Resident Mortality And Worker Infection Rates From COVID-19 Lower In Union Than Nonunion US Nursing Homes, 2020-21

Source avec lien : Health Affairs, 41(5). 10.1377/hlthaff.2021.01687

Nous avons examiné si les syndicats du personnel des maisons de retraite étaient associés à des taux de mortalité COVID-19 plus faibles chez les résidents et à des taux d’infection COVID-19 plus faibles chez les travailleurs que dans les maisons de retraite non syndiquées, en utilisant des données exclusives sur le statut syndical des maisons de retraite provenant de la Service Employees International Union pour les quarante-huit États américains continentaux du 8 juin 2020 au 21 mars 2021.

Since the start of the COVID-19 pandemic, nursing home residents have accounted for roughly one of every six COVID-19 deaths in the United States. Nursing homes have also been very dangerous places for workers, with more than one million nursing home workers testing positive for COVID-19 as of April 2022. Labor unions may play an important role in improving workplace safety, with potential benefits for both nursing home workers and residents. We examined whether unions for nursing home staff were associated with lower resident COVID-19 mortality rates and worker COV[D-19 infection rates compared with rates in nonunion nursing homes, using proprietary data on nursing home-level union status from the Service Employees International Union for all forty-eight continental US states from June 8,2020, through March 21, 2021. Using negative binomial regression and adjusting for potential confounders, we found that unions were associated with 10.8 percent lower resident COVID-19 mortality rates, as well as 6.8 percent lower worker COVID-19 infection rates. Substantive results were similar, although sometimes smaller and less precisely estimated, in sensitivity analyses.

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