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A new channel for health promotion: building trade unions.

PURPOSE: Labor unions are a largely unevaluated channel for health promotion interventions for working class populations, who are at increased risk for smoking and poor diet. We conducted qualitative and quantitative research to understand the meaning and function of union membership in workers' lives and applied this information to health promotion intervention design. METHODS: Cross-sectional data included a survey conducted with a nationally representative sample of unionized construction workers (n = 1109; 44% response rate), and 16 focus groups (n = 88) conducted in multiple regions around the country. RESULTS: The vast majority of survey respondents held strongly positive views of their union. Focus group findings revealed the meaning of the union in members' daily lives, how members view information from the union, and their perceptions of the union's limitations. CONCLUSIONS: The findings provide a compelling rationale for considering unions as a channel for health promotion interventions.

Adult↗
PubMed1994

Back to the future: sweatshop conditions on the Mexico-U.S. border. I. Community health impact of maquiladora industrial activity.

Present working conditions in one of the most active areas of the maquiladora system along the Mexico-U.S. border are reminiscent of nineteenth-century U.S. sweatshops. This conclusion was reached after evaluating two separate but interrelated surveys among Mexican nationals living near the Mexico-U.S. border, one of community leaders (Paper I), and one of workers in maquiladora enterprises in the towns of Matamoros and Reynosa, Mexico (Paper II). Paper I evaluates the results of the community leaders' survey. Criteria for selection of the leaders were: level of responsibility in the community; knowledge of the industry in the region, and length of residence in the area (more than 3 years). Representatives from government, maquiladora industry management, labor union leadership, labor union activists, and community improvement activists were interviewed. Structured questionnaires with opportunities for open-ended answers were used by trained Spanish speaking interviewers. The questions covered community demographics, health care structures, governance of the region, knowledge of working conditions, and knowledge of environmental impact on the region and the community. Community leaders were ambivalent on the purported benefits of the development of these types of industries in their communities. A substantial majority (21 of 25) thought that the maquiladoras brought few positive developments, other than creating jobs. Serious concerns about overextending weak social infrastructures and about environmental deterioration were voiced. Immediate (preventive) measures appear necessary to develop community infrastructures and to protect environmental health.

Community Health Services↗
PubMed2005

Laboring for union nurses. With CNA's first win outside Calif., competition is heating up to organize registered nurses. Some say that's good for providers.

The competition to represent registered nurses is getting hot. When Cook County, Ill., nurses, shown at left awaiting the outcome of the election, voted earlier to join the California Nurses Association, it was the aggressive union's first victory outside its home state. Some say the growing number of unions pursuing RNs will weaken labor solidarity and work to providers' advantage.

American Nurses' Association↗
PubMed2006

Nurses ready to right back. Ruling that full-time charge nurses can't belong to unions has labor leaders determined to work for ways around it.

Nurse labor leaders are fighting mad over last week's ruling that full-time charge nurses aren't eligible for union membership. Labor and healthcare insiders say the decision leaves gray areas that will have to be settled at the negotiating table. Barbara Medvec, left, an executive at the system that brought the case before the NLRB, says she finds the "silence" on part-time charge nurses puzzling.

Employment↗