Health Inequalities Research Group, Employment Conditions Network, Universitat Pompeu Fabra, Barcelona, Spain.
Int J Health Serv. 2010;40(2):195-207. doi: 10.2190/HS.40.2.a.
Although the conditions and power relations of employment are known to be crucial health determinants for workers and their families, the nature of these relations and their effects on health have yet to be fully researched. Several types of employment--precarious employment in developed countries; informal sectors, child labor, slavery, and bonded labor in developing countries--expose workers to risky working conditions. Hazardous work and occupation-related diseases kill approximately 1,500 workers, globally, every day. Growing scientific evidence suggests that particular employment conditions, such as job insecurity and precarious employment, create adverse health effects; yet the limited number of studies and the poor quality of their methods prevent our understanding, globally, the complexity of employer-employee power relations, working conditions, levels of social protections, and the reality of employment-related health inequalities. This article introduces a special section on employment-related health inequalities, derived from the EMCONET approach, which focuses on (1) describing major methods and sources of information; (2) presenting theoretical models at the micro and macro levels; (3) presenting a typology of labor markets and welfare states worldwide; (4) describing the main findings in employment policies, including four key points for implementing strategies; and (5) suggesting new research developments, a policy agenda, and recommendations. This introduction includes a glossary of terms in the emerging area of employment conditions and health inequalities.
尽管就业条件和权力关系已知是工人及其家庭的重要健康决定因素,但这些关系的性质及其对健康的影响尚未得到充分研究。几种类型的就业——发达国家的不稳定就业;发展中国家的非正规部门、童工、奴役和债役——使工人面临危险的工作条件。危险工作和与职业相关的疾病每天在全球导致约 1500 名工人死亡。越来越多的科学证据表明,特定的就业条件,如工作不稳定和不稳定就业,会对健康产生不利影响;然而,由于研究数量有限且方法质量较差,我们无法在全球范围内了解雇主与员工权力关系、工作条件、社会保护水平以及与就业相关的健康不平等的复杂性。本文介绍了一个关于就业相关健康不平等的特别版块,该版块源自 EMCONET 方法,重点关注:(1)描述主要的方法和信息来源;(2)展示微观和宏观层面的理论模型;(3)展示全球劳动力市场和福利国家的类型学;(4)描述就业政策的主要发现,包括实施策略的四个关键点;以及(5)提出新的研究进展、政策议程和建议。本引言包括就业条件和健康不平等这一新兴领域的术语表。