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EmploymEnT, woRk, and hEalTh inEqualiTiEs - a global perspective<br />

and promoting health through individual behaviours, such as stress<br />

management and quitting smoking, while ignoring the<br />

organisational context of those behaviours.<br />

research suggests that social relations and structural working<br />

conditions (including worker participation and empowerment)<br />

determine employee’s reactions to the conditions under which they work<br />

more than personal characteristics do (see case studies 74 and 75).<br />

dangerous working conditions, characterised by material hazard, are<br />

risks that are common in situations of precarious employment, and the<br />

problems that arise from this are only exacerbated by a systematic<br />

pressure to not b<strong>low</strong> the whistle on dangerous workplace environments<br />

for fear of losing one’s job. one example of a policy designed to change<br />

working conditions, albeit at the micro-level, is the legal requirement for<br />

an enterprise to have trade union representatives be trained in<br />

occupational health and responsible for prevention in the workplace.<br />

This would in all likelihood bring about a reduction in occupational risks<br />

in the workplace and a decline in occupational injuries and illnesses.<br />

Thus the risk posed to worker health by both the adoption of dangerous<br />

behaviour and exposure to serious hazards is made worse by the lack of<br />

advocacy available to the worker.<br />

The strengthening of business interests, the atomisation of<br />

companies, precariousness, short-term work, and rotation of<br />

employment do not contribute to the constitution of strong union<br />

actors. additionally, deregulation policies and strategies increase<br />

companies’ aversion to unions and reinforce anti-union practices.<br />

Unemployment, freedom to fire workers at will, and management<br />

policies exert a powerful, social disciplining effect on workers,<br />

convincing them to give up their most basic rights, such as those<br />

to health, decent working conditions, and equity. They are forced to<br />

accept unilateral reductions in pay, extension of the workday,<br />

elimination of break periods, etc. They do not gain access to<br />

unionisation, given the expressions of hostility from employers and<br />

the fear of losing their jobs (carnevale & Baldasseroni, 2005;<br />

ferez, 2005).<br />

There are many policy options that could be explored at entry point<br />

c. regulators could impose norms defining acceptable levels of<br />

occupational risk and working conditions standards, the length of the<br />

working day, and occupational health and working environment<br />

monitoring programmes (Westerholm, 1999; rantanen, 1999;<br />

hogstedt & lundberg, 1998). another option is to launch preventive<br />

programs of screening and surveillance in the workplace, on an area<br />

basis or at the level of the workers themselves, for the early detection<br />

of health problems or high levels of exposure to work-related risk<br />

318

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