Mechanisms of inequalities in health and safety : conceptual model and research agenda

A growing number of studies from industrialized countries have documented elevated rates of occupational injuries and illnesses for foreign-born workers relative to their native counterparts. However, the mechanisms at play remain poorly understood. We propose a conceptual model of the mechanisms th...

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Main Author: Stephanie Premji
Format: Article
Language:English
Published: Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail (IRSST) 2014-03-01
Series:Perspectives Interdisciplinaires sur le Travail et la Santé
Subjects:
Online Access:https://journals.openedition.org/pistes/3825
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author Stephanie Premji
author_facet Stephanie Premji
author_sort Stephanie Premji
collection DOAJ
description A growing number of studies from industrialized countries have documented elevated rates of occupational injuries and illnesses for foreign-born workers relative to their native counterparts. However, the mechanisms at play remain poorly understood. We propose a conceptual model of the mechanisms that underlie the observed inequalities. We describe how language barriers, cultural differences, vulnerable legal status, precarious economic status, newness in the host country and job, lower education and skill levels, and discrimination all generate vulnerabilities that are embodied as poor working conditions, limited knowledge of health and safety, impeded communication with employers and service providers, detrimental behaviours towards risks or health, and constrained agency. These processes, in turn, engender inequalities in exposures as well as in prevention, care, compensation and rehabilitation, which impact health. We note that in-depth information is lacking on pathways to inequalities, on how they differ by gender and ethnicity, and on how they are shaped by broader social, economic, political and legal structures. We also note the lack of information on strategies to reduce inequalities. We propose avenues for research that have the potential to lead to meaningful and actionable results.
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spelling doaj-art-e89f318c7bf9452bb6f9fe5bee3ca9792025-01-09T16:01:24ZengInstitut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail (IRSST)Perspectives Interdisciplinaires sur le Travail et la Santé1481-93842014-03-0116210.4000/pistes.3825Mechanisms of inequalities in health and safety : conceptual model and research agendaStephanie PremjiA growing number of studies from industrialized countries have documented elevated rates of occupational injuries and illnesses for foreign-born workers relative to their native counterparts. However, the mechanisms at play remain poorly understood. We propose a conceptual model of the mechanisms that underlie the observed inequalities. We describe how language barriers, cultural differences, vulnerable legal status, precarious economic status, newness in the host country and job, lower education and skill levels, and discrimination all generate vulnerabilities that are embodied as poor working conditions, limited knowledge of health and safety, impeded communication with employers and service providers, detrimental behaviours towards risks or health, and constrained agency. These processes, in turn, engender inequalities in exposures as well as in prevention, care, compensation and rehabilitation, which impact health. We note that in-depth information is lacking on pathways to inequalities, on how they differ by gender and ethnicity, and on how they are shaped by broader social, economic, political and legal structures. We also note the lack of information on strategies to reduce inequalities. We propose avenues for research that have the potential to lead to meaningful and actionable results.https://journals.openedition.org/pistes/3825genderconceptual modelhealth and safety inequalitiesmechanismsimmigrants and migrants
spellingShingle Stephanie Premji
Mechanisms of inequalities in health and safety : conceptual model and research agenda
Perspectives Interdisciplinaires sur le Travail et la Santé
gender
conceptual model
health and safety inequalities
mechanisms
immigrants and migrants
title Mechanisms of inequalities in health and safety : conceptual model and research agenda
title_full Mechanisms of inequalities in health and safety : conceptual model and research agenda
title_fullStr Mechanisms of inequalities in health and safety : conceptual model and research agenda
title_full_unstemmed Mechanisms of inequalities in health and safety : conceptual model and research agenda
title_short Mechanisms of inequalities in health and safety : conceptual model and research agenda
title_sort mechanisms of inequalities in health and safety conceptual model and research agenda
topic gender
conceptual model
health and safety inequalities
mechanisms
immigrants and migrants
url https://journals.openedition.org/pistes/3825
work_keys_str_mv AT stephaniepremji mechanismsofinequalitiesinhealthandsafetyconceptualmodelandresearchagenda