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employment relations and health inequalities: a conceptual and empirical overvieW<br />

given up the job search entirely, or is working but living on less than US$2<br />

a day. In fact, in absolute worldwide numbers, the number of working<br />

people living on US$2 a day has continued to grow, reaching 1.37 billion<br />

in 2006 (IlO, 2004; 2006).<br />

While the situation is considerably better in most OECD and EU<br />

countries, the condition of temporary employment appears as a<br />

consistent indicator of precarious employment, which gives us good<br />

means of measuring this phenomenon in the west. Temporary<br />

employment, first of all, refers to workers on fixed-term contracts and on<br />

temporary agency contracts, as well as workers with part-time positions<br />

(see Figure 10). They constitute a rather diverse group that work in a<br />

wide range of sectors and occupations, and for both public and private<br />

employers. However, temporary jobs are disproportionately held by<br />

younger workers, women, and those employed in <strong>low</strong>-skill occupations,<br />

agriculture and small firms.<br />

Temporary labour is also typically characterised by precarious<br />

employment and working conditions. Workers are less satisfied with their<br />

jobs and more often report inflexible work schedules, monotonous work<br />

tasks and worse working conditions. Temporary jobs tend to pay less than<br />

permanent jobs and often offer less access to paid vacations, paid sick leave,<br />

unemployment insurance, pensions and other fringe benefits, as well as less<br />

access to training. although nominally covered by virtually all public schemes<br />

and many voluntary, employer-provided schemes, the real eligibility of<br />

temporary workers appears to be substantially <strong>low</strong>er in many cases. This is<br />

because eligibility criteria for social benefits typically include minimum<br />

contribution periods. In other words, temporary employment per se rarely<br />

disqualifies workers. Since they have temporary contracts, most of these<br />

workers do not meet this minimum time requirement and are thus excluded<br />

from benefits in the end (OECD, 2002).<br />

In the end, flexible, temporary jobs and all kinds of precarious<br />

employment can be just as dangerous for workers as unemployment.<br />

Indeed, employees in flexible jobs share many labour market<br />

characteristics (e.g., <strong>low</strong>er credentials, <strong>low</strong> income, or being women,<br />

immigrants, and non-whites) with the unemployed, while experiencing<br />

themselves bouts of unemployment, a factor strongly associated with<br />

adverse health outcomes. Therefore, even if precarious employment has<br />

only a modest impact on individual health, given the growing number of<br />

employees exposed, the magnitude of the potential impact on their<br />

overall health might be large. Moreover, the effects of precarious<br />

employment may be devastating not only to the health of the worker but<br />

also to the health and wellbeing of the family members and dependents<br />

who rely on income from the worker (Benach & Muntaner, 2007; Benach,<br />

Benavides, Platt, Diez-roux, & Muntaner, 2000).<br />

"Life is hard. i caught my fingers in one of<br />

the machines six months ago. The boss<br />

was furious. He had to pay fifty dollars for<br />

me to see a doctor. The pain is incredible<br />

still. He says i have to work day and night<br />

to pay him back. But what choice do i have<br />

At least i have food and shelter. in China, i<br />

had nothing."<br />

source: lee-potter, a. (2007, may 7).<br />

designer labels’ sweatshop scandal.<br />

SundayMirror.<br />

153

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