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

2004; portes & sassen-Koob, 1987), the typically dire working<br />

conditions that characterise it, including child labour, slave labour,<br />

and work at <strong>low</strong>er-than-subsistence compensation levels, are<br />

exacerbated in <strong>low</strong>- to middle-income countries.<br />

In addition, in both wealthy and middle/<strong>low</strong>-income countries,<br />

precarious employment relations have reduced the proportion of<br />

unionised workers, especially since the 1980s. These developments<br />

limit the possibility of using indicators such as union density and<br />

collective bargaining coverage to classify labour markets. Therefore,<br />

when the majority of workers cannot rely on collective bargaining,<br />

alternative indicators are needed.<br />

figure 5 contains a diagram of types of employment relations<br />

in a hypothetical labour market. The labour market is made up<br />

of a formal sector and an informal sector. In the formal sector,<br />

there are two types of workers: full-time regular workers and<br />

irregular workers in precarious jobs, the latter having been on<br />

the rise over recent decades. This sector is characterised by<br />

different rules and regulations than the informal sector, and the<br />

limit of their reach serves as a rough boundary between the two<br />

sectors, marking the beginning of a new set of employment<br />

relations.<br />

While the popular notion of an informal economy connotes a<br />

uniform, para-legal "underground" economy with appalling<br />

working conditions and no social security, several empirical<br />

studies have shown that there are at least two unique class<br />

positions in the informal sector: small entrepreneurs and<br />

informal wage earners (portes & schauffler, 1993). since the<br />

income inequality between these two is larger than the<br />

difference between the two dominant positions of the formal<br />

sector, it seems logical that the health implications of working<br />

in the informal sector would reflect this disparity. Therefore, as<br />

there are many more workers than employers, we can predict<br />

that the informal sector's average level of health will be worse<br />

than in the formal sector.<br />

In other words, we expect employment relations and working<br />

conditions in the informal sector to be more hazardous than in the<br />

formal sector. Exacerbating this prediction is the fact that<br />

compensation factors serve to ease the impact of employment<br />

relations on population health. These compensation factors typically<br />

include social security benefits, universal access to health care or<br />

anti-poverty cash supplements. Thus, <strong>low</strong> wages and weak<br />

unemployment insurance mediate the negative impact of<br />

employment conditions on health.<br />

54

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