Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, 11365 Stockholm, Sweden.
Center for Occupational and Environmental Medicine, Stockholm Region, 11365 Stockholm, Sweden.
Int J Environ Res Public Health. 2021 Oct 26;18(21):11218. doi: 10.3390/ijerph182111218.
Precarious employment (PE) has been linked to adverse health effects, possibly mediated through psychosocial hazards. The aim of this cross-sectional study is to explore if higher levels of PE are associated with psychosocial hazards (experiences of violence, sexual harassment, bullying, discrimination, high demands, and low control) and to explore gender differences in these patterns. The study is based on survey- and register data from a sample of 401 non-standard employees in Stockholm County (2016-2017). The level of PE (low/high) was assessed with the Swedish version of the employment precariousness scale (EPRES-Se) and analysed in relation to psychosocial hazards by means of generalized linear models, with the Poisson family and robust variances. After controlling for potential confounders (gender, age, country of birth, and education), the prevalence of suffering bullying (PR 1.07, 95% CI: 1.01-1.13) and discrimination (PR 1.52, 95% CI: 1.00-2.32) was higher among individuals with a high level of PE. Regarding the demand/control variables, a high level of PE was also associated with low control (PR 1.59, 95% CI: 1.30-1.96) and passive work (the combination of low demands and low control) (PR 1.60, 95% CI: 1.23-2.08). Our findings suggest that workers in PE are more likely to experience psychosocial hazards, and these experiences are more prevalent among women compared to men. Future longitudinal studies should look further into these associations and their implications for health and health inequalities.
不稳定就业(PE)与健康不良后果有关,其可能通过心理社会危害而产生影响。本横断面研究旨在探讨高水平的不稳定就业是否与心理社会危害(经历暴力、性骚扰、欺凌、歧视、高要求和低控制)相关,并探讨这些模式中的性别差异。该研究基于斯德哥尔摩县(2016-2017 年)一个非标准员工样本的调查和登记数据。不稳定就业水平(低/高)通过瑞典版就业不稳定量表(EPRES-Se)评估,并通过广义线性模型,使用泊松家族和稳健方差,分析与心理社会危害的关系。在控制潜在混杂因素(性别、年龄、出生国和教育程度)后,高水平不稳定就业者遭受欺凌(PR 1.07,95%CI:1.01-1.13)和歧视(PR 1.52,95%CI:1.00-2.32)的患病率更高。关于需求/控制变量,高水平不稳定就业也与低控制(PR 1.59,95%CI:1.30-1.96)和被动工作(低需求和低控制的组合)(PR 1.60,95%CI:1.23-2.08)相关。我们的研究结果表明,不稳定就业的工人更有可能经历心理社会危害,并且这些经历在女性中比男性更为普遍。未来的纵向研究应该进一步研究这些关联及其对健康和健康不平等的影响。