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

working American Journal of Nursing, 106(4), 60-71.<br />

trinkoff, a. M., le, r., geiger-brown, J., & lipscomb, J. (2007). work schedule, needle use, and needlestick injuries in<br />

registered nurses. Infection Control and Hospital Epidemiology, 28(2), 156-164.<br />

trinkoff, a. M., le, r., geiger-brown, J., lipscomb, J., & lang, g. (2006). longitudinal relationship of work hours, mandatory<br />

overtime, and on-call to musculoskeletal problems in nurses. American Journal of Industrial Medicine, 49, 964-971.<br />

van der hulst, M. (2003). long work hours and health. Scandinavian Journal of Work and Environmenal Health, 29(3), 171-188.<br />

Gaps in knowledge<br />

for most contemporary workplaces in core industrialised countries, the<br />

health effects of working conditions are relatively well-known. There is<br />

a long tradition of research reporting on the effects of very specific<br />

material working conditions in relation with somatic health outcomes.<br />

in the last decades of the 20th century, with the consolidation of<br />

occupational stress research, abundant evidence has accumulated<br />

linking factors related to the organisation, content and magnitude of<br />

work tasks to diverse psychological and physical outcomes. Moreover,<br />

the health effects of stressors related to the organisation of<br />

employment, such as flexible working times, job insecurity, downsizing<br />

and other uncertainty-provoking threats, are documented relatively<br />

well, at least among more or less standard wage-earners.<br />

one area where knowledge about standard wage-earning<br />

populations is still lacking concerns the impact of interactions<br />

between different types of co-existing working conditions, as well as<br />

with various forms of social stratification (like gender, or ethnicity) and<br />

macro-social indicators (like welfare state types or countries’ levels of<br />

social inequality). related to the latter point is the definition of “work”:<br />

especially for many women, but also for men, work is something more<br />

than just regularly paid daytime employment; it extends to household<br />

duties, informal care, voluntary work or additional paid work in the<br />

informal sphere. These kinds of interactions may exacerbate or<br />

modify the health effects of specific working conditions. in addition,<br />

research results have been biased in favor of larger organisational<br />

settings and common occupations, leaving some groups of workers,<br />

for example those employed in small firms, largely unaddressed.<br />

With regard to the psychosocial work environment, there is also a<br />

need to consider more objective assessments of working conditions,<br />

instead of relying almost solely on self-reports. in this sense,<br />

alternative methods for the assessment of working conditions need to<br />

be considered, based more on a participatory approach, and focused<br />

on collective evaluation and preventive action. Moreover, data using<br />

diagnosed (and diversified) health outcomes, longitudinal information<br />

and data sources integrating information from different life spheres<br />

are also very scarce.<br />

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