2023-09-28 14:46:10 +00:00
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abstract: 'Objectives Patient care aides, who provide basic care to patients in a
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variety of healthcare settings, have been observed to have higher
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prevalences of adverse health metrics than the general US workforce.
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However, few studies have examined how healthcare access and health
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behaviors and outcomes among patient care aides differ by work setting
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(home health, nursing home, and hospital). Methods Data from the 2013 to
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2016 Behavioral Risk Factor Surveillance System were used to assess the
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prevalences of healthcare access, health-related behaviors, and health
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outcomes among patient care aides in different work settings, and among
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nurses (licensed vocational/practical and registered). Adjusted
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prevalence ratios were used to compare prevalences for healthcare
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workers to those for nonhealthcare clerical workers. Results Overall,
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patient care aides are a low-wage workforce with high prevalences of
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multiple adverse health metrics and low prevalences of positive health
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behaviors compared to clerical workers. Results differed by work
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setting. Home health aides had the lowest income levels and most adverse
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results for multiple metrics; nursing home aides had better healthcare
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access and somewhat better health outcomes. Most metrics were best
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(though still quite poor) for hospital aides, who showed few significant
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differences from clerical workers. Conclusions These results show the
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need to focus resources on the patient care aide workforce, particularly
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those in home health. While some needs of nursing home aides, such as
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improving influenza vaccination coverage and reducing the prevalence of
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arthritis-related conditions, would benefit from standardized workplace
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interventions, alternate, workplace-specific approaches are needed for
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home health aides.'
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affiliation: 'Silver, S (Corresponding Author), NIOSH, DFSE, HIB, 1090 Tusculum Ave,MS
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R-19, Cincinnati, OH 45226 USA.
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Silver, Sharon; Boiano, James; Li, Jia, NIOSH, Div Field Studies \& Engn, Hlth Informat
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Branch, Cincinnati, OH 45226 USA.'
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author: Silver, Sharon and Boiano, James and Li, Jia
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author-email: ssilver@cdc.gov
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author_list:
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- family: Silver
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given: Sharon
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- family: Boiano
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given: James
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- family: Li
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given: Jia
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da: '2023-09-28'
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doi: 10.1002/ajim.23053
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earlyaccessdate: OCT 2019
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eissn: 1097-0274
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files: []
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issn: 0271-3586
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journal: AMERICAN JOURNAL OF INDUSTRIAL MEDICINE
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keywords: 'health disparities; healthcare; occupation; patient care aides;
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surveillance'
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keywords-plus: 'SHORT-SLEEP DURATION; STATES; VACCINATION; PREVALENCE; INJURIES; ASTHMA;
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ADULTS'
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '40'
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orcid-numbers: 'Boiano, James/0000-0003-2738-4588
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Li, Jia/0000-0003-0692-5103
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Silver, Sharon/0000-0002-7679-5028'
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pages: 60-73
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papis_id: adecb43cde28db50dfa7bd4268f4d6fa
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ref: Silver2020patientcare
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researcherid-numbers: 'Boiano, James/H-9257-2016
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'
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times-cited: '18'
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title: 'Patient care aides: Differences in healthcare coverage, health-related behaviors,
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and health outcomes in a low-wage workforce by healthcare setting'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000491105600001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '5'
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volume: '63'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2020'
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