Investigating Employment Quality for Population Health and Health Equity: A Perspective of Power.

Investigating Employment Quality for Population Health and Health Equity: A Perspective of Power.
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DOI:
10.3390/ijerph19169991
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发表时间:
2022-08-13
影响因子:
--
通讯作者:
Winkler, Megan
Winkler, Megan
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Fujishiro, Kaori;Ahonen, Emily Q.;Winkler, Megan

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就业质量(EQ)作为健康的决定因素越来越受到关注,但职业健康研究者对EQ测量的争论对推进文献提出了挑战。当这个概念跨越社会、文化和国界使用时,这一点尤其成问题,因为情商是由每个社会特有的社会政治和经济背景下的权力动态塑造的。在上下文中调查EQ可以帮助更清楚地理解为什么EQ以某些方式配置,如何最好地测量EQ,EQ如何影响健康,以及最终如何改善EQ。在本文中,我们提出,关注社会背景,特别是权力,可能有助于推进情商与健康的研究。我们提出了一个寓言,或视觉描述,阐明了在雇主与工人的关系,以及在社会政治背景下,雇主与工人的关系发生的权力平衡。最后,我们提出了具体的方法,职业健康研究人员将权力的角度在情商研究,可能澄清的概念和测量情商。更清楚地认识到情商是社会背景下权力的产物,这与将工作作为健康的社会结构决定因素的研究方法是一致的。
Employment quality (EQ) has gained increasing attention as a determinant of health, but the debate among occupational health researchers over the measurement of EQ poses a challenge to advancing the literature. This is especially problematic when the concept is used across social, cultural, and national borders, as EQ is shaped by power dynamics within sociopolitical and economic contexts that are specific to each society. Investigating EQ in context could help develop a clearer understanding as to why EQ is configured in certain ways, how best EQ could be measured, how EQ impacts health, and ultimately how EQ could be improved. In this paper, we propose that attention to social context—and in particular power—may help advance the research on EQ and health. We present an allegory, or a visual description, that articulates the power balance in the employer–worker relation as well as in the sociopolitical context in which the employer–worker relation takes place. We end by proposing specific approaches for occupational health researchers to incorporate a perspective of power in EQ research that may clarify the concept and measurement of EQ. A clearer recognition of EQ as a product of power in social context aligns with the research approach of addressing work as a social structural determinant of health.
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