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

have been illustrated with regard to gender and seP-related<br />

health. The underlying mechanism is, however, difficult to uncover,<br />

since the working conditions of different social groups are hardly<br />

ever completely comparable (emslie et al., 1999a; emslie, hunt, &<br />

Macintyre, 1999b), in particular between men and women (Messing<br />

& silverstein, 2009). Given the already limited attention paid to<br />

social variables in occupational health research, certainly these<br />

cases of effect modification are less frequently studied (Wege et al.,<br />

2008). The effects are mostly not as strong, compared to differential<br />

exposure. nevertheless, differences in susceptibility are adding<br />

important nuances to the pathway between work and social health<br />

inequalities.<br />

socio-economic differences in susceptibility are predominantly<br />

studied with regard to psychosocial working conditions. research<br />

shows that, among men, the impact of job strain on cVd is stronger<br />

in blue-collar workers than in higher-seP jobs (Johnson & hall,<br />

1988; Theorell et al., 1998; hallqvist, diderichsen, Theorell,<br />

reuterwall, & ahlbom, 1998). similar findings are made in male and<br />

female workers for associations between eri and cVd (Kuper,<br />

singh-Manoux, siegrist, & Marmot, 2002) and between job strain<br />

and high blood pressure (landsbergis, schnall, Pickering, Warren,<br />

& schwartz, 2003). in a study by Wege et al. (2008), no effect<br />

modification is reported for associations of job strain with poor selfrated<br />

health, angina pectoris or depression, nor for associations of<br />

eri with poor self-rated health or angina pectoris. in contrast,<br />

differences in susceptibility are found for the association between<br />

eri and depression. in each of the above-cited studies, the effects of<br />

job stress are stronger in <strong>low</strong>er sePs. The same holds for the sePinteraction<br />

effects of the associations of immaterial demands and<br />

social support with emotional well-being and persistent fatigue,<br />

respectively (Vanroelen, levecque, Moors, & louckx, 2010). in<br />

contrast, however, the associations between persistent fatigue and<br />

job control and between employment uncertainty and emotional<br />

well-being are reported to be stronger in higher or intermediate<br />

sePs (Vanroelen et al., 2010).<br />

With regard to gender-related differences, Karlqvist, Tornqvist,<br />

hagberg, hagman, and Toomingas (2002) report that female Vduoperators<br />

experience more serious consequences of a number of<br />

Vdu-related physical exposures and job strain on musculoskeletal<br />

complaints. other findings supporting the stronger impact of<br />

psychosocial working conditions on mental distress and physical<br />

health complaints in women are reported by, among others, roxburgh<br />

(1996) and Tytherleigh, Jacobs, Webb, ricketts and cooper (2007),<br />

276

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