Abstract
Objective
To compare occupational psychosocial hazards in green collar versus non-green collar workers.
Methods
Standard Occupational Classification codes were used to link the 2010 National Health Interview Survey to the 2010 Occupational Information Network Database. Multivariable logistic regressions were used to predict job insecurity, work-life imbalance, and workplace harassment in green versus non-green collar workers.
Results
Most participants were white, non-Hispanic, 25–64 years of age, and obtained greater than a high school education. The majority reported not being harassed at work, no work-life imbalance, and no job insecurity. Relative to non-green collar workers (n=12,217), green collar workers (n=2,588) were more likely to report job insecurity (OR=1.13; 95% CI=1.02–1.26) and work-life imbalance (1.19; 1.05–1.35), but less likely to experience workplace harassment (0.77; 0.62–0.95).
Conclusions
Continuous surveillance of occupational psychosocial hazards is recommended in this rapidly emerging workforce.
Keywords: job insecurity, workplace harassment, work-life imbalance, green collar worker, Occupational Information Network Database, National Health Interview Survey
Introduction
There is substantial evidence linking occupational psychosocial hazards to several negative outcomes.1–10 Key psychosocial hazards that have been discussed at length in the occupational health literature include: job insecurity, workplace harassment, and work-life imbalance.3,5,11,12 Job insecurity occurs when employees are unsure as to the stability of their jobs in the future, often due to a poor economy or non-permanent roles.13 Work-life imbalance transpires when an individual cannot meet their work and family commitments due to long hours, high work intensity and/or pressure.14 Workplace harassment encompasses a variety of behaviors, including discrimination, bullying, threatening, and abuse.15 Workers exposed to these psychosocial hazards are at higher risk of developing mental (e.g., depression) and physical health issues (e.g., cardiovascular disease), ultimately impacting their careers (e.g., job turnover).16–18 Unfortunately, there has been little attention to these psychosocial hazards in the “green collar” workforce in the U.S., despite the rapid emergence of this new sector and the importance of these factors in maintaining optimal health.8–10,19
“Green collar” jobs are defined as those that involve protecting wildlife or ecosystems, reducing pollution/waste, and/or reducing energy usage and lowering carbon emissions.19–22 This novel workforce includes the creation of new jobs that contribute to environmental sustainability and protection, but it also involves the “greening” of existing occupations. According to the National Center for O*NET Development, “the greening of occupations refers to the extent to which green economy activities and technologies increase the demand for existing occupations, shape the work and worker requirements needed for occupational performance, or generate unique work and worker requirements.”23 A comprehensive description of the green economy, its occupations, and related references are described in detail elsewhere.21,22,24
Similar to non-green collar workers, green collar jobs include workers from all occupation categories (i.e., white collar, blue collar, service, and farm) and sectors (renewable energy generation; transportation; energy efficiency; green construction; energy trading; energy and carbon capture and storage; research, design, and consulting services; environment protection; agriculture and forestry; manufacturing; recycling and waste reduction; governmental and regulatory administration) in the economy.21,22,24 Consequently, green collar jobs encompass a wide variety of occupations, ranging from high-skilled, high-income professionals (e.g., CEO of an environmental-friendly organization) to low-skilled low-income manual laborers (e.g., roofers installing solar panels on a building). More detailed information describing this workforce (e.g., job tasks, education/skills needed, technology used, wages and employment opportunities, work context, job titles, etc.) can be found online (http://www.onetonline.org/find/green) and in Appendix 1.
There is no nationally representative surveillance system that describes the characteristics, exposures, or health status of green collar workers in the U.S. To fill this gap in the literature, our research team conducted a linkage between the National Health Interview Survey (NHIS)25 and the U.S. Occupational Information Network (O*NET).26 This linkage (described in detail below) revealed that green collar workers represented approximately 20% of NHIS participants as being employed in a green collar job. The vast majority of these workers are male (76%), aged 25–64 years (87%), non-Hispanic (86%), White (83%), and work in the private sector (84%).27 As illustrated in Appendix 1, we found that the majority of green collar workers were either white (48%) or blue collar (52%). Results from this linkage, including a more detailed description of green collar workers, including their occupational exposures, are described in upcoming publications (currently under review).27–31 In the current study, we will use this linked data to compare psychosocial hazards (work-life imbalance, job insecurity, and workplace harassment) in green collar versus non-green collar workers.
Materials and Methods
Data Sources
Data were obtained from the 2010 National Health Interview Survey (NHIS) Occupational Supplement32 and the 2010 Occupational Information Network online (O*NET) database, version 19.0.33 The NHIS is a continuous probability household survey of U.S. non-institutionalized population utilizing a multi-stage, clustered, sample design. This nationally-representative survey has been administered annually since 1957 by the National Center for Health Statistics. In addition to a wide range of self-reported demographic and health data (e.g., medical conditions, morbidity, mortality, health-related behaviors), the NHIS contains substantial individual-level information on occupation. The NHIS utilizes Standard Occupational Classification (SOC) system to classify job titles, allowing for linkages with other databases that use the same SOC codes (e.g., O*NET). Specifically, the 2010 NHIS Occupational Supplement included an expanded series of occupational-specific questions, such as more detailed information on workplace exposures and work-related conditions.34
The O*NET is a publicly available online resource funded by the U.S. Department of Labor Employment, and Training Administration. It provides up-to-date contextual information on over 900 jobs (categorized by O*NET-SOC codes) in the U.S. For these jobs, O*NET contains data on the typical work environment, knowledge/skills/education requirements of workers, workplace exposures, and other occupation-specific information.33 O*NET also classifies specific occupations according to whether it is “green collar” or “non-green collar”. To do so, it first determines the tasks for each job (see http://www.onetcenter.org/dl_files/GreenTask_Summary.pdf for more details). If a job has at least one “green” task (e.g., whether it provides green services or produces green goods), then it is categorized as a “green collar” job. It is important to note that this categorization includes a diverse range of jobs, including those with few green tasks (e.g., personal financial advisors who may advise clients on an eco-friendly investments) to those with exclusively green tasks (e.g., solar panel installers).
NHIS and O*NET Linkage
To protect NHIS participant confidentiality, data linkage and analyses were conducted at the Research Data Center (RDC) of the National Center for Health Statistics (NCHS). Linking the publicly available NHIS data with the green collar classification in O*NET occurs through the 4-digit occupational code variable (OCCUPN) in the NHIS (i.e., digits 3 4 5 6) and the 8-digit O*NET SOC code (i.e., 1 2 3 4 5 6). In the case when the O*NET SOC code had a seventh and eighth digit ending in .00, this was considered an exact match with the NHIS data and labeled as green or non-green. However, when the seventh and eighth digit had an extension beyond .00, such as .01, .02, etc., we further investigated if each of these detailed occupations were all green, all non-green, or “mixed-green” collar workers. For example, if an O*NET broad occupational group had three different extensions of the seventh and eighth digit codes (e.g., .01, .02, and .03) of which two were classified as green and one was classified as non-green, then the NHIS occupational code was labeled as mixed-green to indicate that the parent job title had mixed jobs. For the current analysis, mixed-green collar workers (n=1,005; 6.8%) were excluded.
Survey Variables
The dependent variables obtained from the NHIS were job insecurity, work-life imbalance, and workplace harassment. Job insecurity and work-family imbalance were measured by the following questions: “Please tell me whether you: strongly agree, agree, disagree, or strongly disagree with each of these statements: ‘I am worried about becoming unemployed’ and ‘It is easy for me to combine work with family responsibilities,’” respectively. Responses of “strongly agree” and “agree” were defined as “job insecurity” for the first statement; and responses of “strongly disagree” and “disagree” were defined as “work-family imbalance” for the second statement. “Workplace harassment” was defined as participants answering “yes” to the question: “During the past 12 months, were you threatened, bullied, or harassed by anyone while you were on the job?” All dependent variables were dichotomized (yes/no).
The main independent variable was green collar worker status (i.e., green collar or non-green collar), obtained from the O*NET. Other independent variables that were acquired from the NHIS included: age (18–44, 45–64 or 65+ years), gender (male or female), race (black, white, or other), ethnicity (Hispanic or non-Hispanic), and educational attainment (less than high school, high school, or more than high school education).
Statistical Analyses
Based on the NHIS, all currently working individuals (18+ years of age) or those who have worked in the week prior to the interview were included in the analytic sample. Employment status (i.e., employed vs. non-employed) was specified as a dichotomous variable based on the question, “What is your correct working status?” Three multivariable logistic regression models, controlling for the independent variables listed above, were employed to predict job insecurity, work-life imbalance, and workplace harassment in green collar versus non-green collar workers.35 All statistical analyses took into account complex survey design and were conducted with SAS version 9.3.35
Results
Demographic and Psychosocial Information
As illustrated in Table 1, there were a total of 14,805 workers (green collar n = 2,588; non-green collar n = 12,217). The majority of green collar workers were male (76.3%), 25–64 years of age (87.2%), white (83.7%), non-Hispanic (85.6%), and had obtained greater than a high school education (60.8%). Further, the majority of green collar workers did not experience workplace harassment (94.4%), job insecurity (65.6%), or work-life imbalance (82.1%).
Table 1.
Characteristic | Green Collar Workers | Non-Green Collar Workers | ||
---|---|---|---|---|
| ||||
n | % | n | % | |
Male | 1,900 | 76.3 | 5,406 | 47.8 |
Female | 688 | 23.7 | 6,811 | 52.2 |
| ||||
White | 2,018 | 83.7 | 9,206 | 81.6 |
Black | 365 | 10.6 | 1,984 | 11.8 |
Other | 205 | 5.7 | 1,027 | 6.6 |
| ||||
18–24 | 210 | 9.2 | 1,349 | 13.6 |
25–64 | 2,279 | 87.2 | 10,273 | 82.3 |
65+ | 99 | 3.7 | 595 | 4.2 |
| ||||
Non-Hispanic | 2,110 | 85.6 | 9,755 | 85.7 |
Hispanic | 478 | 14.4 | 2,462 | 14.3 |
| ||||
> High School | 1,537 | 60.8 | 7,942 | 66.8 |
High School | 731 | 29.3 | 2,843 | 23.7 |
< High School | 310 | 10.0 | 1,403 | 9.5 |
| ||||
Workplace Harassment | 151 | 5.6 | 970 | 7.8 |
No Workplace Harassment | 2,433 | 94.4 | 11,207 | 92.2 |
| ||||
Job Insecurity | 914 | 34.4 | 4,041 | 31.0 |
No Job Insecurity | 1,670 | 65.6 | 8,113 | 69.0 |
| ||||
Work-Life Imbalance | 461 | 17.9 | 1,993 | 16.0 |
No Work-Life Imbalance | 2,119 | 82.1 | 10,153 | 84.0 |
Most non-green collar workers were female (52.2%), 25–64 years of age (82.3%), white (81.6%), non-Hispanic (85.7%), and had obtained greater than a high school education (66.8%). Further, the majority of non-green collar workers did not experience workplace harassment (92.2%), job insecurity (69.0%), or work-life imbalance (84.0%).
Multivariable Logistic Regression
Multivariable logistic regression analyses indicated that relative to non-green collar workers, green collar workers were more likely to report job insecurity (Odds Ratio [OR] = 1.13; 95% Confidence Interval [95% CI] = 1.02 – 1.26) and work-life imbalance (OR = 1.19; 95% CI = 1.05 – 1.35), but less likely to experience workplace harassment (OR = 0.77; 95% CI = 0.62 – 0.95), relative to non-green collar workers (Table 2).
Table 2.
Independent Variable | Work-Life Imbalance (n=14,690) | Workplace Harassment (n=14,725) | Job Insecurity (n=14,702) | |
---|---|---|---|---|
| ||||
OR; 95% CI | OR; 95% CI | OR; 95% CI | ||
Green-Collar | 1.19; 1.05–1.35* | 0.77; 0.62–0.95* | 1.13; 1.02–1.26* | |
Sex: Male vs. Female | 0.90; 0.81–0.99* | 0.72; 0.61–0.83* | 1.06; 0.96–1.16 | |
Age | ||||
65+ vs. 18–44 | 0.33; 0.21–0.50* | 0.37; 0.22–0.64* | 0.36; 0.27–0.47* | |
45–64 vs. 18–44 | 0.91; 0.81–1.02 | 1.07; 0.91–1.25 | 1.19; 1.08–1.30* | |
Race | ||||
Other vs. White | 0.96; 0.80–1.16 | 0.72; 0.54–0.96* | 1.31; 1.11–1.54* | |
Black vs. White | 1.20; 1.04–1.39* | 0.96; 0.77–1.19 | 1.29; 1.14–1.45* | |
Hispanic Ethnicity | 0.91; 0.78–1.07 | 0.10; 0.80–1.24 | 1.90; 1.71–2.10* | |
Education | ||||
< HS vs. > HS | 0.92; 0.76–1.10 | 0.75; 0.54–1.04 | 1.90; 1.64–2.12* | |
= HS vs. > HS | 0.93; 0.82–1.05 | 1.12; 0.94–1.35 | 1.36; 1.22–1.51* |
Note. Differences in sub-total population sample due to item non-response or missing;
p<0.05
Discussion
The current study utilized data from an innovative linkage between the 2010 O*NET database and the 2010 NHIS Occupational Supplement to describe key occupational psychosocial hazards of the emerging green collar workforce. Findings indicated that relative to non-green collar workers, green collar workers were significantly more likely to report job insecurity and work-life imbalance, but less likely to experience workplace harassment. It is interesting to note that there were significant differences between green and non-green collar workers in all three psychosocial exposures. These findings illustrate the importance of categorizing green collar workers as a distinct workforce, perhaps requiring unique approaches to minimize their exposure to these psychosocial occupational hazards.
Work Life Imbalance
Green collar workers reported more work-life imbalance than non-green workers suggesting that green collar workers had difficulty combining work and family responsibilities with ease. Work-life imbalance has been linked to individual-, family- and organizational-level domains.11,14,36 However, there is debate in the occupational health literature regarding directionality of this association.14,16 For example, do work stressors cause family stress or do family stressors cause work stress? Given the cross-sectional design of this study, temporality of this association cannot be determined. Because work-life imbalance negatively affects one’s well-being and job satisfaction,37 future research should examine reasons green-collar workers report this imbalance, and pursue modified workplace policies as appropriate (e.g., day care, flexible schedules, telecommuting options).38 If green-collar workers have a more fulfilling life outside of work, they might have decreased burnout rates and job insecurity.38
Job Insecurity
Similar to work-life imbalance, green collar workers reported higher rates of job insecurity compared to non-green collar workers. Given the global economic uncertainty, fast pace of technological change, and relative novelty of the green collar workforce, these findings are not surprising.39 Further, the development of new occupational sectors has historically led to restructuring of the workforce (both within and across sectors), increased occupational demands (e.g., retraining, learning new skills, modification of existing job tasks), and changes in policies and regulatory requirements.39 These factors can increase job insecurity, leading to several detrimental consequences (e.g., job turnover, and poor physical and mental health).40 Given the causes and effects of job insecurity has not been examined in green collar workers, future research among this understudied occupational group is warranted.
Workplace Harassment
The results also indicated that green collar workers experience less workplace harassment compared to non-green collar workers, which is protective of their health status given that psychological violence represents a major threat to long-term worker health and job performance.41,42,41–43 It is possible that because green collar workers fear losing their job due to higher job insecurity, negative behaviors on the job are decreased. Further, the lower rates of workplace harassment in green collar workers may be a result of underreporting and fear of retaliation.44
Strengths and Limitations
The NHIS and O*NET both have strengths and limitations that should be noted when interpreting results. The NHIS is a nationally representative survey of the U.S. civilian population. This yielded a large sample of workers, which provided a unique opportunity to collect detailed individual-level information. However, the NHIS is limited by its cross-sectional design and self-reported nature, potentially leading to temporality and recall biases. A strength of the O*NET is that is provides consistently updated occupational information on over 900 jobs in the U.S. However, all O*NET data are ecological in nature; therefore, we cannot make conclusions about individual green collar workers based only on the analyses of this group-level data (i.e., ecological fallacy). Finally, given the NHIS and O*NET contain occupational information on the U.S. workforce, results should not be generalized to workers in other countries.
There are also some limitations with the measurement of study variables that should be noted. First, green collar jobs are considered a new industry sector that is rapidly transitioning; therefore, exposure misclassification (i.e., green collar worker status) is a potential issue, which may lead to biased odds ratio estimates. As the green collar workforce is further studied, these categorizations will likely become more defined. Once these groupings are better described, future researchers may consider examining whether the association between green collar worker status and occupational psychosocial hazards is moderated by the number of green tasks. Second, it is well known that occupational psychosocial hazards are difficult to define and measure given their subjective and complex nature.4,11,36 As a result, there is no consistently used operational definition or assessment tool used to study these hazards, making comparisons between studies difficult.4,11,36 Future studies may benefit from using validated in-depth interviews, as well as external information (e.g., personnel files), collected on a longitudinal basis.36 It would also be helpful to measure the individual’s appraisal of the hazard and his/her coping response, given these are important moderators when studying stress response.45,46 It would also be interesting to examine the synergistic effects of these psychosocial hazards on health and work-related outcomes in different occupational sectors. Collectively, this additional information will help gain a more comprehensive understanding of the causal mechanisms surrounding these psychosocial hazards, as well as their long-term consequences.11
Conclusions
The current study utilized data from an innovative linkage between the 2010 O*NET database and the 2010 NHIS Occupational Supplement to describe the occupational psychosocial hazards of the emerging green collar workforce. Findings indicated that relative to non-green collar workers, green collar workers were significantly more likely to report job insecurity and work-life imbalance, but less likely to experience workplace harassment. As the psychosocial work environment has been linked to a broad variety negative outcomes, continuous surveillance of this new generation of workers is recommended that includes direct assessment of green job tasks.2,6,7,47 With more in-depth surveillance, protective interventions and company policies can be implemented to minimize these occupational psychosocial hazards and to maximize worker health and productivity.
Acknowledgments
This research was supported by the National Institute for Occupational Safety and Health grant 5R03OH010124; the National Institute of Arthritis and Musculoskeletal and Skin Diseases grant T32 AR055885 (PI: Katz) to the Clinical Orthopedic and Musculoskeletal Education and Training Program at Brigham and Women’s Hospital, Harvard Medical School and Harvard School of Public Health (Trainee: Caban-Martinez); The European Centre for Environment and Human Health (part of the University of Exeter Medical School) is part financed by the European Regional Development Fund Programme 2007 to 2013 and European Social Fund Convergence Programme for Cornwall and the Isles of Scilly.
Appendix 1. Green collar job titles by Krieger job category: National Health Interview Survey (2004–2012) and Occupational Information Network Database Linkage: N=27,338)
Krieger Category | Job Title | n | % |
---|---|---|---|
White Collar (n=13,063; 47.78%) | |||
Aerospace engineers | 139 | 0.51 | |
Agricultural and food scientists | 34 | 0.12 | |
Architects, except naval | 172 | 0.63 | |
Atmospheric and space scientists | 13 | 0.05 | |
Biological scientists | 121 | 0.44 | |
Chemical engineers | 52 | 0.19 | |
Chemical technicians | 76 | 0.28 | |
Chemists and materials scientists | 85 | 0.31 | |
Civil engineers | 308 | 1.13 | |
Computer software engineers | 991 | 3.62 | |
Construction and building inspectors | 13 | 0.05 | |
Construction managers | 771 | 2.82 | |
Customer service representatives | 2142 | 7.84 | |
Designers | 748 | 2.74 | |
Dispatchers | 297 | 1.09 | |
Driver/sales workers and truck drivers | 7 | 0.03 | |
Electrical and electronics engineers | 290 | 1.06 | |
Engineering managers | 85 | 0.31 | |
Environmental engineers | 54 | 0.20 | |
Environmental scientists and geoscientists | 80 | 0.29 | |
Financial analysts | 100 | 0.37 | |
First-line supervisors/managers of mechanics, installers, and repairers | 6 | 0.02 | |
First-line supervisors/managers of production and operating workers | 10 | 0.04 | |
General and operations managers | 743 | 2.72 | |
Human resources, training, and labor relations specialists | 569 | 2.08 | |
Industrial production managers | 242 | 0.89 | |
Inspectors, testers, sorters, samplers, and weighers | 16 | 0.06 | |
Laborers and freight, stock, and material movers, hand | 9 | 0.03 | |
Lawyers, Judges, magistrates, and other judicial workers | 837 | 3.06 | |
Marketing and sales managers | 738 | 2.70 | |
Mechanical engineers | 208 | 0.76 | |
Natural sciences managers | 11 | 0.04 | |
News analysts, reporters and correspondents | 88 | 0.32 | |
Nuclear engineers | 12 | 0.04 | |
Other education, training, and library workers | 127 | 0.46 | |
Other healthcare practitioners and technical occupations | 65 | 0.24 | |
Other life, physical, and social science technicians | 98 | 0.36 | |
Personal financial advisors | 327 | 1.20 | |
Production, planning, and expediting clerks | 269 | 0.98 | |
Public relations specialists | 90 | 0.33 | |
Purchasing agents and buyers, farm products | 10 | 0.04 | |
Sales representatives, wholesale and manufacturing | 1239 | 4.53 | |
Shipping, receiving, and traffic clerks | 579 | 2.12 | |
Urban and regional planners | 38 | 0.14 | |
Wholesale and retail buyers, except farm products | 154 | 0.56 | |
Service (n=26; 0.10%) | |||
Customer service representatives | 6 | 0.02 | |
First-line supervisors/managers of mechanics, installers, and repairers | 6 | 0.02 | |
Fish and game wardens | 9 | 0.03 | |
Maintenance and repair workers, general | 5 | 0.01 | |
Farm (n=40; 0.15%) | |||
Agricultural inspectors | 25 | 0.09 | |
Forest and conservation workers | 15 | 0.05 | |
Blue Collar (14,209; 51.98%) | |||
Aircraft structure, surfaces, rigging, and systems assemblers | 22 | 0.08 | |
Boilermakers | 12 | 0.04 | |
Bus and truck mechanics and diesel engine specialists | 298 | 1.09 | |
Bus drivers | 638 | 2.33 | |
Cement masons, concrete finishers, and terrazzo workers | 84 | 0.31 | |
Chemical processing machine setters, operators, and tenders | 46 | 0.17 | |
Computer control programmers and operators | 63 | 0.23 | |
Construction and building inspectors | 89 | 0.33 | |
Construction laborers | 1406 | 5.14 | |
Construction managers | 21 | 0.08 | |
Crushing, grinding, polishing, mixing, and blending workers | 96 | 0.35 | |
Customer service representatives | 5 | 0.01 | |
Cutting, punching, and press machine setters, operators, and tenders, metal and plastic | 113 | 0.41 | |
Derrick, rotary drill, and service unit operators, oil, gas, and mining | 28 | 0.10 | |
Driver/sales workers and truck drivers | 2946 | 10.78 | |
Electrical and electronics repairers, industrial and utility | 11 | 0.04 | |
Electrical power-line installers and repairers | 125 | 0.42 | |
Electrical, electronics, and electromechanical assemblers | 196 | 0.72 | |
Electricians | 469 | 1.72 | |
Engine and other machine assemblers | 22 | 0.08 | |
First-line supervisors/managers of mechanics, installers, and repairers | 266 | 0.97 | |
First-line supervisors/managers of production and operating workers | 723 | 2.65 | |
Hazardous materials removal workers | 37 | 0.14 | |
Helpers, construction trades | 66 | 0.24 | |
Helpers--installation, maintenance, and repair workers | 22 | 0.08 | |
Industrial and refractory machinery mechanics | 421 | 1.54 | |
Industrial truck and tractor operators | 546 | 2.00 | |
Inspectors, testers, sorters, samplers, and weighers | 795 | 2.91 | |
Insulation workers | 53 | 0.19 | |
Laborers and freight, stock, and material movers, hand | 1640 | 6.0 | |
Locomotive engineers and operators | 33 | 0.12 | |
Machinists | 341 | 1.25 | |
Maintenance and repair workers, general | 393 | 1.44 | |
Millwrights | 40 | 0.15 | |
Mining machine operators | 44 | 0.16 | |
Miscellaneous assemblers and fabricators | 1049 | 3.84 | |
Miscellaneous construction and related workers | 24 | 0.09 | |
Miscellaneous plant and system operators | 29 | 0.11 | |
Operating engineers and other construction equipment operators | 322 | 1.18 | |
Power plant operators, distributors, and dispatchers | 39 | 0.14 | |
Rail-track laying and maintenance equipment operators | 9 | 0.03 | |
Railroad conductors and yardmasters | 41 | 0.15 | |
Refuse and recyclable material collectors | 88 | 0.32 | |
Roofers | 167 | 0.61 | |
Sheet metal workers | 132 | 0.48 | |
Shipping, receiving, and traffic clerks | 10 | 0.04 | |
Stationary engineers and boiler operators | 83 | 0.30 | |
Structural iron and steel workers | 73 | 0.27 | |
Structural metal fabricators and fitters | 33 | 0.12 |
Footnotes
Conflict of Interest Statement: Authors declare no conflicts of interest
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