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

There is a lack of theoretical and empirical work on the<br />

mechanisms and explanations linking employment conditions to<br />

poor health outcomes. For example, more longitudinal empirical<br />

research and reviews are needed relating to issues such as the<br />

mechanisms mediating between employment dimensions, their<br />

interrelationships and several health outcomes. Most studies of<br />

employment dimensions should stratify by social class, gender, age,<br />

ethnicity, race and migration status. There is also a need to<br />

investigate externalities and spill-over effects on the health of other<br />

workers, families, children and the community.<br />

Another important area in need of further research is the<br />

evaluation of employment policies and other employment<br />

interventions to reduce health inequalities.<br />

While much more research is essential, enough is currently<br />

known for effective public health action.<br />

11.2 RECoMMEnDATions<br />

Cross-cutting proposals<br />

While interventions on employment conditions need to be conducted<br />

at the organisational and job level, “upstream” action on<br />

employment and working conditions (especially through labour<br />

market regulations, social policies and workplace standards) is<br />

expected to be more effective in reducing health inequalities and<br />

should be the key focus of action. leaving the health consequences<br />

of employment conditions as an afterthought or “downstream”<br />

consideration in trade, business practices or public health<br />

interventions will perpetuate the existing health inequalities caused<br />

by unfair employment and the lack of decent working conditions.<br />

General strategies combining policies at different entry points<br />

(power relations, employment, working conditions and ill-health<br />

workers) need to be specified and contextualised for each territory<br />

(international, country/region, urban/rural local areas), condition,<br />

and population. specific recommendations on policies and<br />

interventions should be tailored according to the typology of<br />

countries developed in this study, as well as by the specific<br />

characteristics of each country, region and territory.<br />

To achieve better employment and working conditions, public<br />

economic, social and health policies and interventions require the<br />

implementation of integrated inter-sectoral actions and<br />

programmes, where policy-makers, government, workers and<br />

community organisations need to be actively engaged.<br />

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