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Erschienen in: Journal of Immigrant and Minority Health 3/2016

23.05.2015 | Original Paper

Work Conditions and Health and Well-Being of Latina Hotel Housekeepers

verfasst von: Yu-Chin Hsieh, Yorghos Apostolopoulos, Sevil Sönmez

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 3/2016

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Abstract

Hotel housekeepers are exposed to a plethora of disproportionately high work-induced hazards that can lead to adverse health consequences. Latina hotel housekeepers are rendered particularly vulnerable to elevated occupational hazards and resultant health strains due to their socioeconomic status, immigration status, language barriers, and lack of access to healthcare services. The findings from the 27 interviews with Latina hotel housekeepers indicated that the interviewees were exposed to physical, chemical, and social hazards in the workplace and suffered musculoskeletal injuries. In terms of psychological wellness, the time pressure of cleaning rooms quickly and work-related stress stemming from workplace mistreatment emerged as major work-related stressors. Recommendations are made for the introduction of multilevel interventions designed to prevent work-related injuries and illnesses and to promote healthier workplaces.
Literatur
4.
Zurück zum Zitat Buchanan S, Vossenas P, Krause N, Moriarty J, Frumin E, Shimek JA, Punnett L. Occupational injury disparities in the US hotel industry. Am J Ind Med. 2010;53(2):116–25.CrossRefPubMed Buchanan S, Vossenas P, Krause N, Moriarty J, Frumin E, Shimek JA, Punnett L. Occupational injury disparities in the US hotel industry. Am J Ind Med. 2010;53(2):116–25.CrossRefPubMed
5.
Zurück zum Zitat Premji S, Krause N. Disparities by ethnicity, language, and immigrant status in occupational health experiences among Las Vegas hotel room cleaners. Am J Ind Med. 2010;53(10):960–75.CrossRefPubMed Premji S, Krause N. Disparities by ethnicity, language, and immigrant status in occupational health experiences among Las Vegas hotel room cleaners. Am J Ind Med. 2010;53(10):960–75.CrossRefPubMed
6.
Zurück zum Zitat Powell PH, Watson D. Service unseen: the hotel room attendant at work. Int J Hosp Manag. 2006;25(2):297–312.CrossRef Powell PH, Watson D. Service unseen: the hotel room attendant at work. Int J Hosp Manag. 2006;25(2):297–312.CrossRef
10.
Zurück zum Zitat Krause N, Scherzer T, Rugulies R. Physical workload, work intensification and prevalence of pain in low wage workers: results from a participatory research project with hotel room cleaners in Las Vegas. Am J Ind Med. 2005;48(5):326–37.CrossRefPubMed Krause N, Scherzer T, Rugulies R. Physical workload, work intensification and prevalence of pain in low wage workers: results from a participatory research project with hotel room cleaners in Las Vegas. Am J Ind Med. 2005;48(5):326–37.CrossRefPubMed
11.
Zurück zum Zitat O’Campo P, Eaton WW, Muntaner C. Labor market experience, work organization, gender inequalities and health status: results from a prospective analysis of US employed women. Soc Sci Med. 2004;58(3):585–94.CrossRefPubMed O’Campo P, Eaton WW, Muntaner C. Labor market experience, work organization, gender inequalities and health status: results from a prospective analysis of US employed women. Soc Sci Med. 2004;58(3):585–94.CrossRefPubMed
12.
Zurück zum Zitat Stansfeld S, Candy B. Psychosocial work environment and mental health- a meta-analytic review. Scand J Work Environ Health. 2006;32(6):443–62.CrossRefPubMed Stansfeld S, Candy B. Psychosocial work environment and mental health- a meta-analytic review. Scand J Work Environ Health. 2006;32(6):443–62.CrossRefPubMed
13.
Zurück zum Zitat Hsieh Y, Apostolopoulos Y, Sönmez S. The world at work: hotel cleaners. Occup Environ Med. 2013;70(5):360–4.CrossRefPubMed Hsieh Y, Apostolopoulos Y, Sönmez S. The world at work: hotel cleaners. Occup Environ Med. 2013;70(5):360–4.CrossRefPubMed
14.
Zurück zum Zitat Hsieh Y, Apostolopoulos Y, Hatzudis K, Sönmez S. Occupational exposures and health outcomes among Latina hotel cleaners. Hisp Health Care Int. 2014;12(1):6–15.CrossRefPubMed Hsieh Y, Apostolopoulos Y, Hatzudis K, Sönmez S. Occupational exposures and health outcomes among Latina hotel cleaners. Hisp Health Care Int. 2014;12(1):6–15.CrossRefPubMed
15.
Zurück zum Zitat Brand JE, Warren JR, Carayon P, Hoonakker P. Do job characteristics mediate the relationship between SES and health? Evidence from sibling models. Soc Sci Res. 2007;36(1):222–53.CrossRef Brand JE, Warren JR, Carayon P, Hoonakker P. Do job characteristics mediate the relationship between SES and health? Evidence from sibling models. Soc Sci Res. 2007;36(1):222–53.CrossRef
16.
Zurück zum Zitat Rusli BN, Edimansyah BA, Naing L. Working conditions, self-perceived stress, anxiety, depression, and quality of life: a structural equation modeling approach. BMC Public Health. 2008;8(48):1–12. Rusli BN, Edimansyah BA, Naing L. Working conditions, self-perceived stress, anxiety, depression, and quality of life: a structural equation modeling approach. BMC Public Health. 2008;8(48):1–12.
17.
Zurück zum Zitat Fernet C, Guay F, Senecal C. Adjusting to job demands: the role of work self-determination and job control in predicting burnout. J Vocat Behav. 2004;65(1):39–56.CrossRef Fernet C, Guay F, Senecal C. Adjusting to job demands: the role of work self-determination and job control in predicting burnout. J Vocat Behav. 2004;65(1):39–56.CrossRef
18.
Zurück zum Zitat Karasek RA, Theorell T. Healthy work: stress, productivity, and the reconstruction of working life. New York: Basic Books; 1990. Karasek RA, Theorell T. Healthy work: stress, productivity, and the reconstruction of working life. New York: Basic Books; 1990.
19.
Zurück zum Zitat Karasek RA. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Quart. 1979;24(2):285–308.CrossRef Karasek RA. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Quart. 1979;24(2):285–308.CrossRef
20.
Zurück zum Zitat Sanne B, Mykletun A, Dahl AA, Moen BE, Tell GS. Testing the job demand-control-support model with anxiety and depression as outcomes: the Hordaland health study. Occup Med C. 2005;55(6):463–73.CrossRef Sanne B, Mykletun A, Dahl AA, Moen BE, Tell GS. Testing the job demand-control-support model with anxiety and depression as outcomes: the Hordaland health study. Occup Med C. 2005;55(6):463–73.CrossRef
21.
Zurück zum Zitat Krause N, Burgel B, Rempel D. Effort-reward imbalance and one-year change in neck-shoulder and upper extremity pain among call center computer operators. Scand J Work Environ Health. 2010;36(1):42–53.CrossRefPubMed Krause N, Burgel B, Rempel D. Effort-reward imbalance and one-year change in neck-shoulder and upper extremity pain among call center computer operators. Scand J Work Environ Health. 2010;36(1):42–53.CrossRefPubMed
22.
Zurück zum Zitat Macfarlane GJ, Pallewatte N, Paudyal P, Blyth FM, Coggon D, Crombez G, Linton S, Leino-Arjas P, Silman AJ, Smeets RJ, van der Windt D. Evaluation of work-related psychosocial factors and regional musculoskeletal pain: results from a EULAR task force. Ann Rheum Dis. 2009;68(6):885–91.CrossRefPubMed Macfarlane GJ, Pallewatte N, Paudyal P, Blyth FM, Coggon D, Crombez G, Linton S, Leino-Arjas P, Silman AJ, Smeets RJ, van der Windt D. Evaluation of work-related psychosocial factors and regional musculoskeletal pain: results from a EULAR task force. Ann Rheum Dis. 2009;68(6):885–91.CrossRefPubMed
23.
Zurück zum Zitat Hannan LM, Monteilh CP, Gerr F, Kleinbaum DG, Marcus M. Job strain and risk of musculoskeletal symptoms among a prospective cohort of occupational computer users. Scand J Work Environ Health. 2005;31(5):375–86.CrossRefPubMed Hannan LM, Monteilh CP, Gerr F, Kleinbaum DG, Marcus M. Job strain and risk of musculoskeletal symptoms among a prospective cohort of occupational computer users. Scand J Work Environ Health. 2005;31(5):375–86.CrossRefPubMed
24.
Zurück zum Zitat Schnall PL, Landsbergis PA, Baker D. Job strain and cardiovascular disease. Annu Rev Public Health. 1994;15:381–411.CrossRefPubMed Schnall PL, Landsbergis PA, Baker D. Job strain and cardiovascular disease. Annu Rev Public Health. 1994;15:381–411.CrossRefPubMed
25.
Zurück zum Zitat Theorell T, Karasek RA. Current issues relating to psychosocial job strain and cardiovascular disease research. J Occup Health Psychol. 1996;1(1):9–26.CrossRefPubMed Theorell T, Karasek RA. Current issues relating to psychosocial job strain and cardiovascular disease research. J Occup Health Psychol. 1996;1(1):9–26.CrossRefPubMed
26.
Zurück zum Zitat Belkic K, Landsbergis PA, Schnall PL, Baker D. Is job strain a major source of cardiovascular disease risk? Scand J Work Environ Health. 2004;30(2):85–128.CrossRefPubMed Belkic K, Landsbergis PA, Schnall PL, Baker D. Is job strain a major source of cardiovascular disease risk? Scand J Work Environ Health. 2004;30(2):85–128.CrossRefPubMed
28.
Zurück zum Zitat Melchior M, Berkman LF, Niedhammer I, Chea M, Goldberg M. Social relations and self-reported health: a prospective analysis of the French Gazel cohort. Soc Sci Med. 2003;56(8):1817–30.CrossRefPubMed Melchior M, Berkman LF, Niedhammer I, Chea M, Goldberg M. Social relations and self-reported health: a prospective analysis of the French Gazel cohort. Soc Sci Med. 2003;56(8):1817–30.CrossRefPubMed
29.
Zurück zum Zitat Vaananen A, Pahkin K, Kalimo R, Buunk BP. Maintenance of subjective health during a merger: the role of experienced change and pre-merger social support in white-and blue-collar workers. Soc Sci Med. 2004;58(10):1903–15.CrossRefPubMed Vaananen A, Pahkin K, Kalimo R, Buunk BP. Maintenance of subjective health during a merger: the role of experienced change and pre-merger social support in white-and blue-collar workers. Soc Sci Med. 2004;58(10):1903–15.CrossRefPubMed
30.
Zurück zum Zitat Dollard MF, Winefield AH. A test of the demand-control/support model of work stress in correctional officers. J Occup Health Psychol. 1998;3(3):243–64.CrossRefPubMed Dollard MF, Winefield AH. A test of the demand-control/support model of work stress in correctional officers. J Occup Health Psychol. 1998;3(3):243–64.CrossRefPubMed
31.
Zurück zum Zitat Hagner IM, Hagberg M. Evaluation of two floor-mopping work methods by measurement of load. Ergonomics. 1989;32(4):401–8.CrossRefPubMed Hagner IM, Hagberg M. Evaluation of two floor-mopping work methods by measurement of load. Ergonomics. 1989;32(4):401–8.CrossRefPubMed
32.
Zurück zum Zitat Søgaard K, Fallentin N, Nielsen J. Work load during floor cleaning. The effect of cleaning methods and work technique. Eur J Appl Physiol. 1996;73:73–81.CrossRef Søgaard K, Fallentin N, Nielsen J. Work load during floor cleaning. The effect of cleaning methods and work technique. Eur J Appl Physiol. 1996;73:73–81.CrossRef
33.
Zurück zum Zitat Bonjer FH. Energy expenditure. In: Parmeggiani L, editor. Encyclopedia of occupational health and safety. Geneva: International Labour Organization; 1971. p. 458–60. Bonjer FH. Energy expenditure. In: Parmeggiani L, editor. Encyclopedia of occupational health and safety. Geneva: International Labour Organization; 1971. p. 458–60.
34.
Zurück zum Zitat Davis KG, Marras WS, Waters TR. Reduction of spinal loading through the use of handles. Ergonomics. 1998;41:1155–68.CrossRefPubMed Davis KG, Marras WS, Waters TR. Reduction of spinal loading through the use of handles. Ergonomics. 1998;41:1155–68.CrossRefPubMed
35.
Zurück zum Zitat Esbenshade F, Mitrosky M, Morgan E, Navarro M, Rotundi M, Vazquez C. Profit, pain, and pillows: hotels and housekeepers in San Diego. J Labor Soc. 2006;9(3):265–92. Esbenshade F, Mitrosky M, Morgan E, Navarro M, Rotundi M, Vazquez C. Profit, pain, and pillows: hotels and housekeepers in San Diego. J Labor Soc. 2006;9(3):265–92.
36.
Zurück zum Zitat Lee PT, Krause N. The impact of a worker health study on working conditions. J Public Health Policy. 2002;23(3):268–85.CrossRefPubMed Lee PT, Krause N. The impact of a worker health study on working conditions. J Public Health Policy. 2002;23(3):268–85.CrossRefPubMed
40.
Zurück zum Zitat Liladrie S. Do not disturb/please clean room: hotel housekeepers in greater Toronto. Race Class. 2010;52(1):57–69.CrossRef Liladrie S. Do not disturb/please clean room: hotel housekeepers in greater Toronto. Race Class. 2010;52(1):57–69.CrossRef
41.
Zurück zum Zitat Stellman JM. Chemical, industries and occupations. In encyclopedia of occupational health and safety. 4th ed. Geneva: International Labor Office; 1998. Stellman JM. Chemical, industries and occupations. In encyclopedia of occupational health and safety. 4th ed. Geneva: International Labor Office; 1998.
43.
Zurück zum Zitat Knox A. Lost in translation: an analysis of temporary work agency employment in hotels. Work Empl Soc. 2010;24(3):449–67.CrossRef Knox A. Lost in translation: an analysis of temporary work agency employment in hotels. Work Empl Soc. 2010;24(3):449–67.CrossRef
44.
Zurück zum Zitat Leka S, Griffiths A, Cox T. Work organization and stress. Geneva: World Health Organization; 2003. Leka S, Griffiths A, Cox T. Work organization and stress. Geneva: World Health Organization; 2003.
45.
Zurück zum Zitat Krause N, Rugulies R, Maslach C. Effort-reward imbalance at work and self-rated health of Las Vegas hotel room cleaners. Am J Ind Med. 2010;53(4):372–86.CrossRefPubMed Krause N, Rugulies R, Maslach C. Effort-reward imbalance at work and self-rated health of Las Vegas hotel room cleaners. Am J Ind Med. 2010;53(4):372–86.CrossRefPubMed
46.
Zurück zum Zitat Lundberg H, Karlsson JC. Under the clean surface: working as a hotel attendant. Work Empl Soc. 2011;25(1):141–8.CrossRef Lundberg H, Karlsson JC. Under the clean surface: working as a hotel attendant. Work Empl Soc. 2011;25(1):141–8.CrossRef
47.
Zurück zum Zitat Burgel B, White M, Gillen M, Krause N. Psychosocial work factors and shoulder pain in hotel room cleaners. Am J Ind Med. 2010;53(7):743–56.PubMed Burgel B, White M, Gillen M, Krause N. Psychosocial work factors and shoulder pain in hotel room cleaners. Am J Ind Med. 2010;53(7):743–56.PubMed
49.
Zurück zum Zitat Leka S, Jain A. Health impact of psychosocial hazards at work: an overview. Geneva: World Health Organization; 2004. Leka S, Jain A. Health impact of psychosocial hazards at work: an overview. Geneva: World Health Organization; 2004.
51.
Zurück zum Zitat Alegría M, Mulvaney-Day N, Torres M, Polo A, Cao Z, Canino G. Prevalence of psychiatric disorders across Latino subgroups in the United States. Am J Public Health. 2007;97(1):68–75.CrossRefPubMedPubMedCentral Alegría M, Mulvaney-Day N, Torres M, Polo A, Cao Z, Canino G. Prevalence of psychiatric disorders across Latino subgroups in the United States. Am J Public Health. 2007;97(1):68–75.CrossRefPubMedPubMedCentral
52.
Zurück zum Zitat Shattell MM, Hamilton D, Starr SS, Jenkins CJ, Hinderliter NA. Mental health service needs of a Latino population: a community-based participatory research project. Issue Ment Health Nurs. 2008;29(4):351–70.CrossRef Shattell MM, Hamilton D, Starr SS, Jenkins CJ, Hinderliter NA. Mental health service needs of a Latino population: a community-based participatory research project. Issue Ment Health Nurs. 2008;29(4):351–70.CrossRef
54.
55.
Zurück zum Zitat Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. New York: Aldine; 1967. Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. New York: Aldine; 1967.
56.
Zurück zum Zitat Esterberg KG. Qualitative methods in social research. Boston: McGraw-Hill; 2002. Esterberg KG. Qualitative methods in social research. Boston: McGraw-Hill; 2002.
57.
58.
Zurück zum Zitat Miles MB, Huberman AM. Qualitative data analysis. 2nd ed. Thousand Oaks, CA: Sage Publications; 1994. Miles MB, Huberman AM. Qualitative data analysis. 2nd ed. Thousand Oaks, CA: Sage Publications; 1994.
60.
Zurück zum Zitat Burgess DJ, Grill J, Noorbaloochi S, Griffin JM, Ricards J, Van Ryn M, Partin MR. The effect of perceived racial discrimination on bodily pain among older African-American men. Pain Med. 2009;10(8):1341–52.CrossRefPubMed Burgess DJ, Grill J, Noorbaloochi S, Griffin JM, Ricards J, Van Ryn M, Partin MR. The effect of perceived racial discrimination on bodily pain among older African-American men. Pain Med. 2009;10(8):1341–52.CrossRefPubMed
61.
Zurück zum Zitat Krieger N, Waterman PD, Hartman C, Bates LM, Stoddard AM, Quinn MM, Barbeau EM. Social hazards on the job: workplace abuse, sexual harassment, and racial discrimination—a study of Black, Latino, and White low-income women and men workers in the United States. Int J Health Serv. 2006;36(1):51–85.CrossRefPubMed Krieger N, Waterman PD, Hartman C, Bates LM, Stoddard AM, Quinn MM, Barbeau EM. Social hazards on the job: workplace abuse, sexual harassment, and racial discrimination—a study of Black, Latino, and White low-income women and men workers in the United States. Int J Health Serv. 2006;36(1):51–85.CrossRefPubMed
63.
Zurück zum Zitat Willness CR, Steel P, Lee KA. Meta-analysis of the antecedents and consequences of workplace sexual harassment. Person Soc Psychol B. 2007;60:127–62.CrossRef Willness CR, Steel P, Lee KA. Meta-analysis of the antecedents and consequences of workplace sexual harassment. Person Soc Psychol B. 2007;60:127–62.CrossRef
64.
Zurück zum Zitat Alegrı´a M, Canino G, Rı´os R, Vera M, Caldero´n J, Rusch D, et al. Inequalities in use of specialty mental health services among Latinos, African-Americans and non-Latino whites. Psychiatr Ser. 2002;53(12):1547–55.CrossRef Alegrı´a M, Canino G, Rı´os R, Vera M, Caldero´n J, Rusch D, et al. Inequalities in use of specialty mental health services among Latinos, African-Americans and non-Latino whites. Psychiatr Ser. 2002;53(12):1547–55.CrossRef
65.
Zurück zum Zitat Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Springer; 1984. Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Springer; 1984.
66.
Zurück zum Zitat O’Donnell K, Wardle J, Dantzer C, Steptoe A. Alcohol consumption and symptoms of depression in young adults from 20 countries. J Stud Alcohol Drugs. 2006;67(6):837–40.CrossRef O’Donnell K, Wardle J, Dantzer C, Steptoe A. Alcohol consumption and symptoms of depression in young adults from 20 countries. J Stud Alcohol Drugs. 2006;67(6):837–40.CrossRef
67.
Zurück zum Zitat Wiesner M, Windle M, Freeman A. Work stress, substance abuse, and depression among young adult workers: an examination of main moderator effect models. J Occup Health Psychol. 2005;10(2):83–96.CrossRefPubMed Wiesner M, Windle M, Freeman A. Work stress, substance abuse, and depression among young adult workers: an examination of main moderator effect models. J Occup Health Psychol. 2005;10(2):83–96.CrossRefPubMed
68.
Zurück zum Zitat Finch BK, Vega WA. Acculturation stress, social support, and self-rated Health among Latinos in California. J Immigr Health. 2003;5(3):109–17.CrossRefPubMed Finch BK, Vega WA. Acculturation stress, social support, and self-rated Health among Latinos in California. J Immigr Health. 2003;5(3):109–17.CrossRefPubMed
69.
Zurück zum Zitat Tetrick LE, Slack KJ, Silva D, Sinclair N, Robert RA. Comparison of the stress–strain process for business owners and non-owners: differences in job demands, emotional exhaustion, satisfaction, and social support. J Occup Health Psychol. 2008;5(4):464–76.CrossRef Tetrick LE, Slack KJ, Silva D, Sinclair N, Robert RA. Comparison of the stress–strain process for business owners and non-owners: differences in job demands, emotional exhaustion, satisfaction, and social support. J Occup Health Psychol. 2008;5(4):464–76.CrossRef
70.
Zurück zum Zitat Kuper H, Marmot M. Job strain, job demands, decision latitude, and risk of coronary heart disease within the Whitehall II study. J Epidemiol Commun Health. 2003;57(2):147–53.CrossRef Kuper H, Marmot M. Job strain, job demands, decision latitude, and risk of coronary heart disease within the Whitehall II study. J Epidemiol Commun Health. 2003;57(2):147–53.CrossRef
71.
Zurück zum Zitat Gute DM, Siqueira E, Goldberg JS, Galvão H, Chianelli M, Pirie A. The Vida Verde women’s Co-Op: Brazilian immigrants organizing to promote environmental and social justice. Am J Public Health. 2009;99(Suppl 3):495–8.CrossRef Gute DM, Siqueira E, Goldberg JS, Galvão H, Chianelli M, Pirie A. The Vida Verde women’s Co-Op: Brazilian immigrants organizing to promote environmental and social justice. Am J Public Health. 2009;99(Suppl 3):495–8.CrossRef
72.
Zurück zum Zitat Cortina LM, Fitzgerald LF, Drasgow F. Contextualizing Latina experiences of sexual harassment: preliminary tests of a structural model. Basic Appl Soc Psychol. 2002;24(4):295–311.CrossRef Cortina LM, Fitzgerald LF, Drasgow F. Contextualizing Latina experiences of sexual harassment: preliminary tests of a structural model. Basic Appl Soc Psychol. 2002;24(4):295–311.CrossRef
73.
Zurück zum Zitat Panikkar B, Woodin WA, Brugge D, Hyatt R, Gute DM. Community partners of the Somerville community immigrant worker project. Characterizing the low wage immigrant workforce: a comparative analysis of the health disparities among selected occupations in Somerville, Massachusetts. Am J Ind Med. 2014;57(5):516–26.CrossRefPubMed Panikkar B, Woodin WA, Brugge D, Hyatt R, Gute DM. Community partners of the Somerville community immigrant worker project. Characterizing the low wage immigrant workforce: a comparative analysis of the health disparities among selected occupations in Somerville, Massachusetts. Am J Ind Med. 2014;57(5):516–26.CrossRefPubMed
74.
Zurück zum Zitat Wallerstein NB, Duran B. Using community-based participatory research to address health disparities. HPP. 2006;7(3):312–23. Wallerstein NB, Duran B. Using community-based participatory research to address health disparities. HPP. 2006;7(3):312–23.
Metadaten
Titel
Work Conditions and Health and Well-Being of Latina Hotel Housekeepers
verfasst von
Yu-Chin Hsieh
Yorghos Apostolopoulos
Sevil Sönmez
Publikationsdatum
23.05.2015
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 3/2016
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-015-0224-y

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