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EMploYMEnt, work, And hEAlth inEquAlitiEs - a global perspective<br />

In this book, various cross-cutting axes (i.e., social class, gender,<br />

age, ethnicity/race, and migrant status) are employed as the key<br />

relational mechanisms that explain why different types of<br />

employment conditions are linked to multiple disease outcomes<br />

through multiple risk-factor mechanisms (see Figure 1).<br />

The definitions of the cross-cutting axes that fol<strong>low</strong> are also the<br />

product of an extensive review of specialised epidemiology and<br />

public health journals, among other sources.<br />

Figure 1. employment conditions and key cross-cutting axes used in this book.<br />

social class<br />

gender<br />

age<br />

ethnicity<br />

migrant status<br />

F u l l<br />

t i M E p E r M A n E n t E M p l o Y M E n t<br />

u n E M p l o Y M E n t<br />

p r E C A r i o u s<br />

i n F o r M A l<br />

C h i l d<br />

E M p l o Y M E n t<br />

E M p l o Y M E n t<br />

l A B o u r<br />

s l A v E r Y A n d B o n d E d l A B o u r<br />

source: prepared by the authors<br />

"there are more slaves alive today than all<br />

the people stolen from Africa in the time of<br />

the transatlantic slave trade."<br />

Kevin bales<br />

Social Class. Most research on employment conditions and<br />

population health does not include any analysis of social class, a<br />

concept that is defined in terms of employment relations (Krieger,<br />

Williams, & Moss, 1997). Nevertheless, social class positions<br />

defined by employment relations (e.g., workers, managers,<br />

employers, owners) are powerful determinants of population<br />

health via exposure to proximal risk and protective factors such as<br />

control over work, job demands, access to social and health<br />

services, workplace hazards or income (Muntaner & Parsons, 1996;<br />

Borrell, Muntaner, Benach, & Artazcoz, 2004). In social<br />

epidemiology, the effects of social class have been shown to predict<br />

health outcomes even when conventional "gradient" measures<br />

such as education and occupation are taken into account (Muntaner<br />

& Parsons, 1996; Wolhfarth, 1997; Wohlfarth & Van den Brink, 1998;<br />

Muntaner, Eaton, Diala, Kessler, & Sorlie, 1998; Muntaner, Borrell,<br />

Benach, Pasarín, & Fernández, 2003).<br />

Yet, in spite of this promising evidence, most research uses only<br />

traditional "gradient" indicators (education, occupation and income;<br />

14

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