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EMployMEnt, Work, And hEAlth InEqUAlItIES - a global perspective<br />

11.1 ConClusions<br />

The need to discern employment-related concepts<br />

Employment relations, employment conditions and working<br />

11<br />

conditions are different yet interrelated concepts.<br />

Employment relations are the relationships between buyers and<br />

sellers of labour, as well as the practices, outcomes and institutions<br />

that emanate or impinge upon the employment relationship. in<br />

wealthy countries, employment relations are often subject to the<br />

provisions of the law or a hiring contract, while in middle-income and<br />

poor countries most employment agreements are not explicitly<br />

subject to any formal contract, and a high proportion of total<br />

employment is in the informal economy.<br />

At the global level, main employment conditions derived from<br />

employment relations include five main dimensions: unemployment,<br />

precarious employment, informal employment, child labour, and<br />

slavery/bonded labour.<br />

Working conditions can be divided into physical, chemical,<br />

biological and social exposures. simply put, material working<br />

conditions constitute the physical, chemical, biological and ergonomic<br />

work environment, while work organisation involves psychosocial<br />

relations, management and control, satisfaction, the tasks performed<br />

by workers and the technology being used. Working conditions also<br />

include hierarchy and power relations, the participation of workers in<br />

decision-making and social and occupational discrimination.<br />

Power differences are embedded in employment relations<br />

Power relations in negotiation between trans-national corporations,<br />

businesses, employers and workers' associations are unequal. An<br />

important component of employment relations are the power<br />

relations between employers and employees and the level of social<br />

protection that employees can count on. Thus, public efforts at<br />

improving the health inequalities produced by employment relations<br />

must take into account the power differences among employers,<br />

workers and government. Employment relations therefore reflect<br />

the different relations of power over the production, appropriation<br />

and distribution of the fruits of labour by those who hire labour<br />

(employers and managers) and those who sell labour (workers).<br />

Much of the history of employment relations has been characterised<br />

by unequal power and conflict between labour and capital, the former<br />

being represented mainly by unions, who demandhigher wages,<br />

380

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