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

lundberg, i., hemmingsson, t., & hogstedt, c. (2007). Work and social inequalities in Health in Europe. brussels: p.i.e. peter<br />

lang.<br />

Macdonald, l. a., härenstam, a., warren, n. d., & punnett, l. (2008). incorporating work organisation into occupational<br />

health research: an invitation for dialogue. Occupational and Environmental Medicine, 65 (1), 1-3.<br />

Moncada, s., llorens, c., Font, a., galtés, a., & navarro, a. (2008). exposición a riesgos psicosociales entre la población<br />

asalariada en españa (2004-05): valores de referencia de las 21 dimensiones del cuestionario copsoq istas21. Revista<br />

Española de Salud Pública, 82(6), 667-676.<br />

rubery, J. (2007). developing segmentation theory: a thirty years perspective. Économies et Sociétés, 6, 941-964.<br />

PaThWays BeTWeen WorKinG condiTions and socioeconoMic<br />

healTh ineQualiTies<br />

The most important pathway linking working conditions to health<br />

inequalities runs through the differential distribution of adverse<br />

working conditions among workers (siegrist & Theorell, 2006).<br />

some typical “exposure clusters” may be located in the general<br />

working population (Vanroelen, Moors, levecque, & louckx, 2010).<br />

often traditional material hazards are found to cohere, together with<br />

organisational features, such as <strong>low</strong> control over work tasks and<br />

atypical schedules or employment conditions (Passchier-Vermeer &<br />

Passchier, 2000). other distinctive patterns are seen for femaledominated<br />

human service occupations (in which high physical<br />

demands are linked with high emotional demands and work<br />

schedule flexibility, and highly specialised and skilled jobs), which<br />

are characterised by high psychological demands (söderfelt et al.,<br />

1996; 1997; Burchell, day, & hudson, 1999; Vanroelen et al., 2010).<br />

These different clusters have strong links with social positions. in<br />

addition, patterns in the distribution of working conditions according<br />

to the position of countries in the World-system can be seen.<br />

another pathway is constituted by social differences in<br />

susceptibility to the adverse effects of working conditions. finally,<br />

there is an additive pathway running through employment<br />

conditions. Workers employed in non-standard conditions are at a<br />

higher risk of encountering more adverse working conditions.<br />

differential exposure to adverse working conditions<br />

There are clear international differences in the division of harmful<br />

working conditions. The relative political strengths of forces in the<br />

market (corporations, institutions and unions), government (parties)<br />

and society (community and its forms of organisation) in a country are<br />

key determinants of the development of laws, regulations and social<br />

protection, which influence working conditions. in the context of<br />

globalisation, a lack of barriers to move production from one country<br />

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