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A socioecological framework for research on work and obesity in diverse urban transit operators based on gender, race, and ethnicity
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BongKyoo Choi, Peter Schnall, Marnie Dobson, Haiou Yang, Dean Baker, YoungJu Seo
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Ann Occup Environ Med 2017;29:15. Published online May 17, 2017
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DOI: https://doi.org/10.1186/s40557-017-0171-2
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Abstract
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Urban transit (bus and rail) operators, totaling nearly 700,000 persons, are one of the heaviest occupational groups in the United States (US). Little is known about occupational risk factors for weight gain and obesity and their interrelationship with health-related behaviors, particularly among female minority (African Americans and Hispanics) transit operators who are at greater risk for obesity. As a step towards developing successful obesity interventions among urban transit operators, this paper aims to present a new socioecological framework for studying working conditions, chronic strain, health-related behaviors, weight gain/obesity, and obesity disparity in diverse urban transit operators based on gender, race, and ethnicity. Our framework is a synthesis of several different theories and disciplines: the resource-work load model (work stress), occupational ergonomics, the theory of intersectionality, and worksite health promotion. The framework was developed utilizing an extensive literature review, results from our on-going research on obesity, input from focus groups conducted with Los Angeles transit operators as well as interviews and meetings with transit operator stakeholders (management, unions, and worksite transit wellness program), and ride-along observations. Our hypotheses highlighted in the framework (see Fig. 1) are that adverse working conditions, largely characterized as a combination of high demands and low resources, will increase the risk for weight gain/obesity among transit operators directly through chronic strain and hypothalamic dysfunction (hyper-and hypo-activations), and indirectly through health-related behaviors and injuries/chronic severe pain. We also hypothesize that the observed increase in adiposity among female minority operators is due to their greater exposure to adverse occupational and non-occupational conditions that reflect their intersecting social identities of lower social class and being a minority woman in the US. Our proposed framework could greatly facilitate future transit worksite obesity studies by clarifying the complex and important roles of adverse working conditions in the etiology of weight gain/obesity and obesity disparity among transit operators and other working populations.
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Citations
Citations to this article as recorded by
- Facilitators and barriers to achieving dietary and physical activity goals: focus group interviews with city bus drivers and counseling dietitians
Yongmin Jo, Suhyeun Cho, Young-Hee Han, Taisun Hyun Korean Journal of Community Nutrition.2023; 28(5): 376. CrossRef - Primary Prevention of Weight Gain Among New Bus Operators
Ryan Olson, Sean P. M. Rice, Talya N. Bauer, Brad Wipfli, W. Kent Anger, Todd Bodner, Peter Graven, Leah S. Greenspan Journal of Occupational & Environmental Medicine.2023; 65(2): 128. CrossRef - Bus Operators’ Body Weight Changes During Their First 2 Years of Work
Ryan Olson, Sean P.M. Rice, Layla R. Mansfield, Brad Wipfli, Todd Bodner, W. Kent Anger, Talya N. Bauer Journal of Occupational & Environmental Medicine.2021; 63(12): 1093. CrossRef - Burden of tobacco, kola nut and alcohol consumption and its association with periodontal disease, potentially malignant lesions and quality of life among bus drivers, Lagos State, Nigeria
Afolabi Oyapero, Oyejoke Oyapero, Aliru Akinleye Population Medicine.2020;[Epub] CrossRef - Pilot test of an interactive obesity treatment approach among employed adults in a university medical billing office
Rachel G. Tabak, Jaime R. Strickland, Bridget Kirk, Ryan Colvin, Richard I. Stein, Hank Dart, Graham A. Colditz, Ann Marie Dale, Bradley A. Evanoff Pilot and Feasibility Studies.2020;[Epub] CrossRef - Obesity and Socioeconomic Disparities
Cecilia M. Jevitt Journal of Perinatal & Neonatal Nursing.2019; 33(2): 126. CrossRef - Complejidad de la expresión de genes asociados a obesidad en el tejido adiposo humano
Alejandra Rodríguez, Carlos Echandía, Adalberto Sánchez, José María Satizábal, Julio César Montoya, Felipe García Vallejo Revista Med.2019; 26(1): 14. CrossRef - The Key Role of Work in Population Health Inequities
Paul A. Landsbergis, BongKyoo Choi, Marnie Dobson, Grace Sembajwe, Craig Slatin, Linda Delp, C. Eduardo Siqueira, Peter Schnall, Sherry Baron American Journal of Public Health.2018; 108(3): 296. CrossRef - Work stress and health problems of professional drivers: a hazardous formula for their safety outcomes
Sergio A. Useche, Boris Cendales, Luis Montoro, Cristina Esteban PeerJ.2018; 6: e6249. CrossRef - Work organization, health, and obesity in urban transit operators: A qualitative study
Marnie Dobson, BongKyoo Choi, Peter L. Schnall American Journal of Industrial Medicine.2017; 60(11): 991. CrossRef
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