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Author: Waitzman, Norman J.
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Waitzman, Norman J. |
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Occupational Determinants of Health: A Labor Market Segmentation Analysis Ph.D. Dissertation, American University, 1988 Cohort(s): Older Men Publisher: UMI - University Microfilms, Bell and Howell Information and Learning Keyword(s): Health Factors; Health Reform; Morbidity; Mortality; Occupational Segregation; Occupational Status The thesis contains two major theoretical strains, one critical, the other constructive. The critical strain concerns the theory of wage compensating differentials for differential workplace risk in the labor market. Under the theory, workers choose health outcomes by choosing from among the portfolio of jobs available to them. The constructive strain of the thesis forwards an alternative, "occupational determinants" model of health that focuses on structural determinants arising from labor market segmentation. It is assumed that risk to health increases the lower one is situated on the occupational hierarchy due to levels of competing physical hazards stress. The Cox proportional hazards model is applied to the mortality and morbidity experience of the NLS Older Men cohort studied from 1966 to 1981. In addition to risk measures associated with wage differentials in various studies, variables assessing class location and other control variables associated with health status are entered into the analysis. The empirical results from the thesis discredit the notion that efficient labor market conditions assure worker choice over health outcomes. Health and safety regulatory policy should address the regimentation and routinization of work that cause occupational stress characterized by jobs at the lower end of the occupational structure. Policy directed at full employment as well as labor law reform directed at strengthening labor unions, are associated with important occupational health policies. |
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Bibliography Citation
Waitzman, Norman J. Occupational Determinants of Health: A Labor Market Segmentation Analysis. Ph.D. Dissertation, American University, 1988. |