McCaughey Centre, Melbourne School of Population Health, University of Melbourne, 207 Bouverie St., Melbourne, VIC 3010, Australia.
Am J Ind Med. 2012 Feb;55(2):93-106. doi: 10.1002/ajim.21038. Epub 2011 Dec 7.
The evidence linking precarious employment with poor health is mixed. Self-reported occupational exposures in a population-based Australian sample were assessed to investigate the potential for differential exposure to psychosocial and other occupational hazards to contribute to such a relationship, hypothesizing that exposures are worse under more precarious employment arrangements (EA).
Various psychoscial and other working conditions were modeled in relation to eight empirically derived EA categories with Permanent Full-Time (PFT) as the reference category (N = 925), controlling for sex, age, and occupational skill level.
More precarious EA were associated with higher odds of adverse exposures. Casual Full-Time workers had the worst exposure profile, showing the lowest job control, as well as the highest odds of multiple job holding, shift work, and exposure to four or more additional occupational hazards. Fixed-Term Contract workers stood out as the most likely to report job insecurity. Self-employed workers showed the highest job control, but also the highest odds of long working hours.
Psychosocial and other working conditions were generally worse under more precarious EA, but patterns of adverse occupational exposures differ between groups of precariously employed workers.
就业不稳定与健康状况不佳之间的关联证据不一。本研究在澳大利亚人群中进行了基于自我报告的职业暴露评估,旨在研究心理社会和其他职业危害的潜在暴露差异是否会导致这种关系,并假设在就业不稳定的情况下,暴露风险更大。
以固定期限合同工人为参照类别(n=925),控制性别、年龄和职业技能水平,对各种心理社会和其他工作条件与从实证中得出的 8 种就业不稳定类别进行建模。
就业不稳定程度越高,不良暴露的可能性越大。全职临时工的暴露情况最差,其工作控制程度最低,同时从事多份工作、轮班工作和接触四种或更多其他职业危害的可能性最高。固定期限合同工人最有可能报告工作不稳定。自营职业者的工作控制程度最高,但工作时间过长的可能性也最高。
在就业不稳定程度较高的情况下,心理社会和其他工作条件通常更差,但不稳定就业群体的不良职业暴露模式存在差异。