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EmploymEnt, Work, And hEAlth InEquAlItIEs - a global perspective<br />

is evidence that men and women perceive and live their unemployment differently, which may differently affect their<br />

children. studies show that a father's unemployment more negatively influences child health (piko & Fitzpatrick,<br />

2001; sleskova et al., 2006a). second, the effect of parental unemployment on their children seems to differ by<br />

country. there is a possibility that, in countries where the unemployment rate is higher and where the<br />

unemployment benefits are <strong>low</strong>er, children suffer more from parental unemployment (sleskova et al., 2006b). third,<br />

there is a question of the role of financial stress in the relationship of parental unemployment to children's health.<br />

since financial stress is tightly connected with unemployment as well as with the health of children, it might be<br />

supposed that financial stress alone explains this relationship. however, recent studies show that the negative<br />

effect of parental unemployment on the health of their children remain, even after taking into account the lack of<br />

financial resources (reinhardt, Madsen, & Kohler, 2005; sleskova et al., 2006a).<br />

on the other hand, many other factors need to be studied. For example, still open is the question of changes of<br />

parental support and behaviour toward the child and adolescent during the period of unemployment. unclear also<br />

is whether the gender of the child plays a role.<br />

although we still do not know the pathways by which parental unemployment affects the health of their<br />

children, it is important to recognise the suffering of children when their parents are jobless.<br />

References<br />

Jahoda, M, lazarsfeld, p., & hans, Z. (1933). the sociography of an unemployed community. london: tavistock.<br />

Komarovsky, M. (1940). The Unemployed Man and His Family: The Effect of Unemployment upon the Status of the Man in Fifty-<br />

Nine Families. new york: dryden.<br />

piko, b., & Fitzpatrick, K. M. (2001). does class matter ses and psychosocial health among hungarian adolescents. Social<br />

Science & Medicine, 53, 817–830.<br />

reinhardt, p., Madsen, M., & Kohler, l. (2005). does financial strain explain the association between children’s morbidity<br />

and parental non-employment Journal of Epidemiology and Community Health, 59, 316-321.<br />

sleskova, M., salonna, F., geckova, a., nagyova, i., stewart, r., van dijk, J. et al. (2006a). does parental unemployment affect<br />

adolescents’ health Journal of Adolescent Health, 38(5), 527-535.<br />

sleskova, M., tuinstra, J., Madarasova geckova, a., van dijk, J. p., salonna, F., groothoff, J. w., et al. (2006b). influence of<br />

parental employment status on dutch and slovak adolescents’ health. BMC Public Health, 6, 250.<br />

Case study 46. Interaction between gender, social class, and work in health inequalities. - lucía artazcoz, Joan benach<br />

and carme borrell<br />

research on health inequalities has often considered work as an essential element of conceptual frameworks<br />

that differ by sex. whereas among men the analysis has been focused on social class (often measured through<br />

occupation), among women it has been dominated by the role framework, emphasising women’s roles as<br />

housewives and mothers, with paid employment seen as an additional role (sorensen & verbrugge, 1987). the<br />

dominance of the role framework in studying ill health among women contrasts with the paucity of attention to<br />

family roles (and their associated burdens) and their influence on men’s health.<br />

on the other hand, studies about the social determinants of women’s health have often neglected the<br />

importance of social class. these different approaches are consistent with the traditional sexual division of society,<br />

which assigns men a primary role in the public and labour spheres, while women occupy a primary role in family<br />

life. nowadays, in a context of transition from the traditional gender roles to more equal positions for men and<br />

women in society, a framework which integrates both approaches is needed in order to fully understand workrelated<br />

health inequalities. For example, one study reported a higher impact of unemployment on men’s mental<br />

health among married manual workers, whereas for women, being married, and particularly living with children,<br />

acted as a buffer. it also found that the mediating effect of social class on the impact of unemployment on mental<br />

health differed by gender and family roles (see figure) (artazcoz, benach, borrell, & cortès 2004). it has also been<br />

reported that the negative impact of the domestic workload on female workers’ health is restricted to those of <strong>low</strong><br />

job status (artazcoz, borrell, & benach, 2001). Moreover, it has been found that the impact of flexible employment<br />

on mental health depends on the type of contractual arrangement, gender and social class, and it is restricted to<br />

less-privileged workers, women and manual male workers (artazcoz, benach, borrell, & cortès, 2005). these<br />

results illustrate the importance of analysing work-related inequalities in health in a framework which integreates<br />

the social class and gender inequalities approaches.<br />

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