1 School of Labour Studies and Department of Health, Aging & Society, 3710 McMaster University , Hamilton, Ontario, Canada.
Int J Health Serv. 2018 Jan;48(1):106-127. doi: 10.1177/0020731417730011. Epub 2017 Sep 14.
Precarious employment is rapidly growing, but qualitative data on pathways to and mechanisms for health and well-being is lacking. This article describes the cumulative and intersecting micro-level pathways and mechanisms between precarious employment and health among immigrant men and women in Toronto. It draws on semi-structured interviews conducted in 2014 with 15 women and 12 men from 11 countries of origin. The article describes how precarious employment, conceptualized by workers as encompassing powerlessness, economic insecurity, work for multiple employers, nonstandard and unpredictable schedules, hazardous working conditions, and lack of benefits and protections, negatively impacts workers' physical and mental health as well as that of their spouses or partners and children. It documents pathways to health and well-being, including stress, material and social deprivation, and exposure to hazards, as well as commuting difficulties and childcare challenges. Throughout, gender and migration are shown to influence experiences of work and health. The findings draw attention to dimensions of precarity and pathways to health that are not always highlighted in research and discourse on precarious employment and provide valuable insights into the vicious circle of precarious employment and health.
不稳定性就业迅速增长，但缺乏关于健康和福祉的途径和机制的定性数据。本文描述了多伦多移民男女之间不稳定就业与健康之间的累积和交叉微观途径和机制。它借鉴了 2014 年对来自 11 个原籍国的 15 名女性和 12 名男性进行的半结构化访谈。文章描述了不稳定就业如何影响工人的身心健康以及他们的配偶或伴侣和子女的身心健康，这种就业被工人认为包括无权、经济不安全、为多个雇主工作、非标准和不可预测的工作时间、危险的工作条件以及缺乏福利和保护。它记录了通往健康和福祉的途径，包括压力、物质和社会剥夺以及暴露于危险之中，以及通勤困难和儿童保育挑战。在整个过程中，性别和移民都影响着工作和健康的体验。这些发现提请注意不稳定的各个方面以及健康途径，这些方面在关于不稳定就业和健康的研究和讨论中并不总是突出的，并为不稳定就业和健康的恶性循环提供了有价值的见解。
