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eMployMent relations and health inequalities: pathways and MechanisMs<br />

important predictor of a number of psychological symptoms such as mild<br />

depression (dooley, rook, & catalano, 1987). Workers exposed to chronic<br />

job insecurity are more likely to report minor psychiatric symptoms than<br />

those with secure jobs. Moreover, relative to workers who remained in<br />

secure employment, self-reported morbidity was elevated among<br />

workers who lost job security. Workers exposed to chronic job insecurity<br />

had the highest self-reported morbidity, indicating that job insecurity acts<br />

as a chronic stressor. among those who regained job security, adverse<br />

effects, particularly in the psychological sphere, were not completely<br />

reversed by removal of this threat (ferrie, shipley, smith, stansfeld, &<br />

Marmot, 2002). The impact of job insecurity on mental wellbeing has also<br />

been described in the context of currently industrialising countries<br />

(edimansyah et al., 2008). downsizing, which can lead to increased job<br />

insecurity, has also been shown to be a risk to workers’ health. Thus, a<br />

significant linear relation has been observed between the level of<br />

downsizing and long periods of sick leave attributable to musculoskeletal<br />

disorders and trauma (Vahtera, Kivimäki, & Pentti, 1997). self-reported<br />

health status deteriorates among workers anticipating a job change or<br />

loss in a group of middle-aged, white-collar civil servants (ferrie,<br />

shipley, Marmot, stansfeld, & smith, 1995). overall, research on selfreported<br />

job insecurity and workplace closure presents consistent<br />

evidence of their significant adverse effects on self-reported physical<br />

and mental health (Marmot, ferrie, newman, & stansfeld, 2001); these<br />

effects may be higher among people with poor labour market chances<br />

(rugulies, aust, Burr, & Bültmann, 2008). finally, there is also some<br />

evidence of the association between self-reported job insecurity and<br />

subclinical atherosclerosis (Muntaner et al., 1998).<br />

Job insecurity, like several physical and psychosocial working production line. textile industry topnew<br />

knitting Group Co., which was founded in<br />

conditions, is unevenly distributed and more concentrated among<br />

1952. the Group takes "Green, nature and<br />

manual and <strong>low</strong>er-grade occupations and is an important factor<br />

health" as its product theme, paying<br />

contributing to social class inequalities in health, particularly attention to the technological innovations.<br />

psychological health and among younger adults (Matthews, Manor, & Beijing (China).<br />

Power, 1999; Borg & Kristensen, 2000; ferrie, shipley, stansfeld, smith, source: © ilo/M. crozet (2007)<br />

& Marmot, 2003). in the united states, non-standard forms of employment<br />

(“contingent workers”) are concentrated among women, black and<br />

hispanic people and <strong>low</strong>-income families (cummings & Kreiss, 2008).<br />

although job insecurity and temporary employment have been<br />

shown to be good predictors of the health of precarious employees,<br />

they only provide a partial picture of new employment relations. They<br />

are insufficient for explaining the mechanisms by which new work<br />

arrangements are affecting the health of a growing flexible<br />

workforce. for example, self-perceived job insecurity may not be<br />

able to capture the impact of structural determinants of employment<br />

231

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