scholarly journals WORKPLACE SUPPORTS FOR WORKING LONGER: A CASE FOR THE BLACK LOW-WAGE WORKER

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S193-S193
Author(s):  
Kendra Jason

Abstract Government-sponsored retirement programs and employer benefits are directly tied to individual employment history and wages. Consequently, Black workers disproportionally face challenges in labor market compensation and retirement benefits. Due to a history of racial discrimination and economic oppression, Black workers earn less income over the life course and are less likely to have insurance support in comparison to their white counterparts in older age. This leads Black adults to remain in the workforce longer for financial support and presents unique physical and psychosocial challenges balancing work obligations and family responsibilities. Further, Black adults also suffer from more chronic illnesses, poor health outcomes, and death at higher rates compared to nearly all other racial groups. Drawing on data derived from a workplace case-study with interviews from 15 low-wage Black workers aged 50+ years, with multiple chronic conditions in the Southern United States. My aims are to (1) understand what workplace supports enable vulnerable workers to remain in the workforce, and (2) identity other buffers (i.e., resilience) to working with chronic conditions that enable prolonged work engagement. Findings suggest that workplaces can better support low-wage workers who cannot afford to retire by offering better pay and health benefits. Supervisor and coworker supports, flexible work arrangements and scheduling, and less stressful work environments also enable sustained work engagement. Research, policy and practice implications of this research include identifying workplace attributes and determining strategies to strengthen them, which is paramount to addressing disparities in work and health outcomes in the vulnerable communities.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 615-616
Author(s):  
Ayo Bankole

Abstract Illness perceptions (IP) has been associated with self-management and health outcomes in individuals with chronic diseases such as heart disease and diabetes; however, there is less research on the relationship between IP and health outcomes in individuals with multiple chronic conditions (MCC). Older adults with MCC are more likely to experience poor outcomes such as hospitalizations and poor self-rated health yet, there is less understanding of the processes associated with these outcomes. The purpose of this study was to (1) explore the relationship between IP and self-rated health among older adults with MCC (2) explore the relationship between IP and the number of hospitalization within the past year among older adults with MCC. Understanding these relationships may be instrumental to designing targeted interventions to improve health outcomes for this population. 116 participants (ages 65-90) completed the illness perception of multimorbidity scale, modified general health subscale of the SF-36 questionnaire, and self-reported number of hospitalizations within the past year. Ordinal logistic regression was used for analysis. Older adults who reported negative IP were likely to report worse self-rated health and this relationship remained significant after controlling for age and number of chronic conditions {-0.032 (95% CI (-0.050 to 0.014) p< 0.05}. There was no significant relationship between IP and the number of hospitalization within the past year. The study results study suggest that IP is associated with self-rated health in older adults with MCC. IP may be useful to design targeted interventions to improve self-rated health in this population.


2013 ◽  
Vol 3 (2) ◽  
pp. 45-50 ◽  
Author(s):  
Efrat Shadmi

Disadvantaged populations are disproportionately affected by multiple chronic conditions (MCCs), yet few studies examine the prevalence, outcomes, or effectiveness of MCC interventions in minority and socioeconomically deprived individuals and populations. An important first step in understanding MCCs, not only in such diverse population groups, but also in the general population as a whole, is to broaden the definition and scope of MCC measurement, to encompass more than the simple additive effect of clinical conditions, and to include a wide range of health and health-related aspects that interact and make up the full spectrum of multimorbidity. Only with the use of a comprehensive MCC measurement can some of the differences between the disadvantaged populations be adequately detected. Better understanding of the disparities in access to high quality health and healthcare for persons with MCCs can help guide policy and practice aimed at the prevention and amelioration of the effects of MCCs among disadvantaged groups. Indeed, disparity in MCC populations has been identified as a key goal of the U.S. Department of Health and Human Services’ Strategic Framework on MCCs. The aim of the present paper is to describe current knowledge on disparities in the population of persons with MCCs and to guide efforts for the prevention and management of MCCs in disadvantaged populations.


2011 ◽  
Vol 59 (9) ◽  
pp. 1686-1691 ◽  
Author(s):  
Mary E. Tinetti ◽  
Gail J. McAvay ◽  
Sandy S. Chang ◽  
Anne B. Newman ◽  
Annette L. Fitzpatrick ◽  
...  

2011 ◽  
Vol 126 (4) ◽  
pp. 460-471 ◽  
Author(s):  
Anand K. Parekh ◽  
Richard A. Goodman ◽  
Catherine Gordon ◽  
Howard K. Koh ◽  

2017 ◽  
Vol 10 (1) ◽  
pp. 50-55
Author(s):  
Kim Kuebler

The doctor of nursing practice (DNP) provides a link between health policy and practice. This article provides an overview of the current legislation influencing the care and management of the nation’s largest, fastest growing, and costliest patient population—those with multiple chronic conditions. The DNP who remains informed and knowledgeable about the legislative changes directing practice and reimbursement will be prepared to demonstrate quality and value in an era of transparency. A brief overview of merit incentive reimbursement and alternative payment models are described as the United States moves toward population-based health.


2018 ◽  
Vol 21 ◽  
pp. S88-S89
Author(s):  
S Ngorsuraches ◽  
P Da Rosa ◽  
X Ge ◽  
G Djira ◽  
S Michael ◽  
...  

2013 ◽  
Author(s):  
Donna M. Zulman ◽  
Emily Jenchura ◽  
Danielle Cohen ◽  
Eleanor Lewis ◽  
Steven M. Asch

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