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1.
Artigo em Inglês | MEDLINE | ID: mdl-37792560

RESUMO

Informal employment has been identified as an important social determinant of health. This article addresses the processes through which informal employment affects workers' health in Chile. The study's methodological approach was based on qualitative interviews with 34 formal and informal workers. The findings show how workers perceive informal employment as negatively affecting their mental and physical health through different dimensions of their living and working conditions. Incorporating a gender perspective proves to be integral to the analysis of these processes. The article concludes by discussing how neoliberalism underlies such vulnerability processes and negatively impacts on the population's health.


Assuntos
Emprego , Desigualdades de Saúde , Humanos , Chile , Condições de Trabalho
2.
Soc Sci Med ; 327: 115970, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37210981

RESUMO

In recent decades, economic crises and political reforms focused on employment flexibilization have increased the use of non-standard employment (NSE). National political and economic contexts determine how employers interact with labour and how the state interacts with labour markets and manages social welfare policies. These factors influence the prevalence of NSE and the level of employment insecurity it creates, but the extent to which a country's policy context mitigates the health influences of NSE is unclear. This study describes how workers experience insecurities created by NSE, and how this influences their health and well-being, in countries with different welfare states: Belgium, Canada, Chile, Spain, Sweden, and the United States. Interviews with 250 workers in NSE were analysed using a multiple-case study approach. Workers in all countries experienced multiple insecurities (e.g., income and employment insecurity) and relational tension with employers/clients, with negative health and well-being influences, in ways that were shaped by social inequalities (e.g., related to family support or immigration status). Welfare state differences were reflected in the level of workers' exclusion from social protections, the time scale of their insecurity (threatening daily survival or longer-term life planning), and their ability to derive a sense of control from NSE. Workers in Belgium, Sweden, and Spain, countries with more generous welfare states, navigated these insecurities with greater success and with less influence on health and well-being. Findings contribute to our understanding of the health and well-being influences of NSE across different welfare regimes and suggest the need in all six countries for stronger state responses to NSE. Increased investment in universal and more equal rights and benefits in NSE could reduce the widening gap between standard and NSE.


Assuntos
Emprego , Ocupações , Humanos , Estados Unidos , Fatores Socioeconômicos , Política Pública , Seguridade Social
4.
Int J Health Serv ; 47(1): 61-82, 2017 01.
Artigo em Inglês | MEDLINE | ID: mdl-27530991

RESUMO

The aim of this article is to explain the results of the SOPHIE project regarding the effect of gender policies on gender inequalities in health in Europe. We start with the results of a systematic review on how gender regimes and gender equality policies at the country level impact women's health and gender inequalities in health. Then, we report on three empirical analyses on the relationship between different family policy models existing in Europe and gender inequalities in health. Finally we present four case studies on specific examples of gender policies or determinants of gender inequalities in health. The results show that policies that support women's participation in the labor force and decrease their burden of care, such as public services and support for families and entitlements for fathers, are related to lower levels of gender inequality in terms of health. In addition, public services and benefits for disabled and dependent people can reduce the burden placed on family caregivers and hence improve their health. In the context of the current economic crisis, gender equality policies should be maintained or improved.


Assuntos
Identidade de Gênero , Política de Saúde , Disparidades em Assistência à Saúde , Determinantes Sociais da Saúde , Europa (Continente) , Feminino , Humanos , Masculino , Modelos Teóricos
5.
Gac Sanit ; 29(1): 65-71, 2015.
Artigo em Espanhol | MEDLINE | ID: mdl-25224957

RESUMO

OBJECTIVE: To characterize and analyze the situation of informal employment with regard to its definition, measurement and classification in South American countries. METHODS: A literature review was conducted from four databases and grey literature through a scoping review, which included reports from international organizations and from the 12 countries in South America. The data were analyzed by evaluating content and establishing similarities among countries. RESULTS: The data reviewed showed a disparity in the definitions used, although many countries define informal employment as workers with no contract. Most countries measured informal employment through household surveys, but due to the differences in classifications, the information found was heterogeneous, with little standardization among registries. Therefore, the data could not be compared at a regional level. The definition of the International Labour Organization was not useful to study informal employment in the countries studied. The definition should include protected and unprotected workers. CONCLUSIONS: An appropriate and specific definition of informal employment would allow nuances to be studied within the concept, revealing the loopholes faced by most of the population working informally. The key to meaningful comparisons within the study region is to incorporate common indicators among local registration systems (measurement) in order to determine the public health impact in the informally employed population.


Assuntos
Emprego , Contratos , Bases de Dados Bibliográficas , Emprego/classificação , Humanos , Agências Internacionais , Sistema de Registros , Fatores Socioeconômicos , América do Sul , Inquéritos e Questionários , Terminologia como Assunto
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