Thomas Robert D, Davis John W, Cuccaro Paula M, Gemeinhardt Gretchen L
Immediate past Commissioner, Texas Workforce Commission; The University of Texas Health Science Center Houston School of Public Health, United States.
The University of Texas Medical Branch at Galveston, Population Health Sciences Department, United States.
Soc Sci Med. 2022 Sep;309:115240. doi: 10.1016/j.socscimed.2022.115240. Epub 2022 Aug 7.
Gig economy compensation policy initiatives, such as California Prop 22, are increasing the number of US workers receiving piece rate pay (PRP) and other forms of insecure income. However, there is limited evidence about how this trend affects people's health. Using data from the 2008-19 IPUMS Medical Expenditure Panel Survey (MEPS), we examined associations between insecure compensation and US adults' self-reported overall health as well as psychological distress. We report significant associations with three types of insecure income - PRP, hourly, and daily pay - on overall health and psychological distress. These effects were robust to adjustment for suspected confounders, but point estimates suggested that the effect of each type of non-salary compensation differed by sex, level of education, income level, and health insurance coverage. These findings warrant policy makers' consideration as they balance the purported benefits of gig economy non-salary compensated work with implications for workers' health.
零工经济薪酬政策举措，如加州第22号提案，正在增加接受计件工资（PRP）和其他形式不稳定收入的美国工人数量。然而，关于这一趋势如何影响人们健康的证据有限。利用2008 - 19年综合公共使用微数据系列（IPUMS）医疗支出面板调查（MEPS）的数据，我们研究了不稳定薪酬与美国成年人自我报告的总体健康状况以及心理困扰之间的关联。我们报告了三种类型的不稳定收入——计件工资、小时工资和日薪——与总体健康和心理困扰之间存在显著关联。这些影响在对疑似混杂因素进行调整后依然稳健，但点估计表明，每种非薪资补偿类型的影响因性别、教育水平、收入水平和医疗保险覆盖范围而异。这些发现值得政策制定者在平衡零工经济非薪资补偿工作的所谓好处与对工人健康的影响时加以考虑。
