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

“Everyone has to work overtime. you have<br />

no choice. Even if you're sick, you have to<br />

work. (…) But we don't even get paid for all<br />

of the overtime (…). For example, we might<br />

work six or seven hours extra, but then<br />

they just put down three or four hours on<br />

the timecards. (…)”<br />

source: pan, p. p. (2002, May 13). worked<br />

till they drop; few protections for china’s<br />

new laborers. The Washington Post.<br />

are needed on unemployment in relation to issues such as the<br />

mechanisms mediating between unemployment and physical<br />

health, health behaviours and mental health. To analyse the reasons<br />

for job loss (e.g., distinguishing between being fired, dropping for<br />

personal reasons, family requirements or health problems) may<br />

enhance the characterisation of mechanisms.<br />

• More studies are needed with an ecological perspective on the<br />

impact of levels of and changes in unemployment on the health of<br />

the entire workforce and the whole population, although it may be<br />

difficult to rule out methodological pitfalls. rises of unemployment<br />

could induce or be connected to parallel rises in precarious and<br />

informal employment as well as loss of workers’ rights and power.<br />

• research is needed on the impact of unemployment on health<br />

inequalities in middle- and <strong>low</strong>-income countries. The definitions<br />

and health outcomes studied should be adapted to each context.<br />

research on unemployment should consider a wider range of health<br />

outcomes (e.g., infant mortality, hiV, etc.), and take a variety of<br />

mechanisms into account, including both macro and micro policies<br />

and interventions.<br />

• There is a need to analyse gender differences and social<br />

contexts in analyses of the impact of unemployment on health and<br />

health inequalities.<br />

• differences in the effects of unemployment related to receipt of<br />

benefits should be taken into account in future research. Moreover,<br />

differences in such effects according to gender, family roles and<br />

social class should be considered in the formulation of policies<br />

regarding unemployment compensation.<br />

• health impact assessments of actual or potential<br />

unemployment policies should be carried out and delivered to<br />

policymakers.<br />

Precarious employment<br />

• There is an urgent need to identify general dimensions able to<br />

capture multiple situations of precariousness in different social<br />

contexts and for different types of jobs and workers, moving beyond<br />

the use of partial indicators such as temporality and perceived<br />

insecurity.<br />

• data of higher quality with more refined health information<br />

systems, especially in mid- and <strong>low</strong>-income countries, are also<br />

needed. new designs, instruments, measures and comparable<br />

definitions capable of analysing the specific mechanisms through<br />

which precarious employment may damage worker’s health are<br />

needed. studies on the prevalence and health consequences of new<br />

258

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