PDF(Pubmed)
Abstract：
Latino immigrants living in the United States were highly vulnerable to the health and economic consequences brought on by the COVID-19 pandemic. We use the conceptual framing of workplace dignity, worth that is acknowledged based on performance of job responsibilities, to explore Latino immigrants\' experiences during the early months of the pandemic. A qualitative study was conducted with La Clínica del Pueblo (La Clínica), a community health center serving low-income Latino immigrants. From June to December 2020, we conducted in-depth video interviews with 29 Latino immigrant clients to explore pandemic-related challenges, including workplace changes, discriminatory experiences, and effects on health. We conducted thematic analysis using Dedoose software. Nearly half of participants were undocumented immigrants. Most participants were unemployed or underemployed due to the pandemic and 26-49 years of age; one-third were still working, and one-quarter were 50 years or older. About half were cisgender women and two were transgender women. Employed participants experienced a lack of dignity through being socially isolated and stigmatized at work; receiving no compensation for their extra labor or for sick leave; and experiencing discriminatory labor practices. Unemployed participants experienced a lack of dignity in being the first to lose their jobs without government support; losing self-esteem; and not being rehired. Participants associated denial of dignity with worsening health conditions and increased anxiety and depression. Our study suggests that denial of workplace dignity-through job loss, underemployment, and poor working conditions-is linked to adverse health outcomes for Latino immigrants. More research should recognize workplace dignity as an important social determinant of health.
摘要：
生活在美国的拉丁裔移民极易受到新冠肺炎大流行带来的健康和经济后果的影响。我们使用工作场所尊严的概念框架，基于工作职责的履行而承认的价值，探索拉丁裔移民在大流行前几个月的经历。对LaClínicadelPueblo（LaClínica）进行了定性研究，为低收入拉丁裔移民提供服务的社区卫生中心。从2020年6月到12月，我们对29名拉丁裔移民客户进行了深入的视频采访，以探讨与大流行相关的挑战。包括工作场所的变化，歧视性的经验，以及对健康的影响。我们使用Dedoose软件进行了主题分析。将近一半的参与者是无证移民。大多数参与者因大流行而失业或就业不足，年龄在26-49岁之间；三分之一仍在工作，四分之一是50岁或以上。大约一半是顺性女性，两个是变性女性。就业参与者由于在工作中被社会孤立和污名化而缺乏尊严；他们的额外劳动或病假得不到补偿；并经历歧视性劳动做法。失业的参与者在没有政府支持的情况下成为第一个失去工作的人时缺乏尊严；失去自尊；没有被重新雇用。参与者将否认尊严与健康状况恶化以及焦虑和抑郁增加联系起来。我们的研究表明，通过失业来否认工作场所的尊严，就业不足,以及恶劣的工作条件-与拉丁裔移民的不良健康结果有关。更多的研究应该认识到工作场所的尊严是健康的重要社会决定因素。
