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1.
Soc Sci Med ; 327: 115970, 2023 06.
Article in English | MEDLINE | ID: mdl-37210981

ABSTRACT

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.


Subject(s)
Employment , Occupations , Humans , United States , Socioeconomic Factors , Public Policy , Social Welfare
2.
Article in English | MEDLINE | ID: mdl-35627402

ABSTRACT

The COVID-19 crisis is a global event that has created and amplified social inequalities, including an already existing and steadily increasing problem of employment and income insecurity and erosion of workplace rights, affecting workers globally. The aim of this exploratory study was to review employment-related determinants of health and health protection during the pandemic, or more specifically, to examine several links between non-standard employment, unemployment, economic, health, and safety outcomes during the COVID-19 pandemic in Sweden, Belgium, Spain, Canada, the United States, and Chile, based on an online survey conducted from November 2020 to June 2021. The study focused on both non-standard workers and unemployed workers and examined worker outcomes in the context of current type and duration of employment arrangements, as well as employment transitions triggered by the COVID-19 crisis. The results suggest that COVID-19-related changes in non-standard worker employment arrangements, or unemployment, are related to changes in work hours, income, and benefits, as well as the self-reported prevalence of suffering from severe to extreme anxiety or depression. The results also suggest a link between worker type, duration of employment arrangements, or unemployment, and the ability to cover regular expenses during the pandemic. Additionally, the findings indicate that the type and duration of employment arrangements are related to the provision of personal protective equipment or other COVID-19 protection measures. This study provides additional evidence that workers in non-standard employment and the unemployed have experienced numerous and complex adverse effects of the pandemic and require additional protection through tailored pandemic responses and recovery strategies.


Subject(s)
COVID-19 , Unemployment , COVID-19/epidemiology , Employment , Humans , Pandemics , Surveys and Questionnaires
3.
Int J Health Serv ; 51(2): 226-228, 2021 04.
Article in English | MEDLINE | ID: mdl-33430684

ABSTRACT

The world of work is facing an ongoing pandemic and an economic downturn with severe effects worldwide. Workers trapped in precarious employment (PE), both formal and informal, are among those most affected by the COVID-19 pandemic. Here we call attention to at least 5 critical ways that the consequences of the crisis among workers in PE will be felt globally: (a) PE will increase, (b) workers in PE will become more precarious, (c) workers in PE will face unemployment without being officially laid off, (d) workers in PE will be exposed to serious stressors and dramatic life changes that may lead to a rise in diseases of despair, and (e) PE might be a factor in deterring the control of or in generating new COVID-19 outbreaks. We conclude that what we really need is a new social contract, where the work of all workers is recognized and protected with adequate job contracts, employment security, and social protection in a new economy, both during and after the COVID-19 crisis.


Subject(s)
COVID-19 , Employment , SARS-CoV-2 , Humans , Pandemics , United States
4.
Am J Ind Med ; 59(1): 42-56, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26305402

ABSTRACT

BACKGROUND: Although worker representation in OHS has been widely recognized as contributing to health and safety improvements at work, few studies have examined the role that worker representatives play in this process. Using a large quantitative sample, this paper seeks to confirm findings from an earlier exploratory qualitative study that worker representatives can be differentiated by the knowledge intensive tactics and strategies that they use to achieve changes in their workplace. METHODS: Just under 900 worker health and safety representatives in Ontario completed surveys which asked them to report on the amount of time they devoted to different types of representation activities (i.e., technical activities such as inspections and report writing vs. political activities such as mobilizing workers to build support), the kinds of conditions or hazards they tried to address through their representation (e.g., housekeeping vs. modifications in ventilation systems), and their reported success in making positive improvements. A cluster analysis was used to determine whether the worker representatives could be distinguished in terms of the relative time devoted to different activities and the clusters were then compared with reference to types of intervention efforts and outcomes. RESULTS: The cluster analysis identified three distinct groupings of representatives with significant differences in reported types of interventions and in their level of reported impact. Two of the clusters were consistent with the findings in the exploratory study, identified as knowledge activism for greater emphasis on knowledge based political activity and technical-legal representation for greater emphasis on formalized technical oriented procedures and legal regulations. Knowledge activists were more likely to take on challenging interventions and they reported more impact across the full range of interventions. CONCLUSIONS: This paper provides further support for the concepts of knowledge activism and technical-legal representation when differentiating the strategic orientations and impact of worker health and safety representatives, with important implications for education, political support and recruitment.


Subject(s)
Employment/organization & administration , Knowledge Management , Occupational Health , Safety Management/methods , Workplace/organization & administration , Cluster Analysis , Humans , Ontario , Qualitative Research , Surveys and Questionnaires
5.
Ethn Health ; 19(5): 512-28, 2014.
Article in English | MEDLINE | ID: mdl-24147741

ABSTRACT

OBJECTIVE: We examined disparities in hazardous employment characteristics and working conditions among Chinese and white workers in Toronto, Canada. DESIGN: We used self-administered questionnaire data from a 2005-2006 population-based survey (n = 1611). Using modified Poisson regression, we examined the likelihood for Chinese workers of experiencing adverse exposures compared to whites. Models were stratified by sex and adjusted for differences in human capital. Work sector was conceptualized as a mediating variable. RESULTS: Chinese workers were generally more likely to report adverse exposures. In many cases, disparities were only evident or more pronounced among women. The shorter length of time in Canada of Chinese relative to whites accounted for some of the observed disparities. Meanwhile, the higher educational level of Chinese compared to whites provided them with no protection from adverse exposures. The risk of experiencing discrimination on the labor market and at work was more than 50% higher among Chinese men and women as compared to whites, and those disparities, though reduced, persisted after adjustment for confounders. CONCLUSIONS: Discrimination is far more prevalent among Chinese than among whites and may explain their disproportionate exposure to other hazards.


Subject(s)
Asian People , Occupational Exposure/statistics & numerical data , Racism/statistics & numerical data , White People , Adult , Aged , Aged, 80 and over , China/ethnology , Female , Health Surveys , Humans , Male , Middle Aged , Ontario , Poisson Distribution , Regression Analysis , Risk , Sex Factors , Surveys and Questionnaires
6.
Int J Law Psychiatry ; 30(4-5): 311-26, 2007.
Article in English | MEDLINE | ID: mdl-17764742

ABSTRACT

This paper explores the impact of precarious employment relationships on health outcomes. It uses a novel framework, "Employment Strain" to describe the characteristics of different employment relationships and how they impact health outcomes. It uses interview data and comments provided on a survey to explore these issues. The paper begins by exploring if the health effects reported by mid-career individuals in precarious employment are different from those of younger and older workers. Finding limited evidence to support this hypothesis, the paper goes on to explore in detail the conditions under which precarious employment does increase stress and tension and impact health outcomes. It concludes that a combination of an individual's desire for more permanent employment, the expectation that permanent employment will be found, and the support individuals receive from various sources are critical to understanding the health effects of precarious employment.


Subject(s)
Employment/psychology , Occupational Health , Stress, Psychological , Canada , Humans , Interviews as Topic , Uncertainty
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