abstract: 'Objectives Patient care aides, who provide basic care to patients in a

  variety of healthcare settings, have been observed to have higher

  prevalences of adverse health metrics than the general US workforce.

  However, few studies have examined how healthcare access and health

  behaviors and outcomes among patient care aides differ by work setting

  (home health, nursing home, and hospital). Methods Data from the 2013 to

  2016 Behavioral Risk Factor Surveillance System were used to assess the

  prevalences of healthcare access, health-related behaviors, and health

  outcomes among patient care aides in different work settings, and among

  nurses (licensed vocational/practical and registered). Adjusted

  prevalence ratios were used to compare prevalences for healthcare

  workers to those for nonhealthcare clerical workers. Results Overall,

  patient care aides are a low-wage workforce with high prevalences of

  multiple adverse health metrics and low prevalences of positive health

  behaviors compared to clerical workers. Results differed by work

  setting. Home health aides had the lowest income levels and most adverse

  results for multiple metrics; nursing home aides had better healthcare

  access and somewhat better health outcomes. Most metrics were best

  (though still quite poor) for hospital aides, who showed few significant

  differences from clerical workers. Conclusions These results show the

  need to focus resources on the patient care aide workforce, particularly

  those in home health. While some needs of nursing home aides, such as

  improving influenza vaccination coverage and reducing the prevalence of

  arthritis-related conditions, would benefit from standardized workplace

  interventions, alternate, workplace-specific approaches are needed for

  home health aides.'
affiliation: 'Silver, S (Corresponding Author), NIOSH, DFSE, HIB, 1090 Tusculum Ave,MS
  R-19, Cincinnati, OH 45226 USA.

  Silver, Sharon; Boiano, James; Li, Jia, NIOSH, Div Field Studies \& Engn, Hlth Informat
  Branch, Cincinnati, OH 45226 USA.'
author: Silver, Sharon and Boiano, James and Li, Jia
author-email: ssilver@cdc.gov
author_list:
- family: Silver
  given: Sharon
- family: Boiano
  given: James
- family: Li
  given: Jia
da: '2023-09-28'
doi: 10.1002/ajim.23053
earlyaccessdate: OCT 2019
eissn: 1097-0274
files: []
issn: 0271-3586
journal: AMERICAN JOURNAL OF INDUSTRIAL MEDICINE
keywords: 'health disparities; healthcare; occupation; patient care aides;

  surveillance'
keywords-plus: 'SHORT-SLEEP DURATION; STATES; VACCINATION; PREVALENCE; INJURIES; ASTHMA;

  ADULTS'
language: English
month: JAN
number: '1'
number-of-cited-references: '40'
orcid-numbers: 'Boiano, James/0000-0003-2738-4588

  Li, Jia/0000-0003-0692-5103

  Silver, Sharon/0000-0002-7679-5028'
pages: 60-73
papis_id: adecb43cde28db50dfa7bd4268f4d6fa
ref: Silver2020patientcare
researcherid-numbers: 'Boiano, James/H-9257-2016

  '
times-cited: '18'
title: 'Patient care aides: Differences in healthcare coverage, health-related behaviors,
  and health outcomes in a low-wage workforce by healthcare setting'
type: article
unique-id: WOS:000491105600001
usage-count-last-180-days: '0'
usage-count-since-2013: '5'
volume: '63'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2020'