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Side Effects is a health news service exploring the impacts of place, policy and economics on Americans’ health.

IU Researcher: Pandemic Confirms How Low-Quality Jobs Affect African Americans’ Health

 Torian Jones has severe asthma. He wished he could stay at home during the pandemic but he can't afford to do that. He remembers seeing people panic-buying and clearing shelves. It was scary working at the store, especially at the beginning of the pandemic.
Farah Yousry
Side Effects Public Media
Torian Jones has severe asthma. He wished he could stay at home during the pandemic but he can't afford to do that. He remembers seeing people panic-buying and clearing shelves. It was scary working at the store, especially at the beginning of the pandemic.

As 25-year-old Torian Jones sorted out the fresh produce section at Cleo’s Bodega grocery store, he put the bad tomatoes in a small box. Part of his work as manager of inventory is to gather and take them for composting at a nearby farm.

Working at the grocery store makes Jones feel good because, “the store is part of the community; it’s a nonprofit and we are offering an important service.”

But the job doesn’t pay enough. In addition to his job at the store, Jones is a DJ, jewelry designer and freelance contractor, among other side hustle gigs.

“I have to do that to keep a roof above my head,” he said.

As a grocery store worker, Jones is considered part of the essential workforce. He has worked at the grocery store since the beginning of the pandemic. And even though Jones has severe asthma, he couldn’t stay home, because his grocery store job provides his only steady paycheck.

Still, he can’t afford to sign up for any benefits like health insurance.

"It will take about $140 dollars out of my paycheck,” he said. “I can’t afford that. It will come out of the budget I use to get food or pay rent.”

With all the jobs Jones takes on, he is still struggling to afford his asthma medical supplies, like inhalers, and that forces him to scramble to borrow from other people.

Now with the pandemic taking a turn and mask mandates being lifted for fully vaccinated Hoosiers, Jones feels vulnerable and anxious. He is not confident people will keep their masks on if they are not vaccinated.

“And with everything I hear about mutations and variants, it’s scary,” said Jones, who is not yet vaccinated.

'Precarious To Begin With'

The pandemic has compounded problems for people like Jones.

“When our systems are shaken and disrupted as they have been by the pandemic, those people whose employment was most precarious to begin with are the first ones to suffer,” said Emily Ahonen, associate professor at the Indiana University Richard M. Fairbanks School of Public Health.

African Americans are overrepresented in essential jobs that — compared to the national average — pay less, offer limited benefits, provide less stability and, during the pandemic, sometimes exposed them to COVID-19 at higher rates than other groups.

These frontline jobs are typically categorized as “precarious employment,” said Ahonen, who studies how work and housing affect population health and well-being.

For example, while grocery store workers have been at the frontlines of the pandemic, they were largely not prioritized in vaccination efforts. They also have fewer options to work remotely or take time off.

Work and health

Employment is not among the recognized “social determinant of health” or factors contributing to a person’s well-being and quality of life. Ahonen said thisleaves a blind spot in the study of population health and equity.

“Work is a place where people obtain income and other things related to money and maintenance of health and occupation,” she said. “A job is one of the ways we put people into class locations and social prestige hierarchies. If we forget about it as a place for action, we're missing a big part of the picture.”

Studies show that precarious employment has been on the rise nationwide and is increasingly affecting college educated white Americans. But women and racial groups remain the most affected.

The fact that African American precarious employment rates are higher than those of whites is not new. In fact, it is baked into the nation’s social and economic system, Ahonen said.

“Employment is both an institution itself and shaped by other institutions in our society, which has an unavoidably racist history,” Ahonen said.

Excluded from protection

Federal protection programs andU.S. Department of Labor policies have excluded agricultural and domestic workers in the past, and those are two areas where people of color have been historically overrepresented. Those programs and policies show how long-standing barriers play a role in limiting African Americans’ chances for social and economic mobility and accumulation of generational wealth.

Somescholars argue that the 1935 Social Security Act’s exclusion of agricultural and domestic workers from coverage is only a matter of “administrative feasibility” to collect taxes. But, for the millions of African American workers earning below the national average, the impact of such policies still stands.

“Regardless of how it came about, the result was that a large proportion of African Americans were excluded, at least for a period, from systems of support,” Ahonen said. “Our systems and institutions embody our society, and when we see disproportionate impact, it doesn’t matter whether that was intended or not — it still is.”

Jones, the grocery store employee, agreed.

While he enjoys his day job and his side gigs, he wishes he could have only one job that provides a steady income and includes (or would allow him to afford) basic benefits like health insurance.

Ahonen said studying employment as a key prong in a population’s health outcomes is one step to addressing long-standing disparities.

Emily Ahonen, PhD, MPH, is leading a study at Indiana University Richard M. Fairbanks School of Public Health to understand what it was like to work in the food industry during the COVID-19 pandemic. If you worked in any area of the food industry for at least a few months since March 2020, are age 50 or older, and think you are in a precarious employment situation, she is looking to speak to you to understand your experiences. She can be reached at sbsra@iupui.edu or 317-935-7847.

This story was reported as part of a partnership between WFYI's Side Effects Public Media and the Indianapolis Recorder.

Copyright 2021 Side Effects Public Media. To see more, visit Side Effects Public Media.

Farah Yousry