Vulnerabilities in workplace features for essential workers with breast cancer: Implications for the COVID-19 pandemic Journal Article


Authors: Klugman, M.; Patil, S.; Gany, F.; Blinder, V.
Article Title: Vulnerabilities in workplace features for essential workers with breast cancer: Implications for the COVID-19 pandemic
Abstract: BACKGROUND: The coronavirus pandemic has highlighted the health and financial vulnerabilities of essential workers, especially among women. OBJECTIVE: The purpose of this study is to understand the workplace environment of essential workers. METHODS: We used data from a prospective cohort study of disparities in employment outcomes among women undergoing breast cancer treatment between 2010-2018 in New York City. We characterized participants as essential or non-essential based on self-reported occupation/industry and New York State executive orders issued during the pandemic. We compared job benefits and perceptions of workplace environment between groups. RESULTS: There were 563 participants: 341 essential and 222 non-essential workers. Essential workers less frequently reported access to disability pay through work [n(%): 148 (58) versus 130 (73), p<0.01]. Essential workers in unions had greater availability of sick leave and disability pay than non-unionized essential workers (86% versus 53%, p<0.01, and 76% versus 46%, p<0.01, respectively). Health insurance differed by essential worker status (p<0.01): essential workers more frequently had public insurance (29% versus 18%). Surprisingly, in multivariable analyses controlling for age, race/ethnicity, income, education, chemotherapy receipt, and comfort with English, essential workers were less likely to say their employer had treated them unfairly (p<0.01). However, minorities were less likely to say their employer was accommodating (p=0.03) and more likely to say their employer had treated them unfairly (p<0.01) than Non-Latina Whites. CONCLUSIONS: We identified vulnerabilities in workplace protections, particularly among essential workers not in unions. Minority women more often had negative perceptions of their work environment, possibly reflecting employer bias. © 2022 - IOS Press. All rights reserved.
Keywords: disability; employment; benefits; coronavirus; union; sars-cov-2; frontline
Journal Title: Work
Volume: 71
Issue: 4
ISSN: 1051-9815
Publisher: IOS Press  
Date Published: 2022-01-01
Start Page: 815
End Page: 823
Language: English
DOI: 10.3233/wor-211095
PROVIDER: scopus
PUBMED: 35253716
PMCID: PMC9578109
DOI/URL:
Notes: Article -- Export Date: 1 June 2022 -- Source: Scopus
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  1. Sujata Patil
    511 Patil
  2. Victoria Susana Blinder
    111 Blinder
  3. Francesca Mara Gany
    216 Gany