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

among floricultural workers in Colombia (Case study 38).<br />

Pesticides and chemicals are also widely used in high-income<br />

countries, where agricultural workers are often excluded from<br />

occupational health and safety legislation. In many service<br />

occupations, female workers may be exposed to the threat of<br />

violence from clients or to sexual harassment from fel<strong>low</strong><br />

workers. Over the last decade, an increasing number of studies<br />

have indicated adverse health consequences of sexual<br />

harassment at work (Kauppinen, 1998). a survey among nurses in<br />

a hospital in Turkey revealed that 75 per cent of the nurses<br />

reported having been sexually harassed during their nursing<br />

practice: 44 per cent by male physicians, 34 per cent by patients,<br />

14 per cent by relatives of patients, and 9 per cent by others (Kisa<br />

& Dziegielewski, 1996). Sexual harassment may result in guilt and<br />

shame, anxiety, tension, irritability, depression, sleeplessness,<br />

fatigue and headaches, which in turn may lead to absenteeism and<br />

reduced efficiency at work.<br />

One survey on gender inequality, work and health (Messing &<br />

Östlin, 2006), however, shows that in <strong>low</strong>-income countries we<br />

know little about the health effects of working conditions for<br />

women. One reason for this is that systematic research is difficult.<br />

Women's work in many countries is still performed in the<br />

domestic sphere and in the informal economy, and is thus<br />

invisible in the public, economic, and institutional spheres. as a<br />

result, many work-related hazards, injuries and diseases are not<br />

recorded as occupational, are not compensated by work insurance<br />

systems and are not included in occupational health databases.<br />

research also indicates a higher than average risk of<br />

unemployment among <strong>low</strong>-paid female workers, which may also<br />

have negative social and health consequences on families.<br />

With this in mind, let us turn now to a review the global impact of<br />

occupational injuries, work-related hazards and outcomes, and<br />

workplace psychosocial stressors in their relation to health.<br />

pesticide sprayers, sugar cane field<br />

(nicaragua).<br />

source: marc schenker (2004)<br />

183

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