Skilled Occupation Research Articles

Can Digital Skills Empower Disadvantaged Castes and Women? Evidence From India

How do digital skills influence individuals’ wages in contexts where caste-based and gender-based social stratification play an important role? We draw on sociology and economics literature to argue that the returns to digital skills in such contexts are shaped by caste and gender, and that digital skills empower disadvantaged individuals to increase their wages. Our empirical analysis of a rich micro-dataset on more than 20,000 individuals across all states in India from two waves of Indian Human Development Survey in 2005 and 2011 yields two key findings. First, we find that the positive returns to digital skills are greater for individuals from the Scheduled Castes and Scheduled Tribes in India than for individuals from other castes. Second, we find that the returns to digital skills are greater for women than for men. We also find that movement up the skilled occupation ladder is a mechanism that mediates the relationship between digital skills and wages. Our post hoc exploratory analyses suggest that among individuals from the lowest castes (Scheduled Castes and Scheduled Tribes), the returns to digital skills are greater for women than for men, and that returns to digital skills are lower in regions with less developed infrastructure and lower literacy rates than in other regions. We discuss the implications of our findings for diversity, equity, and inclusion research in operations management.

Documented and Undocumented Skilled Mexican Immigrants and the Global Recession in Los Angeles Metropolitan Region

The main purpose of this article is to analyze the labor market integration of documented and undocumented skilled Mexican immigrants in Los Angeles Metropolitan region during the global recession of 2008. To this end, we use a mixed methodological approach. From the quantitative perspective, we analyze data from the American Community Survey. The qualitative approach includes 20 open-ended interviews with Mexican skilled immigrants. The main findings reveal that skilled immigrants were not negatively affected by the global recession. In addition, legal immigration status turned out to be the most important factor in differentiating those who obtained a skilled occupation and those who did not. However, some immigrants, including those who were undocumented, were able to strategically use their investment in human capital and their access to professional social networks in order to obtain professional occupations.

Employment, occupation, and income in adults with neurofibromatosis 1 in Denmark: a population- and register-based cohort study

BackgroundLittle is known about employment status, occupation, and disposable income in adults with NF1.MethodsFrom the Danish National Patient Registry and database of two national Centers for Rare Diseases, we identified 1469 adults with NF1, who were matched to 11,991 randomly selected population comparisons on sex and birth year and month. Annual information on employment, occupation and disposable income was ascertained from national registries in 1980–2019.ResultsAdults with NF1 had a lower odds ratio (OR) for employment [OR 0.71, 95% confidence interval (CI) 0.61–0.83] and higher OR for health-related unemployment (OR 2.94, 95% CI 2.16–3.96) at age 30 years than population comparisons, which persisted at age 40 and 50 years. Somatic diagnoses were associated with a higher OR for health-related unemployment in adults with NF1 than in the population comparisons. Adults with NF1 had a slightly lower disposable income, with a 14% (0.82–0.89) reduction observed among the youngest birth cohort. Furthermore, adults with NF1 were less likely to be in a high skilled occupation at ages 30, 40 and 50 years.ConclusionAdults with NF1 have a lower employment rate, which was mainly due to health-related reasons and a slightly lower disposable income than adults without NF1. Thus, anticipation guidance for employment should be part of the management of NF1 families.

Leveraging Learning Collectives: How Novice Outsiders Break into an Occupation

Existing research depicts occupational learning as predominantly happening through formal education, situated learning, or a combination of the two. How career switchers might develop occupational skills outside of these established learning pathways is understudied. This paper examines how novice outsiders break into a skilled occupation by looking at the case of aspiring software developers attending coding bootcamps. Drawing on 17 months of fieldwork in the San Francisco Bay area, I find that bootcamps did not resemble either schools or workplaces, the two institutions that facilitate occupational learning. Instead, bootcamps scaffolded learning collectives—groups composed of peers and near peers who learn collaboratively and purposefully to reach a shared goal. Within learning collectives, aspirants progressed from novice outsiders to hirable software developers, despite limited access to proximate experts to learn from or legitimate peripheral participation opportunities. Three scaffoldings facilitated learning at bootcamps. First, peer team structures turned what is normally a solitary activity—writing code—into a collaborative endeavor and facilitated peer-to-peer knowledge exchange. Second, near-peer role structures engaged recent graduates in teaching and mentorship relationships with novices so that aspirants could access knowledge quickly and easily. Third, bootcamps encouraged aspirants to self-learn by reaching out to the expertise of the broader occupational community. This third scaffolding prepared aspirants for learning beyond the bootcamp curriculum and socialized them for an occupation with high learning demands. The outcome of this process was that novices pursuing an alternative mode of occupational entry developed both occupational skills and new self-conceptions as software developers. Funding: This work was supported by a grant from Stanford Cyber Initiative.

Examining the South African labour market during the COVID-19 lockdown period

ABSTRACT This study analysed the 2020 first quarter to 2022 second quarter waves of the Quarterly Labour Force Survey (QLFS) data and all five waves (2020–21) of the National Income Dynamics Study – Coronavirus Rapid Mobile Survey (NIDS-CRAM) data to examine the South African labour market outcomes during the COVID-19 lockdown period. The QLFS data showed that low-educated Africans aged 25–44 years and those involved in low skilled occupation categories were most vulnerable to job loss. The NIDS-CRAM data indicated that for those who still worked in February 2020, 51% worked all five waves, 14% worked in four waves and 9% worked in three waves. Only 0.5% and 1.8% turned out to be unemployed and inactive in all waves, respectively. For the February 2020 employed who lost their jobs and became unemployed in April 2020 (wave 1), 60% of them worked again but 22% remained unemployed in March 2021 (wave 5).

Machine learning can guide suitability of consultation and patient referral through telemedicine for hepatobiliary diseases.

Telemedicine is an evolving tool to provide health-care services. We evaluated the suitability of telemedicine to deliver effective consultation for hepatobiliary disorders. In this prospective study spanning over a year, we interviewed hepatologists delivering the teleconsultations through a pre-validated questionnaire. A consult was deemed suitable based on the physician's judgment in the absence of unplanned hospitalization. We evaluated factors determining the suitability through inferential statistics and machine learning models, namely, extreme gradient boosting (XGB) and decision tree (DT). Of 1118 consultations, 917 (82.0%) were deemed suitable. On univariable analysis, patients with skilled occupation, higher education, out-of-pocket expenses, and diseases such as chronic hepatitis B, C, and non-alcoholic fatty liver disease (NAFLD) without cirrhosis were associated with suitability (P<0.05). Patients with cirrhosis (compensated or decompensated), acute-on-chronic liver failure (ACLF), and biliary obstruction were likely unsuitable (P<0.05). XGB and DT models predicted suitability with an area under the receiver operating curve of 0.808 and 0.780, respectively. DT demonstrated that compensated cirrhosis with higher education or skilled occupation with age <55years had 78% chance of suitability whereas hepatocellular carcinoma, decompensated cirrhosis, and ACLF patients were unsuitable with a 60-95% probability. In non-cirrhotic liver diseases, hepatitis B, C, and NAFLD were suitable, with a probability of 89.7%. Biliary obstruction and previous failure of teleconsultation were unsuitable, with a probability of 70%. Non-cirrhotic portal fibrosis, dyspepsia, and dysphagia not requiring intervention were suitable (probability: 88%). A simple decision tree can guide the referral of unsuitable and the management of suitable patients with hepatobiliary diseases through telemedicine.

Hear it From the Horses’ Mouth: Listening to African Professionals in Australia

The study investigated the growing concern of the African professionals who arrived in Australia since 2007. The ongoing concern was based on the lack of job opportunity in their nominated skilled occupation in post arrival in Australia. The study used demographic questionnaire and semi-structured interview to elicit information from forty (40) participants from Western Australia and Northern Territory cities and regional areas. The data analysed provided the needed perspectives about the extreme frustration of the African skilled migrants lack job opportunities in the post arrival in Australia. Based on the findings, the study made some recommendations, including counselling implications on several pathways on how African professionals could gain recognition for opportunities in their professional areas.

Community Drug Distributor Knowledge, Attitudes, and Motivation Surrounding Mass Drug Administration for Soil-Transmitted Helminths in India.

Background: DeWorm3 is an ongoing multi-country community-based cluster-randomized trial assessing the feasibility of interrupting transmission of soil-transmitted helminths (STH) with community-wide mass drug administration (cMDA). In Tamil Nadu, India, community drug distributors (CDDs) worked with DeWorm3 field staff to counsel community members and deliver door-to-door deworming treatment. As CDDs were likely to influence successful delivery of cMDA, we describe drivers of CDDs' knowledge, attitudes, and motivation toward delivery of cMDA.Methods: In this convergent mixed-methods study, a questionnaire on STH and cMDA was administered to 104 CDDs and 17 focus group discussions (FGDs) were conducted. Key outcomes in the quantitative and qualitative analyses included CDDs' knowledge about STH and cMDA and attitudes toward cMDA for STH. Univariate and multivariable logistic regression analyses were performed to determine the strength of associations between independent and outcome variables. The FGDs were analyzed using a priori thematic coding.Results: CDDs who completed at least secondary school education [adjusted odds ratio (aOR): 2.71, 95% CI: 1.16–6.33] and had prior experience in health programs (aOR: 2.72, 95% CI: 1.15–6.44) were more knowledgeable about STH and cMDA. CDDs belonging to the scheduled castes and scheduled tribes (aOR: 2.37, 95% CI: 1.04–5.39), and to households engaged in a skilled occupation (aOR: 2.77, 95% CI: 1.21–6.34) had a more positive attitude toward cMDA for STH. The FGDs showed that while there were myths and misconceptions about STH, many CDDs believed that the adult population in their communities were infected with STH, and that a door-to-door drug delivery strategy would be optimal to reach adults.Conclusions: Educational and socioeconomic backgrounds and experience in health programs should be considered while designing CDD trainings. Along with cMDA delivery for STH, as CDD do share community myths and misconceptions around STH, they should be proactively addressed during the CDD training to strengthen competency in counseling.

Poverty Dynamics in Turkey: A Multinomial Logit Model

The availability of longitudinal data allows researchers to analyse the dynamics of poverty. By using the Turkish Statistical Institute’s (TurkStat) Income and Living Conditions Survey micro dataset, we analyse the households’ long-term monetary poverty conditions. We categorise poverty as transitory and chronic and employ the multinomial logit method to analyse determinants of each types of poverty. Results indicate that education and household size are the most effective factors for reducing transitory poverty, and for chronic poverty, the most effective factors are having a regular job and having a skilled occupation; insurance, home ownership, and number of children are important determinants for both types of poverty.

Training poverty in India: Reassessing the effect of social ascription

AbstractThis paper set out to reassess the effects of economic and social determinants of the probability of formal vocational training in India. Applying the four‐level cross‐classified logistic model to the 2011–2012 National Sample Survey data, the paper identified the association between formal training and ‘good jobs’ in large urban electrified firms that offer permanent employment and regular monthly salary to their skilled occupation workers. Nevertheless, India remains a country of severe training poverty. This study confirms that the traditional mindset of the society does contribute to the training poverty; however, this impact is much limited to the household level and religious groups, such as Christians, which are systematically excluded from formal training as compared to Hindus, Sikhs and Buddhists. In contrast, the lower castes and deprived social backgrounds do not affect, as predicted by previous studies. Moreover, it is shown that unskilled males from the rural area of India were less likely to receive formal training as compared to educated single women.

Determinants of correct knowledge of coronavirus infection and COVID-19 disease pandemic among pregnant women in South-West Nigeria.

As the spread of COVID-19 continues, the disease and its sequels affect antenatal, intrapartum and post-partum care, thus making pregnant women and their babies vulnerable. This study assessed the knowledge of COVID-19 disease and determinants of correct knowledge among pregnant women at the University College Hospital, Ibadan, Nigeria. A cross-sectional study was conducted among pregnant women. Data collected were analysed with STATA 16.0 software. Descriptive, bivariate and multinomial regression analyses were performed. The primary outcomes were awareness of COVID-19 (yes/no), correct knowledge, and determinants. Three hundred and eighty participants were interviewed. The mean age was 32 years (±4.78). A little over a third (37%) were aged 30-34 years, married (97.1%), Yoruba (86.6%), had tertiary education (89.0), in skilled occupation (54.6%) and not well-exposed to media (56.7%). The knowledge of COVID-19 was good (15%), fair (79%), and poor (6%). About 19.6%, 66.7% and 13.7% of participants who had poor, fair and good knowledge, respectively, believed that COVID-19 exists (P = 0.007). The factors associated with good knowledge include occupation, income, level of education and exposure to media (P value <0.05). On multinomial logistic regression, occupation was significantly associated with good knowledge, while being less exposed to media was significantly associated with having poor knowledge. Pregnant women had fair knowledge of COVID-19 disease; occupation, level of education, exposure to media and income are associated with having correct knowledge. Misinformation and misconception about COVID-19 disease may affect maternal health utilization and pregnancy outcomes. Antenatal care presents an opportunity to provide health education and increase the knowledge of COVID-19 among pregnant women.

Immigration and ‘Brain Waste’

We analyse ‘brain waste’, or underutilisation of immigrant skills in the New Zealand labour market, with specific reference to immigrants from APEC member countries. Using census data, we find wide variation across APEC countries in the likelihood that a typical immigrant from these countries with a tertiary qualification works in a skilled occupation, consistent with brain waste. Our exploration of the drivers of brain waste reveals that GDP per capita of the country of origin of immigrants, its distance from New Zealand, expenditure on education and colonial links to New Zealand are negatively related to brain waste. After accounting for these drivers, there is no evidence that brain waste is mitigated among immigrants from APEC member countries. Our study highlights the need for efforts to facilitate utilisation of immigrant skills in the region, such as cooperation among APEC members in standardising certification requirements and dissemination of information on skills demand and supply and the nature and quality of the education system.

A New Look at Occupational Learning and Socialization in Contemporary Careers

As the traditional employment relationship has deteriorated in the U.S. and in much of the world, the nature of careers has been changing. Workers today need to continually navigate an external labor market, construct their careers out of a series of jobs or short-term gigs, and take responsibility for training and retraining themselves to remain employable over time. Despite the burgeoning literature examining workers’ efforts at navigating the new economy, we know relatively little about how workers attempt to reskill themselves in the course of their careers. This paper utilizes a unique setting—coding bootcamps—to examine how workers attempt to enter a skilled occupation without traditional organizations serving as the backdrop for their efforts. I argue that bootcamps resembled learning collectives where learning from peers and near-peers figured more prominently than expert instruction. Under conditions of minimal expert instruction and obstacles to legitimate peripheral participation, I show how aspiring software developers sought out an occupational community in virtual spaces, learned asynchronously from unknown others, developed their practice through mock-work among themselves and managed to get hired into junior developer roles.

Employment disadvantage and associated factors for informal carers of adults with mental illness: are they like other disability carers?

BackgroundProviding unpaid support to family and friends with disabling health conditions can limit a carer’s capacity to participate in employment. The emotional support needs and unpredictability of caring for people with mental illness may be particularly demanding. While previous research suggests variable employment rates across carers for different conditions, there are limited data on mental health carers specifically.MethodsThis study analysed employment patterns for working-age, co-resident carers of adults with mental illness in an Australian cross-sectional household survey, the 2015 Survey of Disability, Ageing and Carers.ResultsSignificantly more mental health carers were not employed (42.3%, 95% CI: 36.6–48.1) compared to non-carers (24.0%, 95% CI: 23.5–24.6). Employed mental health carers were more likely to work fewer than 16 h per week (carers: 17.2%, 95% CI: 12.8–22.8, vs. non-carers: 11.7%, 95% CI: 11.3–12.1) and in lower skilled occupations (carers: 22.6, 95% CI: 17.5–28.7, vs. non-carers: 15.7, 95% CI: 15.1–16.2). Among the sub-group of primary mental health carers, 25.8% (95% CI: 15.6–39.5) had reduced their working hours to care and a further 26.4% (95% CI: 17.2–38.2) stopped working altogether. In corresponding comparisons between mental health carers and carers for people with other cognitive/behavioural conditions, and physical conditions with or without secondary mental illness, there were no differences except that mental health carers were more likely to be working in a lower skilled occupation than other cognitive/behavioural condition carers (14.8% of the latter, 95% CI 10.1–21.2). Multivariate logistic regression analyses revealed that female mental health carers were less likely to be employed if they were aged 35–54, had no post-secondary education, had a disability, or cared for someone with severe activity limitations. For male mental health carers, having a disability or caring for someone with severe limitations or who did not receive paid assistance were significantly associated with not being employed.ConclusionsThese results highlight the employment disadvantage experienced by mental health carers compared to non-carers, and similarities in employment patterns across carers for different conditions. Improving the availability of paid support services for people with mental illness may be an important target to assist carers to maintain their own employment.

Impact of Working Status of Mothers on Nutritional Status of their Preschool Children from Selected Rural Areas and Urban Slums of Pune: A Preliminary Study

Background: Women augment family income by working; however, this reduces the time for childcare and may adversely influence the nutritional status of children. Objectives: A preliminary study was conducted to assess the impact of mothers’ working status on the nutritional status of their preschool children (2-5 years). Method: A cross-sectional study was conducted on 80 mother-child dyads (40 each from rural areas, and urban slum of Pune). Information on mothers’ working status, socio-demographics, socioeconomics and food consumption pattern of children were collected. The children’s anthropometric indices, namely, Z-scores of weight-for-height (WHZ), weight-for-age (WAZ), height-for-age (HAZ) were estimated. Results: The study did not find any significant difference in the nutritional status of children with respect to the working status of their mothers. It was found that children of formally educated mothers had significantly higher mean Z-scores for WAZ(p=0.050) and WHZ (p=0.035)); children who received family-based childcare practice had higher mean WAZ(p=0.039) and WHZ(p=0.005), and children whose fathers were in skilled occupation had higher mean HAZ(p=0.040) scores. Children who frequently consumed chocolates and candies had lower mean HAZ(p=0.039) and WAZ(p=0.005), and used savories had significantly lower mean WAZ(p=0.045), and HAZ(p=0.019) scores. Conclusion: The present study indicates the importance of sociodemographic factors and the necessity for appropriate nutritional care for young children of working mothers.

Do employers in Myanmar prefer workers who accumulated skills in more advanced countries? Evidence from a field experiment

I conducted an audit study in Yangon, Myanmar, to examine the effects of foreign labor market experience on employment outcomes in the Myanmar labor market focusing on three skilled occupation groups—software developer, accountant, and engineer—which combined account for more than 80% of all professional and technical job openings. I find heterogeneous effects by employer type (local, foreigner), occupation (software developer, accountant, engineer), and foreign country where such experience was accumulated (Singapore, Malaysia). In particular, I find a large and significant effect for software developers who accumulated experience in Singapore and no significant effect for the same experience accumulated in Malaysia; the Singapore effect is mainly due to foreign employers operating in Myanmar. In contrast, I find no significant effects of foreign experience for accountants and engineers. This is true for both the Singapore and Malaysia experiences, as well as for local and foreign employers.JEL Classification: O15, J01, F22

The role of socioeconomic status and the development of congenital heart disease: A scoping review

Introduction: Congenital heart disease (CHD) is the most common congenital anomaly affecting 1% of all live births of which the etiology remains unknown. The incidence is higher in developing countries likely related to low literacy, poverty and higher exposures to hazardous environmental nuisances. The role of socioeconomic status (SES) in CHD development has recently received attention. To gain the breadth of knowledge generated from existing publications, we undertook a scoping review of studies examining the relationship between SES and CHD. Methods: We searched databases using individual or combination of keywords which included non-Medical Subject Heading (non-MeSH) and MeSH terms. We included original observational studies using cohort, case control or ecologic study designs written in English and from 1980-2017. Results: We identified 26 studies, most of which were conducted in developed economies with very few from developing economies. The majority (18/26, 69%) examined individual maternal SES variables and the risk of CHD, whilst fewer (4/26, 15%) examined associations with SES at the area level or neighborhood level and others (4/26, 15%) examined the individual, family and neighborhood SES levels to weigh the relative contribution of each SES level in CHD development. Individual maternal low education and low skilled occupation were associated with CHD in half of the studies and another half of the studies found no associations between these variables and CHD. Evidence regarding the influence of neighborhood SES alone or multiple SES variables has been inconclusive as well. Conclusion: There is a paucity of studies from both developed and even more so from developing countries that have examined the influence of SES in CHD development. More knowledge regarding the contribution of various SES measures (i.e., individual, area level, and combinations) on CHD occurrence is required before relevant and effective interventions can be implemented.

Oil and ethnic inequality in Nigeria

Although it is known that ethnic biases exist in Africa, less is known about how these respond to natural resource prices. Many ethnically fragmented African countries depend on a small number commodities for their export base. Oil prices experienced in early life predict differential adult outcomes across Nigerian ethnic groups. Our difference-in-difference approach compares members of southern ethnicities to other Nigerians from the same birth cohort. This North-South distinction mirrors several economic, political, and religious cleavages in the country. Greater prices in a southern individual’s birth year predict several relative outcomes, including reduced fertility, delayed marriage, higher probabilities of working and having a skilled occupation, greater schooling, lower height, and greater BMI. These microeconomic impacts are explained by macroeconomic responses to oil prices; relatively, urban incomes increase, food production declines, and maternal labor intensifies in the South.

Achieving self-sufficiency: training Australia's future medical workforce.

There is an oversupply of Australian junior doctors, but significant training bottlenecks are developing, and geographical maldistribution in rural and remote areas remains. Last year, the Federal Minister for Immigration rejected a Department of Health recommendation for the removal of 41 health roles from the Skilled Occupation List after concerns that rural and regional communities would be left without access to medical services in areas currently serviced by international medical graduates. In an effort to achieve workforce self-sufficiency, Australia must ensure access to high-quality vocational training places in rural and regional settings while managing immigration of overseas-trained health professionals.

Socio-demographic correlates of treatment response among patients with schizophrenia in a tertiary hospital in South-East Nigeria.

Many patients with schizophrenia respond poorly to antipsychotic medication. Few studies have systematically examined the relationship of social and demographic characteristics of these patients to treatment response in our environment. To identify the social and demographic variables associated with treatment response in patients with schizophrenia. A total of 172 participants with a diagnosis of schizophrenia receiving antipsychotics took part in the study. Participants were consecutively recruited involving patients presenting for the first time, or relapsed patients who had stopped antipsychotics in the previous six months. Both in-patients and out-patients who met the inclusion criteria were studied. Socio-demographic interview schedule and the Positive and Negative Syndrome Scale (PANSS) were administered at the initial encounter and between 4 and 6 weeks, subsequently. Defining good treatment response as ≥ 20% reduction in PANSS score, 68% had a good response while 32% had poor response. Good response to treatment was associated with late age of onset of illness, satisfactory family relationship, acquisition of skilled occupation and being married. However, there was no association between treatment response and gender. Knowledge about these variables in relation to treatment response would improve mental health services as regards articulation of prognosis and psycho education.