Work precarity, employment characteristics and health among Canada's long-term care and seniors' home workers during the COVID-19 pandemic.

IF 2.7 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Reports Pub Date : 2024-02-21 DOI:10.25318/82-003-x202400200001-eng

Valentina Antonipillai, Edward Ng, Andrea Baumann, Mary Crea-Arsenio, Dafna Kohen

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Abstract

Background: The COVID-19 pandemic has highlighted several issues among health care workers in Canada's long-term care and seniors' (LTCS) homes, including labour shortages, staff retention difficulties, overcrowding, and precarious working conditions. There is currently a lack of information on the health, well-being and working conditions of health care workers in LTCS homes - many of them immigrants - and a limited understanding of the relationship between them. This paper examines differences between immigrant and non-immigrant workers' health outcomes and precarious working conditions during the pandemic.

Data and methods: The data were from the 2021 Survey on Health Care Workers' Experiences During the Pandemic, which collected information on LTCS home health care workers' (n=2,051) health, employment or work experiences, and working environment during the COVID-19 pandemic. Summary statistics and multivariable logistic regressions were conducted to examine the association between precarious work and workers' health (life stress, mental health and general health), stratified by immigrant status. Selected working characteristics were included in the regression models as covariates, namely occupation, number of locations worked, facility ownership status and number of years worked.

Results: Immigrant health care workers were more likely than non-immigrant health care workers to experience precarious work in LTCS homes. Precarious work - characterized by income loss, reduced hours of work, and unpaid leave - was associated with stress and poor general health among immigrant and non-immigrant workers in the sector. Employment precarity was also associated with poor mental health for immigrant workers, but there was no association for non-immigrant workers.

Interpretation: Employment precarity and the health and well-being of health care workers warrants further attention, in particular among immigrants employed in the LTCS residential care sector.

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在 COVID-19 大流行期间，加拿大长期护理和养老院工作人员的工作不稳定性、就业特点和健康状况。

背景：COVID-19 大流行凸显了加拿大长期护理和老人院（LTCS）医护人员的几个问题，包括劳动力短缺、留住员工困难、过度拥挤和工作条件不稳定。目前，有关长期护理和养老院医护人员（其中许多是移民）的健康、福利和工作条件的信息还很缺乏，对他们之间关系的了解也很有限。本文研究了大流行期间移民和非移民工人在健康结果和不稳定工作条件方面的差异：数据来自 2021 年大流行期间医护人员经历调查，该调查收集了 COVID-19 大流行期间 LTCS 家庭医护人员（n=2,051）的健康状况、就业或工作经历以及工作环境等信息。研究人员根据移民身份对不稳定工作与工人健康（生活压力、心理健康和一般健康）之间的关系进行了汇总统计和多变量逻辑回归。选定的工作特征作为协变量被纳入回归模型，即职业、工作地点数量、设施所有权状况和工作年限：与非移民医护人员相比，移民医护人员更有可能在长者照护之家从事不稳定的工作。不稳定工作的特点是收入减少、工作时间缩短和无薪假期，这与该行业移民和非移民工人的压力和总体健康状况不良有关。就业不稳定还与移民工人的心理健康状况不佳有关，但与非移民工人没有关系：就业不稳定与医护人员的健康和福祉值得进一步关注，尤其是受雇于长期护理和照顾服务住宿护理行业的移民。

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来源期刊

Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

4.00%

发文量

期刊介绍： Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.