Precarious employment in occupational health-an OMEGA-NET working group position paper
Precarious employment in occupational health-an OMEGA-NET working group position paper
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DOI：
10.5271/sjweh.3860
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发表时间：
2020-01-01
影响因子：
6.3
通讯作者：
Julia, Mireia
中科院分区：
文献类型：
--
作者：
Bodin, Theo;Caglayan, Cigdem;Julia, Mireia
目的本立场文件的目的是（i）总结职业健康背景下的不稳定就业（PE）研究;（ii）发展一个理论框架，将PE与相关概念区分开来，并描述重要的背景因素;以及（iii）确定未来体育与健康研究的关键方法学挑战和方向。方法这份立场文件是一个工作组的结果，来自欧盟，土耳其和美国的研究人员，谁讨论了这个问题，在六个月的过程中（2018年10月至2019年4月），会议在线和面对面的几个场合。在调查和登记册的运作方面也存在问题。此外，以前的研究PE和健康遭受方法的局限性，包括不充分的研究设计和偏见的暴露和结果的评估。PE高度依赖于背景因素，跨国比较已被证明非常困难。我们还指出，PE的社会分布不均衡，即在妇女、移民、年轻人和受教育程度低的人中发病率较高。我们提出了一个理论框架，了解不稳定的就业作为一个多维construction.Conclusions一个普遍接受的多维定义的PE应该是最高的优先级。未来的研究将受益于改进的暴露评估，时间分辨率，解释混杂因素，以及测试可能的机制，例如，通过采用多水平和交叉分析方法，以了解PE的复杂性及其与健康的关系。
Objectives The aims of this position paper are to (i) summarize research on precarious employment (PE) in the context of occupational health; (ii) develop a theoretical framework that distinguishes PE from related concepts and delineates important contextual factors; and (iii) identify key methodological challenges and directions for future research on PE and health.Methods This position paper is the result of a working group consisting of researchers from the EU, Turkey and the USA, who have discussed the issue over the course of six months (October 2018-April 2019), meeting both online and face-to-face on several occasions.Results The lack of a common theoretical framework of PE hinders it from becoming an established part of occupational and public health research. There are also issues regarding operationalization in surveys and registers. Further, previous research on PE and health suffers from methodological limitations including inadequate study designs and biased assessments of exposure and outcomes. PE is highly dependent on contextual factors and cross-country comparison has proven very difficult. We also point to the uneven social distribution of PE, ie, higher prevalence among women, immigrants, young and low educated. We propose a theoretical framework for understanding precarious employment as a multidimensional construct.Conclusions A generally accepted multidimensional definition of PE should be the highest priority. Future studies would benefit from improved exposure assessment, temporal resolution, and accounting for confounders, as well as testing possible mechanisms, eg, by adopting multi-level and intersectional analytical approaches in order to understand the complexity of PE and its relation to health.