Workers In State Research Articles

PSYCHO-SOCIAL AND HEALTH RELATED ISSUES FACED BY LABOR MIGRANTS IN KERALA DURING COVID-19 PANDEMIC

The life of migrant workers in a host state has been a serious issue all the time. This paper tries to identify different psycho-social and health related issues faced by labour migrants in Kerala and how does these issues become vulnerable during pandemic. For this, the researcher’s learnings from empirics have been well utilized to evolve the concept and arrive at conclusion. Self-observation of the various psychosocial and health related issues faced by migrant workers in pandemic period supported by document analysis from data derived from articles, journals and news reports has been used for a comprehensive analysis. The most significant findings are the psycho-social issues, which include a high level of anxiety, tension, and dread as a result of disease-related worries. But to certain extent Kerala was the only one Indian state which could provide maximum support for migrant workers to overcome the effect of Covid- 19. But there are negative impacts reflected while implementing the supportive measures to these interstate migrants because of the lack of national level inclusion. A reflective learning from this analysis is that a comprehensive legislative framework is required to accommodate the diverse health and welfare demands of interstate migrant workers.

Level of Knowledge and Teaching of Infant and Young Child Feeding Practices among Health Workers in Delta State, South-South Nigeria

Objective: The aim of this study was to find out how well Delta State health workers are acquainted with infant and young child feeding practices. Methods: This study involved randomly selecting 235 primary health care centers from 445 functioning primary health care centers in Delta State and enlisting the most skilled health workers (198 nurses and 37 community health extension workers, 1 from each facility) to carry out the study. The survey instrument consisted of a structured and validated questionnaire. Data were obtained on information about early initiation, exclusive breastfeeding, complementary feeding, and many more. Statistical analysis was performed using International Business Machines Corporation Statistics for Social Sciences version 22.0. (IBM SPSS Corp.; Armonk, NY, USA), which utilized descriptive statistics and 1-sample tests. Results: There was variation in the respondent’s knowledge of breastfeeding immediately after delivery. Poor attachment knowledge was observed among the health workers, accounting for 39.1% in total. Also, 48.1% of the health workers had no idea when a retroviral disease-positive mother needs to stop breastfeeding. Conclusion: The study showed that the respondent’s knowledge level and teaching of infant and young child feeding practices were average. The nutritional status of infants and young children can be enhanced through training and supportive supervision of their knowledge and counseling skills pertaining to infant and young child feeding practices.

BLACK BY GOD | The West Virginian

BLACK BY GOD | The West Virginian

Prevalence and factors associated with lung function abnormalities among rice millworkers in Sokoto state, Northwest Nigeria

Introduction: Northwest Nigeria has witnessed an increase in rice milling activities due to the ban on rice importation. The majority of workers in the industry, as it is in many informal sectors workers are disproportionately affected by hazards in the workplace due to poor usage of protective devices. Inhalation of dust over a long period results in lung function abnormalities. The study assessed the prevalence and factors associated with lung function abnormalities among rice mill workers in Sokoto state, Northwest Nigeria. Methods: The study was conducted using a cross-sectional design. Data were collected between June 2019 and July 2019 using an interviewer-administered questionnaire and a lung function examination was conducted using a calibrated Contec SP10 digital spirometer following standardized procedures. Data were analyzed using IBM SPSS version 23 and presented in tables and charts. Results: About a third of 119 (30.2%) of the respondents had abnormalities on spirometry, and there was a statistically significant reduction in the mean FVC (3.63 ± 0.39) and FEV1 (3.01 ± 0.36). Being at least 30 years of age (aOR=3.3), working more than 8 hours a day (aOR=2.4), and having at least a symptom of respiratory morbidity (aOR=10.1) were the factors found to be significantly associated with lung function abnormalities. Conclusion: This study showed that the prevalence of lung function abnormality among rice mill workers in Sokoto state is relatively high and age, number of hours worked per day and having at least a symptom of respiratory morbidity were the factors associated with lung function abnormalities.

The urgency of labor law for informal sector workers in the welfare state concept: An evidence in Indonesia

This study aims to re-examine the issues that involve outreaching the urgency of labor law for informal sector workers in the concept of the welfare state in Indonesia. The research method used is a normative juridical approach or a study of documents or literature that only focuses on labor laws currently in force in Indonesia. The qualitative method approach that is descriptive-analytic is used to describe the relationship of a phenomenon, idea, data, or fact that is found objectively. This study found that the rights, dignity, standard of living, and even the working environment of informal sector workers are still neglected by labor law in Indonesia today. The national labor law has not accommodated legal protection, guarantees, and social security, so there is a legal vacuum for informal sector workers. This condition contradicts the philosophy of Pancasila and the constitution, the 1945 Constitution of the Republic of Indonesia. Thus, efforts to develop labor laws are expected to be carried out by the government together with the legislature to make all parties have the same position in the production process for the achievement of the company's progress. will have implications for national economic growth. On the other hand, this effort is expected to create legal harmonization in the field of employment in general and especially for informal sector workers in the welfare state in Indonesia.

Visual Awareness Among Industrial Workers in Selangor

Background and Aims: Among all the types of injuries in the industrial sector, eye injuries are one of the most common with moderate severity that occur in the workplace. The aim of this study is to determine the level of knowledge and awareness of eye health and safety among industrial workers. This study also evaluates the vision problems faced by workers as well as the relationship between their knowledge and awareness of eye health and safety. Materials and methods: A cross-sectional study was conducted to evaluate the level of knowledge and awareness of eye health and safety among industrial workers in the Selangor state. Data was collected using online self-administered questionnaire VPQ consisting of demographic information, vision problems experienced and awareness of eye health and safety in the workplace. Results: Data was entered on IBM SPSS. An analysis of collected data using descriptive statistics indicated that 82.6% have sufficient knowledge about eye health but only 43.5% are aware of eye health and safety policies in their workplace. Regardless of levels of knowledge and awareness all workers experience at least one vision problem while performing their tasks. Conclusion: Industrial workers have some knowledge on vision problems, but awareness is still lacking and organizations should take measures to improve on eye health and safety awareness

The Influence of Sustained Mercury Exposure on Prothrombin Time and Partial Thromboplastin Time among Sudanese Gold Mining Workers

Background: Gold mining is the world's leading source of anthropogenic mercury pollution, negatively impacting not only miners but also the surrounding inhabitants; it has many effects on human health, especially cardiovascular problems, which lead to coagulation disorders and an increase in morbidity and mortality rate. The present study aimed to determine the prothrombin time (PT) and partial thromboplastin time (PTT) among Sudanese gold mining workers exposed to mercury. Methods and Results: This cross-sectional study was carried out among mining workers in the Red Sea state. A total of 50 mining workers were enrolled in the case group, and 50 non-mining apparently healthy subjects were the control group. About 5 ml of whole blood samples were collected in 3.2% sodium citrate blood collection tubes. Platelet poor plasma (PPP) for prothrombin time (PT) and partial thromboplastin time (PTT) measurements was obtained by using high-speed centrifugation. PT and PTT tests were performed using a standard method (Practical-Haemostasis.com.) with a Helena C2 coagulometer (Germany) and reagents manufactured by the Bio-med trademark (China). The mean age of miners was 33.5±11.5 years and occupation time - 1.94±2.1 years. The mean value of PTT was greater in the case group than in the control group (42.43±6.18 sec vs. 37.76±5.33 sec, P=0.000). In the age subgroup <40 years, the PT level was longer than in the age subgroup >40 years: 14.04±1.38 sec vs. 13.15±1.35 sec (P=0.045), respectively. The correlation analysis revealed a significant, direct correlation between PTT and occupation time (r=0.357, P=0.011). Conclusion: Prolonged coagulation time, notably PTT, has been revealed among mining workers, implying that these workers may have a clinically silent state of coagulation abnormalities.

Distributive Justice and Employee Turnover among Bank Workers in Akwa Ibom State, Nigeria

The study was designed to examine the relationship between Distributive Justice and Employee Turnover Among Bank Workers in Akwa Ibom State. Ex-post facto design was adopted for the study and a sample of 314 respondents was drawn from the population of 1465. For the objective of the study to be achieved, five hypotheses were formulated and tested. The study utilized triangulation of methodologies (structured questionnaire and interview) as the major instruments for data collection using Taro Yamane’s scientific sampling technique. 314 questionnaires were distributed and 299 were returned. Data collected were analyzed using simple percentage and Ordinal Logistic Regression. Results showed that there is a significant and positive relationship between variables of distributive justice such as unequal distribution, inequitable distribution, mismatched needs and personality traits, and employee turnover variables of voluntary resignation, employee abscondment and employee satisfaction among bank workers in Akwa Ibom State. The finding further revealed that there is no significant relationship between variable of distributive justice such as unjust distribution of responsibilities and employee turnover variable of employee commitment among bank workers in Akwa Ibom State. Consequently, it was recommended that, banks in Akwa Ibom State should introduce fair and equal reward systems for outstanding performances so as to motivate and retain employees. Justice should be fairly distributed among bank workers in order to discourage voluntary resignation. There is need for bank workers to inhibit behaviors that may encourage turnover but rather reattribute such behaviors as a mean of restoring justice. Responsibilities should be justly distributed among bank workers in order to boost employee commitment. Specific attention should be given at the beginning of the employment relationship to firstly establish and agree to personality traits that would benefit both parties in the employment relationship

Application of Markov models to predict changes in nasal carriage of Staphylococcus aureus among industrial hog operations workers

Industrial hog operation (IHO) workers can be occupationally exposed to Staphylococcus aureus and may carry the bacteria in their nares. Workers may persistently carry S. aureus or transition between different states of nasal carriage over time: no nasal carriage, nasal carriage of a human-associated strain, and nasal carriage of a livestock-associated strain. We developed a mathematical model to predict the proportion of IHO workers in each nasal carriage state over time, accounting for IHO worker mask use. We also examined data sufficiency requirements to inform development of models that produce reliable predictions. We used nasal carriage data from a cohort of 101 IHO workers in North Carolina, sampled every 2 weeks for 4 months, to develop a three-state Markov model that describes the transition dynamics of IHO worker nasal carriage status over the study period and at steady state. We also stratified models by mask use to examine their impact on worker transition dynamics. If conditions remain the same, our models predicted that 49.1% of workers will have no nasal carriage of S. aureus, 28.2% will carry livestock-associated S. aureus, and 22.7% will carry human-associated S. aureus at steady state. In stratified models, at steady state, workers who reported only occasional mask (<80% of the time) use had a higher predicted proportion of individuals with livestock-associated S. aureus nasal carriage (39.2%) compared to workers who consistently (≥80% of the time) wore a mask (15.5%). We evaluated the amount of longitudinal data that is sufficient to create a Markov model that accurately predicts future nasal carriage states by creating multiple models that withheld portions of the collected data and compared the model predictions to observed data. Our data sufficiency analysis indicated that models created with a small subset of the dataset (approximately 1/3 of observed data) perform similarly to models created using all observed data points. Markov models may have utility in predicting worker health status over time, even when limited longitudinal data are available.

Psychological impact of Covid-19 pandemic among the Healthcare workers in a North-Eastern state of India.

ABSTRACTBackground:Previous studies done during SARS 2003 outbreak and early reports related to COVID-19 show that healthcare workers experience considerable anxiety, stress and fear. Although similar studies were done in other parts of India, there is dearth of data on this topic in the Northeastern region.Aim:This study aimed to assess the mental health status of Healthcare Workers during Covid-19 pandemic in the region.Methods:The study was conducted among the doctors and nurses of a Northeastern state of India through an online survey. PHQ-9, GAD-7 and ISI scales were used to assess depression, anxiety and insomnia among the participants.Results:The prevalence of depression, anxiety and insomnia among the HCWs was 74.5%, 42% and 32%, respectively. Moderate to Severe form of depression, anxiety and insomnia was experienced by 15.5%, 20.5% and 8.5%, respectively. Females and those who directly cared for Covid-19 patients were more prone to suffer from depression. Participants who reported having previous history of any psychological problems reported eight-fold, seven-fold and three-fold increased odds of developing depression, anxiety and insomnia, respectively, during the pandemic.Conclusions:A large proportion of HCWs reported symptoms of depression, anxiety and insomnia among the healthcare workers. Protecting the mental health of these health workers is paramount to ensure psychological wellbeing, which in turn will ensure a healthy and robust workforce.Relevance for Patients:Improves the productivity of Healthcare workers in terms of Patient care and Management.

HIV/AIDS: Knowledge of Existence, Attitude towards VCT and Effect on Income of Workers in Akwa Ibom State

HIV/AIDS: Knowledge of Existence, Attitude towards VCT and Effect on Income of Workers in Akwa Ibom State

Information sharing and use by health care workers in primary health care workers in Oyo State, Nigeria

This study investigated information sharing and use by health care workers in primary health care centres in Oyo State, Nigeria. The descriptive survey research design of the correlational type was adopted for the study. The population of the study comprised 1787 health care workers spread across 33 primary health care centers (PHCCs) in the headquarters of the Local Government Areas (LGAs) in Oyo State, Nigeria. Sample size of 631 was used for the study and questionnaire was used for data collection. Findings from the study revealed work related issues, problem solving, provision of forum for discussion of ideas and exchange for a reward as major purposes for which primary health care workers in PHCCs Oyo State, Nigeria shared information among themselves just as a high level of information sharing was established amongst them. Also, findings from the study established major purposes of information use by the health care workers as including performance of difficult and technical tasks, helping to influence others to translate vision into action, to come up with unique ideas and to adapt, and work with colleagues and other stakeholders in the sector. On the frequency of use of information by the health care workers, the study revealed occasional use but a positive significant relationship was established between information sharing and use. The study recommended the provision of relevant information management facilities such as computers and related technologies by the management of primary healthcare centres in Oyo State, Nigeria for effective information sharing and use among the primary healthcare workers.

Knowledge, perception and preventive practices of COVID-19 among Primary Health Care workers in Ogun State, Nigeria

Objective: This study was carried out to determine the COVID-19 knowledge, perception, and preventive practices among primary health care workers in Ogun state. Methods: A descriptive cross-sectional study was carried out among 339 primary health care workers in Ogun state using self-administered questionnaires. Knowledge of COVID-19 was graded as good with a minimum score of 75% while perception was graded as good with a score greater than the mean scores. Preventive practices were categorized as good with minimum scores of 75%. Associations between knowledge, practice, and categorical variables were assessed using the chi-square test with the level of significance set at p &lt; 0.05 Results: The mean age of respondents was 42.30 ± 8.73 years. The major source of information on COVID-19 was health training (99.7%). A total of 50.7% had good knowledge of COVID-19 while 42.8% had a good perception of COVID-19. The majority (92.9%) had good COVID-19 preventive practices. Length of years in service was significantly associated (p=0.024) with knowledge of COVID-19. Conclusion: About half of the health care workers had good knowledge of COVID-19 while the perception of COVID-19 was poor. However, preventive practices carried out among the healthcare workers were good. Efforts should be made to further improve the knowledge and perception of primary health care workers as they play a vital role in the delivery of health care services in the state.

Effects of Humanistic-existential Therapy on Self-Control among Rehabilitated Female Sex Workers in OSUN State

The study determined the effect of Humanistic-Existential Therapy (HET) on self-control of rehabilitated female sex workers in Osun State and investigated the effect of demographic variables on the effectiveness of HET on the workers. The study adopted the pretest-posttest, control group quasi-experimental research design. The population comprised rehabilitated female sex workers who visited the Living Hope Care at Ilesa regularly for medical and sex guidance. The sample comprised 64 rehabilitated female sex workers selected from brothels in Osun State using purposive and convenient sampling techniques. The HET of Kirk Schneider (2008) treatment package used; while the Tangney, Baumeister, and Boone (2004) self-control was used. Data collected were analysed using percentage, counts, and Analysis of Covariance (ANCOVA).The results showed a significant effect of humanistic-existential therapy on the self-control of the participants at (F= 28.772, df =1, p-value =0.000). It further showed the respondents’ age (F= 1.229, df =5, p-value =0.35), family background (F= 2.152, df =1, p-value =0.166); while marital status (F= 2.82, df =4, p-value =0.069) had no significant simple moderating effect on the effectiveness of HET on the self-control of the participants. The study concluded that Humanistic-Existential Therapy was effective in treating self-control of the rehabilitated female sex workers.

Socio-demographic determinants of COVID-19 vaccine uptake in Russia in the context of mandatory vaccination of employees

The paper offers an analysis of socio-demographic factors determining uptake of COVID-19 vaccine in Russia in 2021. The study focuses in particular on the role of mandatory vaccination of workers in certain sectors of the economy. The study is empirically based on three rounds of a nationally representative telephone survey, conducted in February–October 2021, which investigated the situation and behaviour of a cross section of the Russian adult population in the context of the spread of coronavirus. The paper shows that the key factors behind vaccine uptake are age and education of the individual. People in older age groups and people with higher education are most inclined towards vaccination. By contrast, young people and people with low levels of education are least likely to be vaccinated. Other significant determinants of vaccination are experience of COVID-19 infection (self or a household member) and elderly or chronically ill members of the household. Among the employed, the economic sector where they work is an important determinant: workers in education, health care, and state and municipal administration are more likely to be vaccinated. The introduction of mandatory vaccination at a firm/organization with sanctions for unvaccinated employees has significant positive effect: the likelihood of an employee being vaccinated increases by 10 percentage points. The effect of mandatory vaccination is slightly greater for men than for women.

Symptoms of Depression, Anxiety, Post-Traumatic Stress Disorder, and Suicidal Ideation Among State, Tribal, Local, and Territorial Public Health Workers During the COVID-19 Pandemic — United States, March–April 2021

Increases in mental health conditions have been documented among the general population and health care workers since the start of the COVID-19 pandemic (1-3). Public health workers might be at similar risk for negative mental health consequences because of the prolonged demand for responding to the pandemic and for implementing an unprecedented vaccination campaign. The extent of mental health conditions among public health workers during the COVID-19 pandemic, however, is uncertain. A 2014 survey estimated that there were nearly 250,000 state and local public health workers in the United States (4). To evaluate mental health conditions among these workers, a nonprobability-based online survey was conducted during March 29-April 16, 2021, to assess symptoms of depression, anxiety, post-traumatic stress disorder (PTSD), and suicidal ideation among public health workers in state, tribal, local, and territorial public health departments. Among 26,174 respondents, 52.8% reported symptoms of at least one mental health condition in the preceding 2 weeks, including depression (30.8%), anxiety (30.3%), PTSD (36.8%), or suicidal ideation (8.4%). The highest prevalence of symptoms of a mental health condition was among respondents aged ≤29 years (range=13.6%-47.4%) and transgender or nonbinary persons (i.e., those who identified as neither male nor female) of all ages (range=30.4%-65.5%). Public health workers who reported being unable to take time off from work were more likely to report adverse mental health symptoms. Severity of symptoms increased with increasing weekly work hours and percentage of work time dedicated to COVID-19 response activities. Implementing prevention and control practices that eliminate, reduce, and manage factors that cause or contribute to public health workers' poor mental health might improve mental health outcomes during emergencies.

Knowledge, attitude and practice towards COVID-19 and perceived challenges of working during the Movement Control Order: a quantitative analysis among healthcare workers in a Malaysian northwestern state

Objective This study aimed to assess COVID-19 knowledge, attitude and practice (KAP) among healthcare workers (HCWs) in northwest Malaysia and recognise the challenges faced working during the Movement Control Order (MCO). Commonly referred to as “MCO”, this order enforcement is a series of national quarantine and cordon sanitaire measures implemented by the federal government of Malaysia in response to the COVID-19 pandemic as of 18th March 2020. It is akin to a national lockdown. Methods A multi-centric cross-sectional web-based study was conducted from 29th May to 27th July 2020 among HCWs in Perlis, Malaysia using a 19-item validated questionnaire [Cronbach’s alpha: 0.61 (knowledge domain), 0.74 (attitude domain), and 0.72 (practice domain)]. Challenges when working during MCO were identified from a self-rated five-point Likert scale of 14-item. Results: There were a total of 373 respondents (response rate more than 40%); 48.0% were nurses, 14.7% were medical doctors, and 12.9% were administrative and technical support staffs. Majority of HCWs (90.1%,n = 336) had good knowledge, optimistic attitude (54.7%,n = 204) and good COVID-19 preventive measure practices (90.9%,n = 339). Multiple logistic regression demonstrated that profession was the single significant factor for good COVID-19 KAP. Though having lesser odds of good knowledge (aOR 0.07,95% CI:0.01-0.36,p = 0.009), nurses showed greater odds of good attitude (aOR 3.14,95% CI: 1.71-5.76,p = 0.011) and practice (aOR 10.69,95% CI:2.25-50.86, p = 0.022) as compared to doctors and dentists. Main challenges identified when working during MCO were increased workload (44.5%,n = 166), difficulty going out shopping (48.3%,n = 180), to exercise (40.2%,n = 150) and meet with family members (64.3%,n = 240). Conclusion: Generally, HCWs in Perlis had good KAP with regards to COVID-19 infection and its preventive measures. Challenges underlined by HCWs while working during the MCO were increased workload, difficulty to shop for daily essentials, exercise and meet with family members. Should good COVID-19 KAP be sustained, they might contribute to success in combating this disease.

Taft-Hartley and the Contradictions of Republican Anti-unionism

Taft-Hartley and the Contradictions of Republican Anti-unionism

Eagerness to Acceptance of Covid-19 Vaccine among Health Care Workers in Oromia Regional State, Ethiopia. An Online Based Cross-Sectional Study, 2021

Background: The COVID-19 pandemic is expected to continue to impose enormous burdens of morbidity and mortality while severely disrupting societies and economies worldwide. Vaccines are a key strategy to stop the escalation of the COVID-19 pandemic. Vaccines are the effective way to control and prevent a several diseases, save lives, and reducing current health emergency, as well as increasing the immunity of the population. Objective: To find out eagerness to acceptance of COVID-19 vaccine among health care workers in oromia regional state, Ethiopia: An online-based cross-sectional study. Methods: An online based cross sectional study design were carried out from April 18, 2021 to June 19, 2021. Data was collected through employing online questioner, and then the collected data were coded and analyzed by statistical packages for social sciences 25.0 version statistical software. The statistical significance was set at a P-value ≤0.05. Findings: The current study revealed that 178 (42.2%) of health care workers intended to receive the COVID-19 vaccines. The results of our study showed that the majority of participants don’t believe that COVID-19 vaccine is effective and safe (n=279.66.1%), and couldn’t save lives (n=228, 54.1%). Factors such as age group &gt;55 (AOR: 2.75; 95% CI: 1.092-5.472; P=0.008), Female(AOR: 1.86; 95% CI: 1.243-2.796; P=0.003), nurses (AOR: 2.17; 95% CI: 0.621-5.087; P=0.0094) and midwives (AOR: 2.521; 95% CI: 2.497-8.24; P=0.0002), married (AOR: 1.74; 95% CI: 0.218-4.530; P=0.006), health care workers who had contact with COVID-19 patient were twice as likely to accept the vaccine (AOR: 1.93; 95% CI: 1.360- 3.784; P=0.0001) and health care workers who indicated that they had more serious medical condition (AOR: 2.61; 95% CI: 0.981-3.618; P=0.007) proved to be significant predictors of the acceptability of the COVID-19 vaccine. Factors such as taking vitamin C (AOR: 1.624; 95% CI: 0.945-2.596; P=0.0003), poor safety of vaccines (AOR: 7.041; 95% CI: 3.692-13.375; P=0.000), those believe effective medicine avail for treating COVID-19 (AOR: 2.16; 95% CI: 1.596-3.485; P=0.0076), no adequate trials about COVID-19 (AOR: 7.041; 95% CI: 3.692-13.375; P=0.000), and unwanted side effects of the vaccines (AOR: 3.422; 95% CI: 1.448-8.096; P=0.005) were identified as indicators why health care workers would decline uptake of COVID-19 vaccines. Conclusion and Recommendation: Our survey revealed that the eagerness to acceptance of covid-19 vaccine among health care workers in oromia regional state was somewhat meagre. Nurses and Midwives were more likely to accept the COVID-19 vaccines than others health care workers. Oromia health bureau should have to give training about COVID-19 vaccine to all health care workers.

Associations Between Case, Staff, and Agency Characteristics and the Decision to Place a Child in Out-of-Home Care

Typically, when children are placed into out-of-home care due to child maltreatment concerns, people assume that this decision is based on action or inaction on behalf of the child’s caregivers. While such elements are likely the main drivers of the decision, a growing body of research suggests that other factors contribute to caseworkers’ decisions on the child welfare cases they serve. Drawing from the decision-making ecology (DME), this study examines the extent to which caseworker and organizational factors, in addition to case characteristics, play a role in decisions to remove a child from their home. Survey data from 118 investigation or assessment workers in a southeastern state were paired with administrative data from 10,568 child protective services (CPS) responses assigned to the surveyed workers for analysis. Multi-level modeling (cases, and cases within workers) results identified that, controlling for case characteristics and using 95% confidence intervals, workers who were male (aOR: 0.71 [0.50–0.998]), perceived the agency as more supportive (aOR: 0.87 [0.80–0.94]), and those indicating a strong orientation towards family preservation compared to child safety (aOR: 0.58 [0.42–0.81]) were associated with lower odds of placing children into out-of-home care. Staff who felt more cohesion with their co-workers (aOR: 1.37 [1.19–1.57]) were more likely to place children on their caseloads. These results indicate that the current system of decision-making and case trajectories are prone to influences from caseworkers’ personal biases and perceptions of support. Implications for CPS workforce selection, development, support, and case assignment are discussed.