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

forms of precarious employment and on hard-to-reach precarious<br />

employees are needed to shed public light on potentially hazardous<br />

situations.<br />

• More potent theories of precariousness are needed. There is a<br />

lack of theoretical frameworks showing the links and pathways<br />

between the political and economic contexts, the generation of<br />

precarious employment and poor health outcomes. Main<br />

psychosocial models may be not able to capture distal structural<br />

social factors related to inequalities in power, class relations and<br />

work organisation.<br />

• There is a pressing need for more powerful epidemiological<br />

designs that integrate several levels of individual and contextual<br />

variables at the national and regional levels, as well as studies that<br />

integrate quantitative and qualitative data.<br />

• The differential impact of unemployment according to class,<br />

gender, age, ethnicity, race and migration status and its<br />

mechanisms (linked, for instance, to the economic safety net) should<br />

be studied<br />

• There is a need for evaluation of policy interventions at various<br />

levels. research should focus mainly on preventing precarious<br />

employment.<br />

informal employment<br />

• There is a lack of clear definitions, reliable estimations of<br />

prevalence and empirical evidence concerning the impact of<br />

informal employment on health and health inequalities, particularly<br />

for rural settings and poor countries.<br />

• heterogeneity in informal employment should be taken into<br />

account, as it relates with a diversity of social and health hazards.<br />

for example, self-employed workers may be vulnerable to economic<br />

cycles and insecurity, whereas exploitation may be an issue relevant<br />

to domestic workers; informal workers in the street may suffer from<br />

air pollution and police harassment; immigrants in the black<br />

economy may suffer one or more of these hazards. Public research<br />

institutions should enhance specific studies on these groups who<br />

are not represented by unions and play a role as their advocates in<br />

order to change policies and/or employers’ commitment.<br />

• The close links with other social and occupational factors<br />

need to be more carefully considered in analyses, particularly<br />

their role as confounders or intermediary variables, since they<br />

may represent part of the construct of informality on labour<br />

market placement rather than an extraneous artefact in the<br />

causal pathways.<br />

picking up rubbish to be sorted in a dump<br />

in manila (philippines).<br />

source: © ilo/M. rimando (2008)<br />

259

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