Int J Epidemiol. 2016 Feb;45(1):232-8. doi: 10.1093/ije/dyv342.
The generalization of flexible labour markets, the declining influence of unions and the degradation of social protection has led to the emergence of new forms of employment at the expense of the Standard Employment Relationship, as well as a considerable amount of research across social and scientific disciplines. Years ago we suggested the urgent need to disentangle the consequences of new types of employment for the health and well-being of workers, contending that the study of precarious employment and health is in its infancy. Today, research challenges include clearer, more precise definitions of the original concepts, a more detailed understanding of the pathways and mechanisms through which precarious employment harms worker health, stronger information systems for monitoring the problem and a complex systems approach to employment conditions and health research. All of these must be guided by the theoretical and policy debates linking precarious employment and health, and be geared towards developing better tools for the design, implementation and evaluation of policies intended to minimize precariousness in the labour market and its effects on public health and health inequalities. Our aim in this paper is to outline an agenda for the next decade of research on precarious employment and health, establishing a compelling programme that expands our understanding of complex causes and links.
灵活劳动力市场的普及、工会影响力的下降以及社会保护的恶化导致了以牺牲标准雇佣关系为代价的新型就业形式的出现，这在社会科学领域引发了大量的研究。多年前，我们就提出迫切需要理清新型就业对工人健康和福祉的影响，认为不稳定就业与健康的研究还处于起步阶段。如今，研究面临的挑战包括对原始概念进行更清晰、更精确的定义，更深入地了解不稳定就业损害工人健康的途径和机制，建立更强大的监测问题的信息系统，以及采用复杂系统方法研究就业条件和健康问题。所有这些都必须以将不稳定就业与健康联系起来的理论和政策辩论为指导，并致力于开发更好的工具，用于设计、实施和评估旨在尽量减少劳动力市场不稳定及其对公共卫生和健康不平等影响的政策。我们在本文中的目的是为未来十年关于不稳定就业与健康的研究制定一个议程，制定一个引人注目的计划，扩大我们对复杂原因和联系的理解。
