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健康、工作和工作条件:欧洲经济文献综述。

Health, work and working conditions: a review of the European economic literature.

机构信息

Department of Economics, Rouen University, Créam, Upec, Erudite, Tepp, 3, avenue Pasteur, 76186, Rouen Cedex 1, France.

出版信息

Eur J Health Econ. 2016 Jul;17(6):693-709. doi: 10.1007/s10198-015-0715-8. Epub 2015 Aug 18.

Abstract

Economists have traditionally been very cautious when studying the interaction between employment and health because of the two-way causal relationship between these two variables: health status influences the probability of being employed and, at the same time, working affects the health status. Because these two variables are determined simultaneously, researchers control endogeneity skews (e.g., reverse causality, omitted variables) when conducting empirical analysis. With these caveats in mind, the literature finds that a favourable work environment and high job security lead to better health conditions. Being employed with appropriate working conditions plays a protective role on physical health and psychiatric disorders. By contrast, non-employment and retirement are generally worse for mental health than employment, and overemployment has a negative effect on health. These findings stress the importance of employment and of adequate working conditions for the health of workers. In this context, it is a concern that a significant proportion of European workers (29 %) would like to work fewer hours because unwanted long hours are likely to signal a poor level of job satisfaction and inadequate working conditions, with detrimental effects on health. Thus, in Europe, labour-market policy has increasingly paid attention to job sustainability and job satisfaction. The literature clearly invites employers to take better account of the worker preferences when setting the number of hours worked. Overall, a specific "flexicurity" (combination of high employment protection, job satisfaction and active labour-market policies) is likely to have a positive effect on health.

摘要

经济学家在研究就业和健康之间的相互作用时一直非常谨慎,因为这两个变量之间存在双向因果关系:健康状况影响就业的可能性,而工作同时也会影响健康状况。由于这两个变量是同时决定的,研究人员在进行实证分析时会控制内生性偏差(例如反向因果关系、遗漏变量)。考虑到这些警告,文献发现,有利的工作环境和高工作保障会导致更好的健康状况。拥有适当工作条件的就业对身体健康和精神障碍起到保护作用。相比之下,非就业和退休通常对心理健康的影响比就业更糟,过度就业对健康有负面影响。这些发现强调了就业和适当工作条件对工人健康的重要性。在这种情况下,令人担忧的是,相当一部分欧洲工人(29%)希望减少工作时间,因为不必要的长时间工作可能表明工作满意度低和工作条件不足,对健康产生不利影响。因此,在欧洲,劳动力市场政策越来越关注工作的可持续性和工作满意度。文献明确邀请雇主在设定工作时间时更好地考虑工人的偏好。总的来说,特定的“灵活保障”(高就业保护、工作满意度和积极的劳动力市场政策的结合)可能对健康产生积极影响。

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