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

Woman working in the pharmaceutical<br />

industry (hungary).<br />

source: © ilo/J. Maillard (1997)<br />

reactions to these toxins can be separated into chronological steps:<br />

absorption, distribution, transformation and excretion. in some<br />

instances there is also a period of storage in the human organism.<br />

The main routes of absorption are via the respiratory system, the<br />

skin and the gastrointestinal system. once absorbed, some toxins<br />

have direct effects (for example, on the skin). Most of them however,<br />

are picked up and transported by blood circulation to specific parts<br />

of the body where they are stored or start to react. The chemical or<br />

biological reaction process often leads to a transformation to a less<br />

toxic form, however there are known exceptions, such as<br />

carcinogens. The main routes of excretion are the kidneys and the<br />

liver (frumkin & Thun, 2000).<br />

scientific findings<br />

Causal explanations for class inequality in health--an empirical analysis<br />

one of the most important issues for research on social class inequalities in health are the causes behind such<br />

differences. so far, the debate on class inequalities in health has mainly been centred around hypotheses on artifactual and<br />

selection processes. although most contributors to this branch of research have argued in favor of causal explanations,<br />

these have received very little systematic scrutiny. in this article, several possible causal factors are singled out for empirical<br />

testing. the effect of these factors on class differences in physical and mental illness is studied by means of logit<br />

regressions.<br />

on the basis of these analyses, it is shown that physical working conditions are the prime source of class inequality in<br />

physical illness, although economic hardship during upbringing and health-related behaviours also contribute. For class<br />

inequality in mental illness, these three factors plus weak social network are important. in sum, a large part of the class<br />

differences in physical as well as mental illness can be understood as a result of systematic differences between classes in<br />

living conditions, primarily differences in working conditions.<br />

Source<br />

lundberg, o. (1991). causal explanations for class inequality in health--an empirical analysis. Social Science and Medicine,<br />

32, 385-393.<br />

Social inequalities and workplace hazards in Europe<br />

health hazards at work are a major determinant of poor health and injuries, even though remarkable progress towards<br />

healthier workplaces can be observed in many european countries. in the 1990s, for example, work-related ill health was<br />

the fourth major contributor to the total disease burden in the 15 countries that belonged to the eu before 1 May 2004<br />

(diderichsen, dahlgren, & vågerö, 1997). the proportion of the total burden of disease caused by work-related risk factors<br />

is, however, different in different countries. For the 15 countries that belonged to the eu before 1 May 2004 as a whole, for<br />

example, 3.6 per cent of the total burden of disease was directly related to the work environment, while in sweden it was<br />

only 2.2 per cent (diderichsen et al., 1997).<br />

this indicates that significant possibilities still exist for reducing work-related poor health and premature death. Major<br />

hazards include exposure to chemicals, biological agents, physical factors, adverse ergonomic conditions, allergens,<br />

different safety risks and varied psychosocial factors. studies in eastern europe have also shown that the balance at work<br />

between effort and reward has a significant inverse association with self-reported health and depression, as well as with<br />

alcohol use (pikhart et al., 2001; walters & suhrcke, 2005). conversely, the social aspect of a working environment can<br />

constitute a very positive determinant of health. For many people, the feeling of doing something useful together with<br />

colleagues is one of the most important dimensions of life and positive health.<br />

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