Social Policy and Prevention Research Department, Centre for Addictions and Mental Health, Toronto.
Int J Health Serv. 2010;40(2):215-21. doi: 10.2190/HS.40.2.c.
The authors develop a macro-social theoretical framework to explain how employment and working conditions affect health inequalities. The theoretical framework represents the social origins and health consequences of various forms of employment conditions. The emphasis is thus on determinants and consequences of employment conditions, not on social determinants of health in general. The framework tries to make sense of the complex link between macro-social power relations among employers, government, and workers' organizations, labor market and social policies, employment and working conditions, and the health of workers. It also suggests further testing of hypothetical causal pathways not covered in the literature. This macro-social theoretical framework might help identify the main "entry points" through which to implement policies and interventions to reduce employment-related health inequalities. The theoretical framework should be approached from a historical perspective.
作者制定了一个宏观社会理论框架，用以解释就业和工作条件如何影响健康不平等。该理论框架代表了各种形式的就业条件的社会起源和健康后果。因此，重点是就业条件的决定因素和后果，而不是一般的健康社会决定因素。该框架试图理解雇主、政府和工人组织之间的宏观社会权力关系、劳动力市场和社会政策、就业和工作条件以及工人健康之间复杂的联系。它还建议进一步检验文献中未涵盖的假设因果途径。这个宏观社会理论框架可以帮助确定实施政策和干预措施以减少与就业相关的健康不平等的主要“切入点”。应该从历史的角度来探讨这个理论框架。
