Precarious Employment and Health: Analysis of the Comprehensive National Survey in Japan
Precarious Employment and Health: Analysis of the Comprehensive National Survey in Japan
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DOI：
10.2486/indhealth.ms1260
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发表时间：
2012-05-01
影响因子：
2
通讯作者：
Yano, Eiji
中科院分区：
文献类型：
--
作者：
Tsurugano, Shinobu;Inoue, Mariko;Yano, Eiji
最近的研究表明，不稳定的雇佣合同可能会影响工人的健康。许多从事全职工作的日本工人表面上是固定职位，实际上却处于不稳定和不稳定的就业条件下。我们利用2007年《人民健康和福利生活条件综合调查》（n=205,994），比较了签订不稳定雇佣合同的日本工人与长期工人的健康状况。我们将他们的雇佣状态分为“永久”和“永久”。“不稳定”（兼职、派遣或合同/非正式），并比较他们的健康状况。在两性中，不稳定的工人比固定的工人更有可能自我评估健康状况不佳或有更多的主观症状，更多的全职工人患有严重的心理困扰（SPD），更多的女性工人吸烟。在调整了年龄、婚姻状况和工作条件后，我们使用逻辑回归确定了从事全职工作的工人中不稳定就业与SPD和当前吸烟之间的正相关关系。这项研究表明，不稳定的雇佣合同与自我评估的健康状况不佳、心理困扰和吸烟有关，尤其是在从事全职工作的人群中。这些结果表明，从事全职工作或不稳定的就业状态会损害工人的健康。
Recent studies suggest that unstable employment contracts may affect the health of workers. Many Japanese workers working full time in ostensibly permanent positions actually operate within unstable and precarious employment conditions. We compared the health status of Japanese workers with precarious employment contracts with that of permanent workers using the 2007 Comprehensive Survey of Living Conditions of the People on Health and Welfare (n=205,994). We classified their employment status as 'permanent' vs. 'precarious' (part-time, dispatch, or contract/non-regular) and compared their health conditions. Among both sexes, precarious workers were more likely than permanent workers to have poor self-rated health or more subjective symptoms, with more workers in full-time employment suffering from serious psychological distress (SPD) and more female workers who smoke. Using logistic regression, we identified a positive association between precarious employment and SPD and current smoking among workers engaged in full-time employment after adjusting for age, marital status, and work-related conditions. This study demonstrates that precarious employment contracts are associated with poor self-rated health, psychological distress, and tobacco use, especially among people working full-time jobs. These results suggest that engagement in full-time work tinder unstable employment status impairs workers' health.