sites, etc. that disproportionately affect minorities
Challenges to addressing this
Lack of data
Employees pressured/scared into not reporting injuries
May lack legal residency/language skills/knowledge of rights/access to resources
Lack of information
Small companies and independent contractors less likely to report information
SEF
SEF accomplishes this
Social ecological framework
It makes sense to evaluate health programs at several different levels, because they are interrelated and each has a ripple effect on the other. Actions on one level of health are not isolated. Therefore it makes sense to combine levels within the SEF rather than evaluate them individually.
Intrapersonal level: individual employee skills
Interpersonal level: health support from family, coworker, supervisory, and external organization networks
Institiutional level: access to community health resources, including lifestyle choices like ability to exercise and obtain healthy food
Community/society/policy level: the larger forces at work that determine the quality of the other levels of health
Main research question: simply, how can an SEF be successfully implemented across a variety of different settings encountered by low-income workers?
Help address/prevent this