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

often, have less freedom to choose when they take personal leave<br />

(letourneux, 1998) and are far less likely to be represented on health<br />

and safety committees (Quinlan & Mayhew, 2000). a systematic review<br />

of studies on temporary employment and health suggests that<br />

temporary workers suffer from a higher risk of occupational injuries as<br />

compared with permanent employees (Virtanen et al., 2005), a finding<br />

which has been repeated in a more recent study with both administrative<br />

and field data (fabiano, curro, reverberi, & Pastorino, 2008). another<br />

study has shown that several forms of temporary employment are<br />

associated with higher rates of musculoskeletal disorders and<br />

psychosomatic symptoms than are found for permanent<br />

employment (aronsson, Gustaffson, & dallner, 2002). in<br />

addition, non-permanent workers know less about their<br />

work environment, feel more constrained by their status to<br />

complain about work hazards, and have more difficulties for<br />

changing their working conditions (aronsson, 1999).<br />

Workers under situations of precarious employment may<br />

face greater demands or have <strong>low</strong>er control over the work<br />

process, two factors which have been associated with<br />

higher levels of stress, higher levels of dissatisfaction, and<br />

more adverse health outcomes. for example, workers with<br />

Carrier in a street market in la paz (Bolivia).<br />

temporary contracts are twice as likely as permanent<br />

source: Joan benach (2010)<br />

workers to report job dissatisfaction, even after adjusting<br />

for various individual- and country-level variables (Benach, Gimeno,<br />

Benavides, Martínez, & Torné, 2004). non-permanent workers enjoy<br />

less job autonomy and control over time on the job than workers with<br />

permanent contracts, are likely to be employed in less-skilled jobs<br />

(eurofound, 2001) and have worse health outcomes when compared with<br />

permanent workers (Benavides, Benach, diez-roux, & romana, 2000;<br />

Kivimäki et al., 2003; Benavides et al., 2006). Temporary jobs tend to<br />

have <strong>low</strong>er wages than permanent jobs and often have <strong>low</strong>er benefits<br />

such as paid vacations, sick leave, unemployment insurance and other<br />

fringe benefits, as well as less access to training. all these adverse<br />

factors may increase the risk of developing behaviours which put one’s<br />

health at risk, as well as of producing detrimental psychological and<br />

physio-pathological changes, which lead to poorer health outcomes. for<br />

example, there is evidence that temporary employment is associated<br />

with increased deaths from alcohol-related causes and smoking-related<br />

cancer (Kivimäki et al., 2003).<br />

evidence from psychosocial studies has also provided important<br />

results. The experience of job insecurity has been associated with poorer<br />

physical and mental health outcomes (ferrie, shipley, Marmot, stansfeld,<br />

& smith, 1998). in one study, perceived job insecurity was the single most<br />

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