Unit of Occupational Medicine, Institute of Environmental Medicine, 27106Karolinska Institutet, Sweden.
Health Inequalities Research Group, Employment Conditions Knowledge Network (GREDS-EMCONET), 16770Universitat Pompeu Fabra, Barcelona, Spain.
Int J Health Serv. 2022 Apr;52(2):201-211. doi: 10.1177/00207314211051880. Epub 2021 Nov 24.
Precarious employment (PE) is a well-known social determinant of health and health inequalities. However, as most previous studies have focused on physical and mental well-being, less is known about the social-related outcomes (ie, social precarity) associated with precarious arrangements. This cross-sectional study aims to investigate whether PE is associated with social precarity in a working population of 401 nonstandard employed workers in Stockholm, Sweden (2016-2017). PE was assessed with the Swedish version of the Employment Precarious Scale (EPRES-Se) and analyzed in relation to social precarity related to working life (eg, task quality and job security) and living conditions (eg, restraint in social activities and financial constraints). We found positive adjusted associations between quartiles of EPRES-Se and social precarity related to working life (eg, being locked in an occupation [aPR:1.33 [1.10-1.61]]) and living conditions (eg, inability to participate in social activities because of work [aPR:1.27 [1.10-1.46]]). Our findings suggest that individuals in PE experience social precarity, stressing that PE may have negative effects on well-being. Further studies using multidimensional constructs of PE and larger samples should analyze these findings according to social and policy contexts in order to be able to inform policymakers.
不稳定就业(PE)是众所周知的健康和健康不平等的社会决定因素。然而,由于大多数先前的研究都集中在身心健康上,因此对于与不稳定安排相关的社会相关结果(即社会不稳定)知之甚少。本横断面研究旨在调查在瑞典斯德哥尔摩的 401 名非标准就业工人的工作人群中,PE 是否与社会不稳定有关(2016-2017 年)。PE 采用瑞典版就业不稳定量表(EPRES-Se)进行评估,并与与工作生活相关的社会不稳定(例如,工作任务质量和工作保障)和生活条件(例如,社会活动受限和经济拮据)相关联进行分析。我们发现 EPRES-Se 四分位间距与与工作生活相关的社会不稳定(例如,被锁定在一个职业中[aPR:1.33 [1.10-1.61])和生活条件(例如,由于工作而无法参加社交活动[aPR:1.27 [1.10-1.46])之间存在正相关调整关系。我们的研究结果表明,PE 个体经历社会不稳定,这强调了 PE 可能对幸福感产生负面影响。进一步使用 PE 的多维结构和更大的样本进行的研究,应根据社会和政策背景分析这些发现,以便为决策者提供信息。