The importance of using a multi-dimensional scale to capture the various impacts of precarious employment on health: Results from a national survey of Chilean workers.
The importance of using a multi-dimensional scale to capture the various impacts of precarious employment on health: Results from a national survey of Chilean workers.
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DOI：
10.1371/journal.pone.0238401
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Benach J
中科院分区：
文献类型：
--
作者：
Vives A;Benmarhnia T;González F;Benach J
在过去十年中，与不稳定工作对健康影响有关的社会流行病学研究显着增加。虽然长期以来，不稳定就业的多维性质在理论上得到了承认，但实证研究大多只关注单维方法(要么基于就业的临时性，要么基于感知到的工作不安全感)。这项研究比较了多维就业不稳定度量表(EPRES)和传统的单维方法在不同的健康结果和不同的社会人口特征方面的使用。我们使用了智利第一次就业和工作条件调查(2009-2010年)中的正式受薪工人的子样本(n=3521)。采用具有固定效应的多水平修正泊松回归(个体嵌套在区域内)和调查权重来估计一般健康、心理健康和职业伤害与不同的不稳定工作暴露(临时工作、感觉到的工作不安全感和多维EPRES量表)之间的关系。我们根据性别、年龄、教育程度和职业类别(手动/非手动)评估效果测量修改的存在。与不稳定就业的一维方法相比，多维EPRES量表更全面地反映了潜在的健康影响和不同工人群体之间的差异。影响模式衡量修改符合以下预期，即处于较不利地位的群体(妇女、老年人、受教育程度较低的工人和体力劳动者)更容易受到恶劣就业条件的影响。不稳定就业的多层面衡量更好地反映了其与健康结果的联系，是研究的必要工具，以加强保护工人健康的政策制定的证据基础。
Social epidemiologic research in relation to the health impacts of precarious employment has grown markedly during the past decade. While the multidimensional nature of precarious employment has long been acknowledged theoretically, empirical studies have mostly focused on one-dimensional approach only (based either on employment temporariness or perceived job insecurity). This study compares the use of a multidimensional employment precariousness scale (EPRES) with traditional one-dimensional approaches in relation to distinct health outcomes and across various socio-demographic characteristics. We used a subsample of formal salaried workers (n = 3521) from the first Chilean employment and working conditions survey (2009–2010). Multilevel modified Poisson regressions with fixed effects (individuals nested within regions) and survey weights were conducted to estimate the association between general health, mental health and occupational injuries and distinct precarious employment exposures (temporary employment, perceived job insecurity, and the multidimensional EPRES scale). We assessed the presence of effect measure modification according to sex, age, educational level, and occupational class (manual/non-manual). Compared to one-dimensional approaches to precarious employment, the multidimensional EPRES scale captured a larger picture of potential health effects and differences across subgroups of workers. Patterns of effect measure that modification were consistent with the expectations that groups in greater disadvantage (women, older individuals, less educated and manual workers) were more vulnerable to poor employment conditions. Multidimensional measures of precarious employment better capture its association with a breath of health outcomes, being necessary tools for research in order to strengthen the evidence base for policy making in the protection of workers’ health.
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影响因子：
6.3
作者：
Benach, J.;Muntaner, C.
通讯作者：
Muntaner, C.
影响因子：
3.4
作者：
Benach, Joan;Solar, Orielle;Muntaner, Carles
通讯作者：
Muntaner, Carles
影响因子：
--
作者：
Vives A;Amable M;Ferrer M;Moncada S;Llorens C;Muntaner C;Benavides FG;Benach J
通讯作者：
Benach J
影响因子：
12.7
作者：
Artazcoz, L;Benach, J;Cortès, I
通讯作者：
Cortès, I
影响因子：
5.1
作者：
Sverke, Magnus;Hellgren, Johnny;Naswall, Katharina
通讯作者：
Naswall, Katharina