Work, worklessness and the political economy of health inequalities
Work, worklessness and the political economy of health inequalities
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DOI：
10.1136/jech.2009.102103
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发表时间：
2011-09-01
影响因子：
6.3
通讯作者：
Bambra, Clare
中科院分区：
文献类型：
--
作者：
Bambra, Clare
这篇文章认为，工作，以及它所创造的社会经济阶级两极分化，在决定发病率和死亡率分布的不平等方面发挥着根本性的作用。这是由于在工作场所面临的身体危险和心理社会风险不均衡，以及被排斥在劳动力市场之外和没有有报酬的工作方面的不平等。此外，本文表明，工作，失业和健康不平等之间的关系受到更广泛的政治和经济背景下的福利国家制度的形式。这导致了健康不平等的政治经济学模型的发展，以及不同类型的公共政策干预如何减轻这些关系。然后将这一模型应用于工作和失业的情况。文章最后认为，政治问题的病因学的健康不平等。
This essay argues that work, and the socioeconomic class polarities it creates, plays a fundamental role in determining inequalities in the distribution of morbidity and mortality. This is by means of uneven exposure to physical hazards and psychosocial risks in the workplace, as well as by inequalities in exclusion from the labour market and the absence of paid work. Furthermore, this essay shows that the relationships between work, worklessness and health inequalities are influenced by the broader political and economic context in the form of welfare state regimes. This leads to the development of a model of the political economy of health inequalities, and how different types of public policy interventions can mitigate these relationships. This model is then applied to the case of work and worklessness. The essay concludes by arguing that politics matters in the aetiology of health inequalities.