Charles Levenstein

Health Policy Implications of Unemployment

Health policy implications of unemployment , Health policy implications of unemployment , مرکز فناوری اطلاعات و اطلاع رسانی کشاورزی

The Impact of Health and Safety Committees: A Study Based on Survey, Interview, and Occupational Safety and Health Administration Data

In a study conducted to determine if the existence of a joint labor-management health and safety committee (HSC) was correlated with either the number of Occupational Safety and Health Administration (OSHA) complaints or hazardousness, as measured by OSHA serious citations, virtually no effect could be detected in a sample of 127 Massachusetts manufacturing firms. At a sample of 13 firms, interviews of HSC members were conducted. Committee attributes and perceptions about committee effectiveness were compared with the number of OSHA complaints and serious citations. There were fewer complaints and fewer serious citations at firms with HSCs that were perceived as effective. Results of the study suggest that the objective attributes of the committee may be less important to its success than the commitment of management and labor to solving workplace safety problems.

Smoke-Free Airlines and the Role of Organized Labor: A Case Study

Labor unions play an important role in debates about smoke-free worksites. We investigated the role of flight attendants and their unions in creating smoke-free air travel. We used case study methodology to search tobacco industry documents and labor union periodicals and to interview key informants (i.e., people identified as having first-hand information and experience in the campaign to make airlines smoke free). We then compared findings across these data sources. Tobacco industry strategies against the establishment of smoke-free worksites failed in the case of airlines, largely because of the efforts of flight attendants and their unions. Other factors contributed to the failure but likely would have been insufficient to derail industry efforts without strong stands by the flight attendants. This case illustrates the potential for successful partnerships between unions and tobacco control policy advocates when developing smoke-free worksite policies.

Labor positions on worksite tobacco control policies: a review of arbitration cases.

Although worksite smoking restrictions have become increasingly common in recent years, organized labor has generally not been involved in the adoption of these policies; some evidence suggests that unions often oppose the adoption of worksite smoking policies. To contribute to an understanding of labors role in tobacco control policies, this paper reports the results of a review of 85 arbitration cases and 5 cases of unfair labor practices charges published between 1986 and 1994. In most of the cases reviewed, management unilaterally imposed a new smoking policy, which the union then grieved. Union opposition to the policy generally focused on the process by which the policy was adopted, rather than the content of the policy; the concern was that management had breached its duty to bargain with the union regarding the adoption of the policy. These results underline the importance of joint labor-management actions on worksite tobacco control policies.

Byssinosis: a role for public health in the face of scientific uncertainty.

Byssinosis, a lung disease caused by cotton dust, has been the subject of recent controversy. Debates over the nature of the disease, possible interactions with cigarette smoking, and the proposed reevaluation of the cotton dust standard by the Occupational Safety and Health Administration have tended to overlook the plight of affected workers and to obscure the most effective means for preventing the disease. The present lack of definitive information is no reason for inaction, nor for depriving disabled workers of adequate financial compensation. In this respect, byssinosis is no different from other public health hazards for which action must often be taken on the basis of incomplete evidence.

Clearing the air: the evolution of organized labor's role in tobacco control in the United States.

As efforts to make U.S. worksites smoke-free took shape in the 1980s, the tobacco industry sought to defeat them by forming alliances with organized labor. The alliance between the tobacco industry and organized labor was based on framing the regulation of environmental tobacco smoke (ETS) as a threat to jobs, an example of management unilateralism, and an issue that divided smoking and nonsmoking union members. The dynamics of organized labor and tobacco control began to change in the late 1980s with attempts to ban smoking on airlines and in the hospitality industry. Flight attendants, bar and restaurant workers, and casino dealers—all subject to ETS in their work environments—confronted ETS as an occupational health issue. Against the backdrop of increasing awareness of the hazards of ETS, and the acceptance of tobacco control policy, this framing changed the basis of organized labors role in tobacco control. Because service workers share the workplace with the general public, their occupational health issues are also public health issues. This fact presents new opportunities for coalition building to protect the health of service workers and the public alike.

Policy implications intervention research: Research on the social context for intervention

Intervention research is of significance because the failure or success of particular interventions may have influence on policy and practice. Poorly designed interventions may impede progress in health and safety. Frequently, interventions are based on scientific/ technical definitions of occupational health and safety problems but involve intrusion into complex sociotechnical work environments. Intervention research must be built on a solid foundation of social science research. An example of research useful to health and safety intervention is the Gray Institute study of management practices in the chemical industry that was commissioned by OSHA a few years ago. It focused on safety management in chemical manufacturing firms and their contractors, including a survey of managers and contractors and nine intensive case studies of particular plants. The study describes safety management practices in the best firms in the industry. Such research can provide the groundwork for effective safety interventions in the industry, including training and training requirements, experimentation with redefined managerial responsibilities, regulation of contractors, and others. It also suggests the kinds of useful data that might be collected by NIOSH in the normal course of health and safety studies. Finally, it suggests that the interdisciplinary teams currently investigating occupational health and safety should be expanded to include social scientists.

Labor and the tobacco institute's labor management committee in new york state: the rise and fall of a political coalition.

In 1984 the Tobacco Institute and the Bakery, Confectionary and Tobacco Workers Union formed a Labor Management Committee. From the mid-1980s to the mid-1990s, this LMC worked to elicit labor support in New York by framing issues in terms that made them salient to unions: tobacco excise taxes as regressive taxation, workplace smoking restrictions as an intrusion into collective bargaining. By the late 1990s, however, most of labor in New York had shifted to support for anti-tobacco policies. The reasons for this shift include the growing size and influence of public-sector unions, and their generally favorable stances on tobacco control issues; the policy-making autonomy of the unions; the growing body of scientific knowledge concerning the dangers of tobacco use; and the rise in public awareness of such dangers. Nevertheless, for two decades, the LMC contributed to mutual suspicion between labor and tobacco control advocates that prevented collaboration between them.

Good Practice Guidelines for occupational health research funded by the private sector.

The role of the private sector in funding academic research is increasing and the well-developed guidelines for government-sponsored research do not apply to the academic-industry arena. Good Practice Guidelines for privately funded occupational health research are necessary. Industry sponsors and academic researchers belong to differing systems with differing goals and means to achieve and evaluate them. As a result, problems are inherent in the relationship. Guidelines would benefit industry by providing criteria against which industry-funded research could be judged and evaluated. Guidelines would help university researchers assure that their work is examined and criticized on its merits. Such protection would foster quality research over the long term. Here, we consider the issues involved and explore questions that came out of a workshop convened under the auspices of the Centers for Disease Control and Prevention. When private funding is involved, university scientists have a professional responsibility to ensure that the integrity of researchers, subjects, and the research process is well protected. A body of experience allows us to create Good Practice Guidelines beneficial to all parties.

Organized labor, public health, and tobacco control policy: a dialogue toward action.

An action-oriented conference, “Organized Labor, Public Health, and Tobacco Control Policy,” was held in September 2000 in Boston, Massachusetts. Labor union leaders, tobacco control and public health activists, researchers, and practitioners met for two days to: 1) learn about existing labor-based tobacco control initiatives; 2) educate one another about resources, barriers, and opportunities for labor-public health joint action on tobacco policy; 3) and identify where agendas overlap and form the basis for specific next steps in collaborative efforts in tobacco-related research, training, and advocacy. This report summarizes presentations and participant discussions to inform readers of the information exchanged and of the enthusiasm shared by conference participants—translated into a set of joint recommendations—for increased labor-based and joint labor-public health action to reduce the burden of tobacco on working people.