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

migrant trauma survivors), due to growing environmental degradation<br />

and declining land fertility, particularly in developing countries. This<br />

phenomenon might result in millions of people who are vulnerable to<br />

various diseases and all forms of exploitations including forced labour.<br />

supervising and timing workers in the<br />

textile industry, topnew knitting Group Co.<br />

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

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

attention to the technological innovations.<br />

Beijing (China).<br />

source: © ilo/M. crozet (2007)<br />

8.3. WorKinG condiTions<br />

in this section, we discuss evidence on the way working conditions are<br />

contributing to the production of health inequalities. health-related<br />

working conditions are very broad. a difference exists between<br />

“material” and “psychosocial” working conditions. The first refers<br />

to physical impacts, the toxicity of agents or the effects of<br />

maladjusted work stations or devices (ergonomic working<br />

conditions). These material working conditions relate more or less<br />

directly to health through a number of physical, chemical and<br />

biological processes resulting from exposure (figure 24).<br />

Psychosocial working conditions include harmful characteristics<br />

of work organisation or the activity content of jobs.<br />

Psychosocial working conditions are related to health via the<br />

“stress process”. The stress process leads to health problems as a<br />

result of modifications in the extent to which people can cope with<br />

stress and through physio-pathological and behavioural changes.<br />

as indicated in figure 24, there is also a clear link between<br />

employment conditions and working conditions. This link creates<br />

situations of cumulative adversity in precarious, informal, forced<br />

and other types of employment differing from the standard of fulltime<br />

employment. employment conditions (for example, job<br />

insecurity) can also have stressful consequences. adverse working<br />

conditions are in fact far more prevalent in non-standard employment<br />

conditions (see figure 24).<br />

WorKinG condiTions and healTh, PaThWays and<br />

MechanisMs<br />

While, for the sake of this overview, a distinction between types of<br />

working conditions is maintained, in reality they are sometimes less<br />

easy to separate. for example, high work pressure is clearly an<br />

aspect of psychosocial work organisation, while at the same time it<br />

can be very demanding in a physical sense, too. so, material hazards<br />

can have psychosocial implications, and psychosocial hazards can<br />

have material consequences (Macleod & smith, 2003).<br />

262

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