The Nature of Employment in a High Socioeconomic Hardship Community: Data From the Greater Lawndale Healthy Work Survey.

Precarious work is increasingly prevalent in the United States and is associated with adverse health outcomes; however, precarious work and associated working conditions are generally not considered in residency training. Healthcare providers should understand the context and risk factors associated with precarious work to holistically serve worker-patients in clinical settings. Objectives: This cross-sectional survey aimed to examine employment characteristics and their associations with employment precarity in two high socioeconomic hardship Chicago neighborhoods. Methods: We used a community-based participatory approach to develop and administer a survey to residents who perceived their work situations to be precarious. Results: A total of 489 residents were surveyed. Responses were skewed toward the most precarious work situations, with the majority of respondents employed outside of a traditional arrangement. Those in the highest precarity category were most likely to identify as Latinx and born outside of the United States. Unstable, low-quality employment conditions were nearly all significantly associated with highest precarity work situations. Conclusions: Precarious employment is an important predictor of other employment conditions, and characterizing these at a hyperlocal level allows for a nuanced understanding of work as a determinant of health. [ABSTRACT FROM AUTHOR]