Abstract
Objective
To compare occupational health and safety (OHS) vulnerability of recent Canadian immigrants and workers born in Canada.
Methods
Recent immigrants (n = 195) were recruited at four settlement agencies in Southern Ontario, and non-immigrants in Ontario (n = 1030) were contacted by phone and email by a third-party survey provider. The questionnaire measured OHS vulnerability using a 27-item measure and collected sociodemographic and workplace information. Responses were used to evaluate one overall and three specific (policy and procedure, awareness, and empowerment) measures of OHS vulnerability. Log-binomial models compared the overall and policy and procedure-, awareness- and empowerment-related vulnerability of recent immigrants to non-immigrant workers. Models were adjusted for demographic and workplace characteristics.
Results
New immigrants experience statistically elevated levels of overall (adjusted risk ratio [ARR] = 1.60, 95% CI 1.23–2.07) and empowerment-related vulnerability (ARR = 1.54, 95% CI 1.09–2.17). Compared to workers born in Canada, immigrants also report elevated levels of policy and procedure vulnerability (ARR = 1.37, 95% CI 0.98–1.92), although this estimate did not meet traditional criteria for statistical significance.
Conclusions
This study uses a novel multi-dimensional measure to identify how differences in workplace context place recent immigrant workers at increased risk of work-related injury or illness. Recent immigrant workers experience increased risk of OHS vulnerability. In particular, this vulnerability results from exposure to hazards in combination with inadequate levels of empowerment to protect themselves in the workplace. Policy-makers, advocates, and employers should implement strategies that not only build workplaces where occupational hazards are minimized but also ensure immigrant workers are empowered to act on their workplace rights and engaged to improve workplace safety.
Résumé
Objectifs
Comparer la vulnérabilité des travailleurs récemment immigrés au Canada et des travailleurs nés au Canada sur le plan de la santé et de la sécurité au travail (SST).
Méthode
Des immigrants récents (n = 195) ont été recrutés dans quatre organismes d’établissement nationaux situés dans le Sud de l’Ontario, et des non-immigrants de l’Ontario (n = 1030) ont été contactés par téléphone et par courriel par une entreprise de sondages externe. Un questionnaire a mesuré la vulnérabilité des répondants sur le plan de la SST à l’aide de 27 questions et recueilli des données sociodémographiques et sur le lieu de travail. Les réponses ont servi à évaluer trois indicateurs particuliers (politiques et procédures, connaissance et autonomisation) et un indicateur général de la vulnérabilité sur le plan de la SST. Des modèles log-binomiaux ont permis de comparer la vulnérabilité générale des travailleurs récemment immigrés à celle des travailleurs non immigrants, ainsi que leur vulnérabilité respective sur le plan des politiques et procédures, de la connaissance et de l’autonomisation. Les modèles ont été ajustés en fonction des caractéristiques démographiques et du lieu de travail.
Résultats
Les nouveaux immigrants présentent des niveaux statistiquement élevés de vulnérabilité générale (risque relatif ajusté [RRA] = 1,60, IC de 95% 1,23–2,07) et de vulnérabilité liée à l’autonomisation (RRA = 1,54, IC de 95% 1,09–2,17). Comparativement aux travailleurs nés au Canada, les immigrants font aussi état de niveaux élevés de vulnérabilité liée aux politiques et procédures (RRA = 1,37, IC de 95% 0,98–1,92), mais cette estimation ne respecte pas les critères habituels de signification statistique.
Conclusions
L’étude emploie un nouvel indicateur pluridimensionnel pour déterminer si les différences sur le lieu de travail présentent des risques accrus d’accidents du travail ou de maladies professionnelles pour les travailleurs récemment immigrés. Ces travailleurs sont plus vulnérables sur le plan de la SST. Cette vulnérabilité résulte en particulier de la combinaison de leur exposition aux risques professionnels et de leurs niveaux d’autonomisation insuffisants pour les en protéger. Les responsables des politiques, les défenseurs des droits et les employeurs devraient appliquer des stratégies qui ne font pas que créer des lieux de travail où les risques professionnels sont réduits, mais qui habilitent aussi les immigrants à faire valoir leurs droits en milieu de travail et à participer à l’amélioration de la sécurité au travail.
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References
Association of Workers’ Compensation Boards of Canada. (2014). National work injury, disease and fatality statistics 2013. Mississauga, Ontario: Association of Workers’ Compensation Boards of Canada.
Breslin, F. C., & Smith, P. (2005 Jul). Age-related differences in work injuries: a multivariate, population-based study. Am J Ind Med, 48(1), 50–56.
Chen, C., Smith, P., & Mustard, C. (2010 Sep 20). The prevalence of over-qualification and its association with health status among occupationally active new immigrants to Canada. Ethn Health, 15(6), 601–619.
Citizenship and Immigration Canada. (2016). Facts and figures 2015—immigration overview: permanent residents. Ottawa: Citizenship and Immigration Canada.
Dong, X., Ringen, K., Men, Y., & Fujimoto, A. (2007). Medical costs and sources of payment for work-related injuries among Hispanic construction workers. J Occup Environ Med, 49(12), 1367–1375.
Gilmore, J. (2009). The 2008 Canadian immigrant labour market: analysis of quality of employment. Ottawa, Canada: Statistics Canada.
Hoppe, A. (2011). Psychosocial working conditions and well-being among immigrant and German low-wage workers. J Occup Health Psychol, 16(2), 187–201.
Institute for Work & Health. (2017). OHS vulnerability measure. Online Source <https://www.iwh.on.ca/ohs-vulnerability-measure>
Kosny, A., MacEachen, E., Lifshen, M., Smith, P., Jafri, G. J., Neilson, C., et al. (2012). Delicate dances: immigrant workers’ experiences of injury reporting and claim filing. Ethn Health, 17(3), 267–290.
Kustec, S. (2012). The role of migrant labour supply in the Canadian labour market. Ottawa: Citizenship and Immigration Canada.
Law Commission of Ontario. (2012). Vulnerable workers and precarious work. Final report December 2012. Toronto: Law Commission of Ontario.
Lay, A. M., Saunders, R., Lifshen, M., Breslin, C., LaMontagne, A., Tompa, E., et al. (2015). Individual, occupational, and workplace correlates of occupational health and safety vulnerability in a sample of Canadian workers. Am J of Ind Med, 59(2), 119–128.
Lay, A. M., Saunders, R., Lifshen, M., Breslin, F. C., LaMontagne, A. D., Tompa, E., et al. (2017 Apr). The relationship between occupational health and safety vulnerability and workplace injury. Saf Sci, 94, 85–93.
Nevitte, N., & Kanji, M. (2007). Immigrants and work: findings from the 1990 and 200 World Values Surveys (Canada). Ottawa: Citizenship and Immigration Canada.
Noack, A., & Vosko, L. (2011). Precarious jobs in Ontario: mapping dimensions of labour market insecurity by workers’ social location and context. Toronto, Ontario: Law Commission of Ontario.
Park, J. (2011). Job-related training of immigrants. Perspectives on Labour and Income, 23(3), 3–15.
Picot, G., & Hou, F. (2014). Immigration, low income and income inequality in Canada: what’s new in the 2000s. Ottawa: Statistics Canada.
Premji, S., Messing, K., & Lippel, K. (2008). Broken English, broken bones? Mechanisms linking language proficiency and occupational health in a Montreal garment factory. Int'l J Health Serv, 38(1), 1–9.
Premji, S., Duguay, P., Messing, K., & Lippel, K. (2010 Sep). Are immigrants, ethnic and linguistic minorities over-represented in jobs with a high level of compensated risk? Results from a Montreal, Canada study using census and workers’ compensation data. Am J Ind Med, 53(9), 875–885.
Ruddick, E., Bergeron, J., Grant, M., Justus, M., Kustec, S., & Potter, S. (2005). Longitudinal survey of immigrants to Canada: a portrait of early settlement experiences. Ottawa, Ontario: Statsitics Canada.
Smith, E., & Jackson, A. (2002). Does a rising tide lift all boats? The labour market experiences and incomes of recent immigrants 1995–1998. Ottawa: Canadian Council on Soc Dev.
Smith, P. M., & Mustard, C. (2009). Comparing the risk of work-related injuries between immigrants to Canada, and Canadian-born labour market participants. Occup Environ Med, 66(6), 361–367.
Smith, P. M., & Mustard, C. A. (2010). The unequal distribution of occupational health and safety risks among immigrants to Canada compared to Canadian-born labour market participants: 1993–2005. Saf Sci, 48(10), 1296–1303.
Smith, P., Saunders, R., Lifshen, M., Black, O., Lay, M., Breslin, C., et al. (2015). The development of a conceptual model and self-reported measure of occupational health and safety vulnerability. Accid Anal Prev, 82(234):243.
Statistics Canada. (2014). 2013–14 Canadian community health survey (CCHS) public use microdata file. Available through Statistics Canada’s Data Liberation Initiative;
Teelucksingh, C., & Galabuzi, G.-E. (2005). Working precariously: the impact of race and immigrants status on employment opportunities and outcomes in Canada. Toronto: The Canadian Race Relations Foundations.
Variyam, M. N. (2006). Canada’s skilled worker immigration regulation and it’s impact on the Canadian economy. Law and Business Review of the Americas, 12(4), 603–610.
Yssaad, L. (2012). The Canadian immigrant labour market 2008–2011. Ottawa: Statistics Canada.
Zhang, J., & Yu, K. F. (1998). What’s the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes. JAMA, 280(19), 1690–1691.
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Lay, A.M., Kosny, A., Aery, A. et al. The occupational health and safety vulnerability of recent immigrants accessing settlement services. Can J Public Health 109, 303–311 (2018). https://doi.org/10.17269/s41997-018-0063-4
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DOI: https://doi.org/10.17269/s41997-018-0063-4