Caldbick Sam, Labonte Ronald, Mohindra K S, Ruckert Arne
1. Institute of Population Health, University of Ottawa, Canada.
Glob Health Promot. 2014 Jun;21(2):23-31. doi: 10.1177/1757975913514781.
Global market integration over the past three decades has led to labour market restructuring in most countries around the world. Employment flexibility has been emphasized as a way for employers to restructure their organizations to remain globally competitive. This flexibility has resulted in the growth of precarious employment, which has been exacerbated by the global financial crisis and resulting recession in 2007/2008, and the ongoing economic uncertainty throughout much of the world. Precarious employment may result in short and long-term health consequences for many workers. This presents a deeper and more structural determinant of health than what health promoters have traditionally considered. It calls for a different understanding of workplace health promotion research and intervention that goes beyond enabling healthier lifestyle choices or advocating safer workplace conditions to ensuring adequate social protection floors that provide people with sufficient resources to lead healthy lives, and for advocacy for taxation justice to finance such protection.
在过去三十年里,全球市场一体化促使世界上大多数国家的劳动力市场进行重组。就业灵活性被视为雇主对其组织进行重组以保持全球竞争力的一种方式。这种灵活性导致了不稳定就业的增加,2007/2008年的全球金融危机及随之而来的经济衰退,以及世界大部分地区持续存在的经济不确定性,都加剧了这一情况。不稳定就业可能会给许多工人带来短期和长期的健康问题。这是一个比健康促进者传统上所考虑的更深层次、更具结构性的健康决定因素。它要求对工作场所健康促进研究和干预有不同的理解,这种理解不仅要鼓励更健康的生活方式选择或倡导更安全的工作场所条件,还要确保有足够的社会保护底线,为人们提供足够的资源来过健康的生活,并倡导税收公平以资助这种保护。