Mécanismes d’inégalités en santé et sécurité : modèle conceptuel et agenda de recherche

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) 2014-04-01
Series:Perspectives Interdisciplinaires sur le Travail et la Santé
Subjects:
Online Access:https://journals.openedition.org/pistes/3963
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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-ef88253f10ed467ca2cc16ba38921e662025-01-09T16:01:27ZengInstitut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail (IRSST)Perspectives Interdisciplinaires sur le Travail et la Santé1481-93842014-04-0116210.4000/pistes.3963Mécanismes d’inégalités en santé et sécurité : modèle conceptuel et agenda de rechercheStephanie 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/3963genderconceptual modelhealth and safety inequalitiesmechanismsimmigrants and migrants
spellingShingle Stephanie Premji
Mécanismes d’inégalités en santé et sécurité : modèle conceptuel et agenda de recherche
Perspectives Interdisciplinaires sur le Travail et la Santé
gender
conceptual model
health and safety inequalities
mechanisms
immigrants and migrants
title Mécanismes d’inégalités en santé et sécurité : modèle conceptuel et agenda de recherche
title_full Mécanismes d’inégalités en santé et sécurité : modèle conceptuel et agenda de recherche
title_fullStr Mécanismes d’inégalités en santé et sécurité : modèle conceptuel et agenda de recherche
title_full_unstemmed Mécanismes d’inégalités en santé et sécurité : modèle conceptuel et agenda de recherche
title_short Mécanismes d’inégalités en santé et sécurité : modèle conceptuel et agenda de recherche
title_sort mecanismes d inegalites en sante et securite modele conceptuel et agenda de recherche
topic gender
conceptual model
health and safety inequalities
mechanisms
immigrants and migrants
url https://journals.openedition.org/pistes/3963
work_keys_str_mv AT stephaniepremji mecanismesdinegalitesensanteetsecuritemodeleconceptueletagendaderecherche