Precarious employment: understanding an emerging social determinant of health

Employment precariousness is a social determinant that affects the health of workers, families, and communities. Its recent popularity has been spearheaded by three main developments: the surge in "flexible employment" and its associated erosion of workers' employment and working cond...

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Bibliographic Details
Published in:Annual review of public health Vol. 35; p. 229
Main Authors: Benach, J, Vives, A, Amable, M, Vanroelen, C, Tarafa, G, Muntaner, C
Format: Journal Article
Language:English
Published: United States 01.01.2014
Subjects:
Economic Recession - statistics & numerical data
Employment - methods
Employment - psychology
Employment - statistics & numerical data
Epidemiologic Research Design
Epidemiologic Studies
Global Health
Health Services - utilization
Health Status
Health Status Disparities
Humans
Mental Health - statistics & numerical data
Politics
Public Assistance - statistics & numerical data
Social Determinants of Health - statistics & numerical data
ISSN:1545-2093, 1545-2093
Online Access:Get more information
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Summary:Employment precariousness is a social determinant that affects the health of workers, families, and communities. Its recent popularity has been spearheaded by three main developments: the surge in "flexible employment" and its associated erosion of workers' employment and working conditions since the mid-1970s; the growing interest in social determinants of health, including employment conditions; and the availability of new data and information systems. This article identifies the historical, economic, and political factors that link precarious employment to health and health equity; reviews concepts, models, instruments, and findings on precarious employment and health inequalities; summarizes the strengths and weaknesses of this literature; and highlights substantive and methodological challenges that need to be addressed. We identify two crucial future aims: to provide a compelling research program that expands our understanding of employment precariousness and to develop and evaluate policy programs that effectively put an end to its health-related impacts.
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ISSN:1545-2093
1545-2093
DOI:10.1146/annurev-publhealth-032013-182500