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PubMed1999

Migrant labor takes a holiday. Reworking modernity and marginality in contemporary Thailand.

This paper examines the practice of working-class group excursions in Thailand, organized by and for rural labor migrants in Bangkok. These trips involve traditional forms of Buddhist ceremonial as well as more self-consciously "modern" sightseeing activities in distant regions of the country. More than just a welcome respite from the drudgery and discipline of factory jobs, these excursions allow labor migrants to make important claims about their experiences as members of the Thai nation-state. As tourist-consumers, migrant workers appropriate powerful signs and symbols of modern Thai identity and status, in doing so they contest (and at least partly rework) their material and ideological marginalization within contemporary Thai society.

Asia↗
PubMed1996

The effects of socioeconomic status on exercise and smoking: age-related differences.

The aim of this article is to examine the effects of socioeconomic status (as measured by education, income, and labor force status) on patterns of exercise and smoking for three age groups: persons aged 25 to 44, 45 to 64, and 65 and over. Two hypotheses drawn from the literature are tested: (a) that socioeconomic status is associated with risky lifestyle behaviors and (b) that the effect of socioeconomic status is greater for younger and middle-aged groups than for older age groups. Logistic regression analyses are performed on the 1990 Canadian Health Promotion Survey. Our results indicate that socioeconomic status affects health behaviors in relatively important ways, but this depends on the measure, the specific behavior, and the age group. The findings are discussed in relation to controversies about the existence of a culture of poverty and its impact on health behaviors, as well as to several age pattern hypotheses.

Adult↗
PubMedDate not supplied

Culturally competent health care: a challenge for nurses in Saudi Arabia.

An emerging global reality is the presence of a culturally diverse workforce in health care environments. Not only are nurses delivering care to culturally diverse clients, the nurses themselves may come from different cultural and educational backgrounds. In order to provide culturally competent health care, such diversity must be molded into professional collaboration and respect. To date, health care to the citizens of Saudi Arabia has been provided largely by a foreign labor force, the vast majority of whom are non-Arabic speaking. This paper explores a number of strategies aimed at educating expatriate non-Saudi health professionals in the provision of culturally competent and culturally congruent health care. Leininger's transcultural health care theory is identified as the framework for achieving this goal. The theory has proved to be of great relevance in a hospital setting where some 40 different nationalities are represented among the work force. In such a setting, the potential for cultural conflict and stress is very real. Health professionals new to the Kingdom are introduced to the cultural dimensions of health care as it relates to patient care modes, as well as living and working together in a transcultural environment. Transcultural nursing is a major component of a professional nurse practice model which provides a visionary perspective for nursing care. Within the practice model, transcultural care principles are used to guide education, clinical practice and nursing research. Furthermore, Leininger's theory serves to grasp a comprehensive view of generic (folk) and professional health systems and to identify ethical issues confronted by nurses in the transcultural setting.

Clinical Competence↗
PubMedDate not supplied

Occupational lung disease in China.

Occupational lung disease has been a major public health problem in China. The recently transformed industrial structure and expansion of the industrial labor force, accompanying the rapid industrialization and economic growth, pose both tremendous challenges and opportunities for occupational health policy and research. New occupational health problems are emerging, while the traditional occupational lung disease continued to occur. Simultaneously, relevant scientific research and professional activities have accelerated notably. The progress and achievement in occupational health research are creating more powerful forces in eliminating industrial hazards and protecting workers' health in China.

Air Pollutants, Occupational↗
PubMed2005

Emerging adulthood and patterns of physical activity among young Australian women.

The transition from adolescence to young adulthood is associated with a sharp decline in physical activity, particularly for women. This article explores the relations between physical activity status and change and status and change in four life domains: residential independence, employment status, relationship status, and motherhood. Two waves of survey data from a representative sample of 8,545 Australian women, aged 18-23 at Survey 1 and 22-27 at Survey 2, were analyzed. Cross-sectionally, physical inactivity was most strongly related to being a mother, married, and not being in the labor force. Longitudinally, decreases in physical activity were most strongly associated with moving into a live-in relationship, with getting married, and with becoming a mother. When considered in combination, women who were married with children and not employed outside the home were the most likely to be physically inactive. The data suggest that adoption of adult statuses, particularly traditional roles involving family relationships and motherhood, is associated with reductions in physical activity for these women, although it is possible that the effect is driven by socioeconomic factors associated with early transitions. The data suggest a need for interventions to promote continued physical activity among young women who cohabit or marry and among those not in the workforce, in addition to those supporting young mothers to be physically active.

Activities of Daily Living↗
PubMed1980

Child health in the workplace: the Supreme Court in Hammer v. Dagenhart (1918).

Exploitation of children in the labor force at the beginning of this century gave rise to a national campaign leading to congressional passage of the Keating-Owen Act in 1916. The act prohibited from interstate commerce goods produced in factories or mines that employed children who either were under fourteen years of age or who were under sixteen years of age and worked more than eight hours a day. Despite its popular support, the Act was declared unconstitutional by the Supreme Court in Hammer v. Dagenhart (1918). The Court's decision involved several major issues: interpretation of the Fifth and Fourteenth Amendments to the Constitution, freedom of contract, police power of the states, and the interstate commerce clause. Review of previous Court decisions suggests that the justices were on less than solid legal ground in reaching their decision. Examination of the historical context of the decision, however, suggests other factors that may have played a more important role than judicial precedents. The debate prompted by Hammer v. Dagenhart has much relevance to such current issues as young agricultural workers, sex discrimination in industry, and the powers of the federal government vis-a-vis states and individual citizens.

Adolescent↗
PubMed1984

Immigrant workers: health, law, and public policy.

Immigrant workers are a large segment of the lower echelon of the U.S. labor force, and as many as 3.6 to 6 million of these workers and their families are living in the U.S. illegally. This paper examines who the recent immigrants are: explains why their current situation in the U.S. is an important public health matter; discusses the ethical and policy issues stemming from their health needs and from illegal status; and concludes with a brief look at some implications of the Simpson-Mazzoli Immigration and Reform Act, currently before Congress. The paper suggests that the illegal status of undocumented workers intensifies their health risks; that the immigrants' responsibility for budget short-falls in public services is not as clearcut as frequently assumed; and that legislation aimed at regulating the status of immigrant workers in the U.S. is unlikely to solve many of the central problems.

Cultural Diversity↗
PubMed1979

The pregnant worker: who bears the burden?

The article reviews the history of pregnancy disability legislation and links the recent Congressional action to include pregnancy discrimination under Title VII to women's increasing labor force participation.

Civil Rights↗
PubMed1986

Health and health care of employed women and homemakers: family factors.

Women's increasing participation in the labor force has resulted from availability of fertility control, changed attitudes toward family size, a strong demand for occupations traditionally filled by women, and other factors. Despite many social changes, employed women continue to be concentrated in lower-income pursuits and frequently have major responsibility for the household. This paper is drawn from a study that explored the association of occupation and home responsibilities with the health of employed women and men and compared them with female homemakers. It also examined variations in the use of physician and hospital services. The principal data source was the National Health Interview Survey tapes for 1975-77. Nurturant role responsibilities were derived from records of members of the index adult's household. This paper reports on comparisons of employed women with homemakers using multiple regression analysis, and also on direct comparisons of the three work-sex groups. Study findings suggest that better health is associated with desired, positive roles such as marriage and married parenthood. Worse health is associated with unwelcome role expansions such as single parenthood, child disability, having a sick spouse and marital dissolution. Effects vary by both sex and work status. It is suggested that it is not the number of activities that may be burdensome to women's health but inability to choose one's roles and organize one's resources to meet their demands.

Absenteeism↗
PubMed1987

Sick child care options: what do working mothers prefer?

More than half of all mothers with children under age 6 are in the labor force. Working mothers must take off anywhere from 5.6 days to 28.8 days per employee per year to care for their sick children. In a survey of 134 working mothers with children in day care centers, 70% expressed an interest in sick child care options outside the home, especially a sick room at the child's regular day care center or an infirmary at the parent's workplace. Mothers who chose "out-of home care" were more likely to: be minority (p less than 0.01); be single parents (p = 0.06); earn less than $10,000 annually (p = 0.03); want their children with temperatures of 100-100.9 F to remain in school until the end of the day (p less than 0.01). Communities and day care centers serving especially lower income, minority or single-parent working mothers should consider investigating these out-of-home sick child care options; the savings to employers could be $2 to $12 billion per year, not to speak of the personal savings to the mothers themselves.

Absenteeism↗
PubMed1992

The parental leave debate: implications for policy relevant research.

Legislative activity regarding parental and family medical leave has been intense, with heated debate, in both national and state political arenas. Proponents of legislation report that policy is needed because of women's increasing rate of labor force participation and the concomitant shortage of substitute infant care. Benefits of policy are presumed to include women's health and parent-child bonding. However, no direct empirical evidence exists to support these assumptions. Opponents of legislation say that the cost of policy is burdensome to employers. However, the General Accounting Office reports that the only measurable net costs to employers associated with the federal bill will be to cover the leave takers' health insurance premiums. This literature review examines the above issues and identifies a policy relevant research agenda, crucial to the development of rational and humane policy.

Child Day Care Centers↗
PubMed1997

Women's occupational health: a critical review and discussion of current issues.

Action to improve women's occupational health has been slowed by a notion that women's jobs are safe and that any health problems identified among women workers can be attributed to unfitness for the job or unnecessary complaining. With increasing numbers of women in the labor force, the effects of work on women's health have recently started to interest health care providers, health and safety representatives and researchers. We begin our summary of their discoveries with a discussion of women's place in the workplace and its implications for occupational health, followed by a brief review of some gender-insensitive data-gathering techniques. We have then chosen to concentrate on the following four areas: methods and data collection; directing attention to women's occupational health problems; musculoskeletal disease; mental and emotional stress. We conclude by pointing out some neglected occupational groups and health issues.

Data Collection↗
PubMed2001

Effects of combining public assistance and employment on mothers and their young children.

One goal of recent welfare reform legislation is to move welfare-dependent mothers with young children into the paid labor force. However, prior to the new legislation, many welfare-dependent women were already engaged in employment activities. In this paper we examine whether child or maternal well-being is influenced by a mother's strategy of combining work and public assistance receipt in the late 1980s. Measures of well-being include children's cognitive test scores and behavior problems, parenting behavior, and maternal mental health, social support, and coping strategies collected when children were 2 1/2 to 3 years of age. Data from the Infant Health and Development Program (a sample of low birthweight, premature infants born in 8 sites in 1985) were used to identify low-income families (incomes under 200% of the poverty threshold; N = 525). Comparisons were made among mothers in the following groups: (a) Work Only, (b) Some Work-Some Welfare, (c) Some Work-No Welfare, (d) No Work-No Welfare, and (e) Welfare Only. Mothers in the Some Work-Some Welfare group had children with cognitive and behavioral scores similar to children whose mothers were in the Work Only group; these two groups also had similar mental health, social support, and coping scores. However, not working and receiving welfare (Welfare Only) was associated with negative cognitive and behavioral outcomes for children, with less stimulating home learning environments, lower maternal mental health, less social support, and more avoidant coping strategies. We discuss the proposition that welfare and work may be complementary rather than opposing strategies, in terms of putting together a family income package.

Adaptation, Psychological↗
PubMed1997

Discrimination of older workers in Germany: obstacles and options for the integration into employment.

The employment prospects of older workers in Germany are widely endangered because of age discrimination. The main indicator concerning recruitment is that from the age of 45 on the difficulties in finding a new job rise extraordinarily and, accordingly, the duration of unemployment rises. Concerning further training, there is a lack of participation by older workers in vocational training and, additionally, they face numerous risks in the deterioration of their skills. Given the long-term implications of the aging labor force, employers must adapt their approaches to recruiting and training older workers to prevent a further loss of skills and know-how. A comprehensive strategy for integrating older workers and overcoming age barriers in employment is required. To promote recruitment, job-placement programs should be linked more closely to companies and public programs should be targeted to older unemployed workers. To promote further training of older workers, the workplace needs to create a learning environment, introduce a greater variety of tasks, and develop training schemes.

Age Factors↗
PubMed2003

A national research agenda for the postsecondary education of deaf and hard of hearing students: a road map for the future.

This article describes converging nationwide changes in the postsecondary education of students with hearing loss during the past 30 years. Simultaneous trends in the economy, labor force, and business practices have magnified the need for literacy, postsecondary training, and career skills. These conditions stimulated institutional and professional activities that led to drafting a National Research Agenda report to guide development of federally funded research projects in postsecondary education. These studies will enhance better understanding of the complex interactions of diverse support services, learning-living environments, and student populations in a broad continuum of post-high school vocational and academic training programs. The conceptual framework of the Agenda is explained, as are its expected goals, criteria for research projects, benefits, and outcomes. This article interweaves the perspectives and roles of postsecondary and vocational rehabilitation professionals, federal officials, and researchers contributing to the preparation of the Agenda report. Relevant national research studies are cited and consumer involvement in research is emphasized.

Education of Persons with Hearing Disabilities↗
PubMed2001

Changes in children's time with parents: United States, 1981-1997.

In this paper we examine changes in the time American children spent with their parents between 1981 and 1997, and the contribution to these changes made by shifting patterns of female labor force participation, family structure, and parental education. We decompose changes into the parts attributable to changes in demographic characteristics and the parts probably due to changes in behavior. In general, children's time with parents did not decrease over the period; in two-parent families it increased substantially. Population-level changes in demographic characteristics exerted only small direct effects on the time children spent with parents.

Educational Status↗
PubMed2003

Rethinking gender segregation and gender inequality: measures and meanings.

It is often assumed that occupational segregation by gender is readily interpretable as an index of inequality between men and women in the labor force. Although this view has been challenged, the development and dissemination of analytic tools that could test this assumption have been limited. This article reviews two methods for identifying invidious and noninvidious components of gender segregation and develops a third approach that overcomes some limitations of the other two. Each method is applied to a data set that consists of observations from 22 countries covered in the International Social Survey Program. The results are compared and contrasted, and several conclusions emerge. First, occupational segregation is not completely interpretable as occupational gender inequality. Second, the methods differ in how large they estimate the invidious (vertical) component to be. Third, each method produces measures of invidious and noninvidious segregation that can be predicted statistically from other characteristics of the countries in question. The article ends with suggestions about the circumstances under which the various approaches may be the most useful.

Educational Status↗
PubMed2005

A socioeconomic profile of older adults with HIV.

The objective of this study was to assess the socioeconomic circumstances of older patients with HIV and acquired immunodeficiency syndrome (AIDS). The investigators compared subjects from a national probability sample of 2,864 respondents from the HIV Cost and Services Utilization Study (HCSUS, 1996) with 9,810 subjects from Wave 1 (1992) of the Health and Retirement Survey (HRS). Bivariate analyses compare demographic characteristics, financial resources, and health insurance status between older and younger adults and between older adults with HIV and the general population. It was found that nearly 10% of the HIV-positive population is between the ages of 50 and 61 years. Older whites with HIV are mostly homosexual men who are more well educated, more often privately insured, and more financially stable than the HIV population as a whole. In contrast, older minorities with HIV possess few economic resources in either absolute or relative terms. The success of new drug therapies and the changing demographics of the HIV population necessitate innovative policies that promote labor force participation and continuous access to antiretroviral therapies.

Female↗