Objective We examined disparities in workers' occupational health experiences. Methods We surveyed 941 unionized Las Vegas hotel room cleaners about their experiences with work-related pain and with employers, physicians, and workers' compensation. Data were analyzed for all workers and by ethnicity, language, and immigrant status. Results Hispanic and English as second language (ESL) workers were more likely than their counterparts to report work-related pain and, along with immigrant workers, to miss work because of this pain. Hispanic, ESL, and immigrant workers were not consistently at a disadvantage with regard to their own responses to work-related pain but were so with respect to reported responses by workers' compensation, physicians, and employers. Conclusions There are indications of disparities in occupational health experienceswithin this job title. The use of different group classifications, while implying different mechanisms, produced similar results. © 2010 Wiley-Liss, Inc.

immigrants occupational health language disparities Ethnicity Management Workers compensation Medical care

economics insurance health disparity Health Status Disparities Wounds and Injuries occupational disease human injury middle aged statistics Ethnic Groups ethnic group pain Occupational Diseases Aged Health Surveys language ethnology United States Young Adult Humans occupational accident male Emigrants and Immigrants female Socioeconomic Factors socioeconomics questionnaire hospital service prevalence Article Questionnaires adult migration occupational health Workers' Compensation workman compensation Accidents, Occupational Insurance Claim Reporting Nevada Housekeeping Health Services Accessibility health care delivery health survey