Department of Sociology, University of Barcelona, Barcelona, Spain.
Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
Front Public Health. 2021 Mar 30;9:649447. doi: 10.3389/fpubh.2021.649447. eCollection 2021.
The PRESSED project aims to explain the links between a multidimensional measure of precarious employment and stress and health. Studies on social epidemiology have found a clear positive association between precarious employment and health, but the pathways and mechanisms to explain such a relationship are not well-understood. This project aims to fill this gap from an interdisciplinary perspective, integrating the social and biomedical standpoints to comprehensively address the complex web of consequences of precarious employment and its effects on workers' stress, health and well-being, including health inequalities. The project objectives are: (1) to analyze the association between multidimensional precarious employment and chronic stress among salaried workers in Barcelona, measured both subjectively and using biological indicators; (2) to improve our understanding of the pathways and mechanisms linking precarious employment with stress, health and well-being; and (3) to analyze health inequalities by gender, social class and place of origin for the first two objectives. The study follows a sequential mixed design. First, secondary data from the 2017 Survey on Workers and the Unemployed of Barcelona is analyzed ( = 1,264), yielding a social map of precarious employment in Barcelona that allows the contextualization of the scope and characteristics of this phenomenon. Drawing on these results, a second survey on a smaller sample ( = 255) on precarious employment, social precariousness and stress is envisaged. This study population is also asked to provide a hair sample to have their levels of cortisol and its related components, biomarkers of chronic stress, analyzed. Third, a sub-sample of the latter survey (n = 25) is selected to perform qualitative semi-structured interviews. This allows going into greater depth into how and why the experience of uncertainty, the precarization of living conditions, and the degradation of working conditions go hand-in-hand with precarious employment and have an impact on stress, as well as to explore the potential role of social support networks in mitigating these effects.
PRESSED 项目旨在解释多维不稳定就业衡量标准与压力和健康之间的联系。社会流行病学研究发现，不稳定就业与健康之间存在明显的正相关关系，但解释这种关系的途径和机制尚未得到很好的理解。该项目旨在从跨学科的角度填补这一空白，整合社会和生物医学观点，全面解决不稳定就业及其对工人压力、健康和福祉的复杂影响，包括健康不平等问题。该项目的目标是：（1）分析巴塞罗纳受薪工人多维不稳定就业与慢性压力之间的关联，分别从主观和生物指标进行测量；（2）深入了解不稳定就业与压力、健康和福祉之间的关联途径和机制；（3）在前两个目标中分析性别、社会阶层和原籍国的健康不平等问题。该研究采用了顺序混合设计。首先，分析 2017 年巴塞罗纳工人和失业者调查的二手数据（n=1264），绘制出巴塞罗纳不稳定就业的社会图谱，从而使这一现象的范围和特征得以具体化。根据这些结果，计划对一个规模较小的样本（n=255）进行关于不稳定就业、社会不稳定性和压力的第二次调查。该研究人群还被要求提供头发样本，以分析皮质醇及其相关成分的水平，这些成分是慢性压力的生物标志物。第三，从后一项调查中选择一个子样本（n=25）进行定性半结构访谈。这使我们能够更深入地了解不确定性的体验、生活条件的不稳定以及工作条件的恶化是如何以及为什么与不稳定就业相伴相生并对压力产生影响的，并探索社会支持网络在减轻这些影响方面的潜在作用。
