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The Impact of Unions on US Direct Care Workers in Long-Term Care Settings: A Systematic Review.

J Am Med Dir Assoc

December 2024

Department of Medicine, Weill Cornell Medicine, New York, NY, USA. Electronic address:

Objectives: To meet a growing demand for direct care workers (DCWs) in the United States, structural, organizational, and policy-related solutions are needed. Unionization of the workforce may be one such mechanism; however, its impact on outcomes remains poorly understood. To examine the impact of unionization on DCWs' financial well-being and employment attitudes, as well as patient outcomes.

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Research often borrows on common yet somewhat unsubstantiated beliefs that unions influence inequality attitudes among unionized and nonunionized workers. This paper draws on inequality attitude data from the General Social Survey and state-level union data from the Current Population Survey and County Business Patterns between 1973 and 2016 to test this hypothesis. Linear probability, fixed-effects, and marginal structural models estimate that a large increase in state union density moderately increases workers' support for reducing income inequality by three to 12 percentage points.

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Participatory Assessment and Selection of Workforce Health Intervention Priorities for Correctional Supervisors.

J Occup Environ Med

July 2022

From the Division of Occupational and Environmental Medicine, Department of Medicine, UConn School of Medicine, Farmington, CT (Dr Dugan, Dr Cavallari, Dr Cherniack); Department of Health Sciences, Springfield College, Springfield, MA (Dr Namazi); Department of Public Health Sciences, UConn School of Medicine, Farmington, CT (Dr Cavallari); Solomont School of Nursing, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA (Dr El Ghaziri); Connecticut State Employees Association, Service Employees International Union, Local 2001, Hartford, CT (Mr Rinker, Mr Preston).

Objective: A team of academics and unionized correctional supervisors collaborated to assess workforce health and determine intervention priorities using participatory methods and tools.

Methods: Correctional supervisors took a web-based survey. Univariate and bivariate tests examined attitudes/behaviors, exposures, and outcomes most strongly associated with health; risk based on rank within chain-of-command; and health behaviors amenable to change.

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Introduction: The workers' compensation system covers wages and health care costs associated with work-related injuries or illnesses. We explore if dimensions of occupational health and safety vulnerability are associated with differences in reporting work-related injuries to workers' compensation boards (WCBs).

Methods: We examined data from adults reporting physical workplace injuries requiring time off or health care.

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Knowledge of work-related injury reporting and perceived barriers among janitors.

J Safety Res

June 2019

Midwest Center for Occupational Health and Safety Education and Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, United States.

Introduction: The goal of this study was to evaluate and improve janitors' knowledge of workers' rights and responsibilities for assessing and reporting work-related injuries, and to determine the barriers for reporting occupational injuries.

Methods: Questionnaires, designed to collect data retrospectively for two, sequential six-month periods, were disseminated to 1200 full-time unionized janitors in the Twin Cities. Immediately following the baseline questionnaire administration, a randomly selected sub-group of janitors (~600) received information on workers' rights and responsibilities for reporting injuries; six-months later a questionnaire comparable to the baseline questionnaire was disseminated to the 1200 janitors.

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