What explains the socioeconomic status-health gradient? Evidence from workplace COVID-19 infections

This paper studies the contribution of the workplace to the SES-health gradient. Our analysis is based on a unique dataset that tracks various health outcomes and workplace risks among healthcare workers during the first four months of the coronavirus 2019 (COVID-19) pandemic. The setting provides a...

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Main Authors: Raphael Godefroy, Joshua Lewis
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:SSM: Population Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827322001033
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author Raphael Godefroy
Joshua Lewis
author_facet Raphael Godefroy
Joshua Lewis
author_sort Raphael Godefroy
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description This paper studies the contribution of the workplace to the SES-health gradient. Our analysis is based on a unique dataset that tracks various health outcomes and workplace risks among healthcare workers during the first four months of the coronavirus 2019 (COVID-19) pandemic. The setting provides an exceptional opportunity to test for work-related disparities in health, while controlling for confounding determinants of the SES-health gradient. We find that low-SES nurses were systematically more likely to contract COVID-19 as a result of workplace exposure. These differentials existed in all healthcare institutions, but were particularly large in non-hospital settings. In contrast, we find no relationship between SES and nonwork-related infection rates. The differences in workplace infection rates are substantially larger than those implied by standard ‘task-based’ indices of transmission risk, and cannot be attributable to easily identifiable metrics of workplace risk. Together, our results show how subtle differences in work conditions or job duties can substantially contribute to the SES-health gradient.
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spelling doaj.art-a40c1dc37b18443c822468f86a0db3452022-12-22T03:29:16ZengElsevierSSM: Population Health2352-82732022-06-0118101124What explains the socioeconomic status-health gradient? Evidence from workplace COVID-19 infectionsRaphael Godefroy0Joshua Lewis1Department of Economics, Université de Montréal, 3150, Rue Jean-Brillant, Montreal, QC, H3T1N8, CanadaCorresponding author.; Department of Economics, Université de Montréal, 3150, Rue Jean-Brillant, Montreal, QC, H3T1N8, CanadaThis paper studies the contribution of the workplace to the SES-health gradient. Our analysis is based on a unique dataset that tracks various health outcomes and workplace risks among healthcare workers during the first four months of the coronavirus 2019 (COVID-19) pandemic. The setting provides an exceptional opportunity to test for work-related disparities in health, while controlling for confounding determinants of the SES-health gradient. We find that low-SES nurses were systematically more likely to contract COVID-19 as a result of workplace exposure. These differentials existed in all healthcare institutions, but were particularly large in non-hospital settings. In contrast, we find no relationship between SES and nonwork-related infection rates. The differences in workplace infection rates are substantially larger than those implied by standard ‘task-based’ indices of transmission risk, and cannot be attributable to easily identifiable metrics of workplace risk. Together, our results show how subtle differences in work conditions or job duties can substantially contribute to the SES-health gradient.http://www.sciencedirect.com/science/article/pii/S2352827322001033Socioeconomic statusHealth inequalityCOVID-19
spellingShingle Raphael Godefroy
Joshua Lewis
What explains the socioeconomic status-health gradient? Evidence from workplace COVID-19 infections
SSM: Population Health
Socioeconomic status
Health inequality
COVID-19
title What explains the socioeconomic status-health gradient? Evidence from workplace COVID-19 infections
title_full What explains the socioeconomic status-health gradient? Evidence from workplace COVID-19 infections
title_fullStr What explains the socioeconomic status-health gradient? Evidence from workplace COVID-19 infections
title_full_unstemmed What explains the socioeconomic status-health gradient? Evidence from workplace COVID-19 infections
title_short What explains the socioeconomic status-health gradient? Evidence from workplace COVID-19 infections
title_sort what explains the socioeconomic status health gradient evidence from workplace covid 19 infections
topic Socioeconomic status
Health inequality
COVID-19
url http://www.sciencedirect.com/science/article/pii/S2352827322001033
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