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labour Markets and welfare states: a country perspective<br />

temporary/fixed term contracts, training contracts and redundancy<br />

procedures, which established the foundations for a revised<br />

regulation of the collective bargaining system. some of the major<br />

aspects of this reform included a lifting of the public monopoly on<br />

job placement, al<strong>low</strong>ing the operation of private employment<br />

agencies and temporary employment agencies, and the reduction of<br />

the costs of individual dismissal, through a restriction of the cases in<br />

which back pay awards after dismissal appeal hearings are to be<br />

paid by employers. under these conditions, often previously illegal<br />

situations hurting workers were made legal, and there was a<br />

progressive segmentation of the labour force, with a core of<br />

permanent workers and a group of precarious workers with greater<br />

employment insecurity (Benach et al., 2007).<br />

Work-related health problems in spain imply an enormous<br />

health and economic cost to workers and their families, companies<br />

and society as a whole (Benavides, 2007). The high level of<br />

occupational injuries, for example, reflects important deficiencies in<br />

the prevention systems that a developed country should not have.<br />

norms and regulations for the prevention of occupational hazards<br />

have been only partially applied, occupational health interventions<br />

have not been suitable and budgets were limited. moreover, many<br />

interventions targeting traditional occupational hazards were<br />

designed to be implemented for permanent job holders working for<br />

medium-to-large-size firms, and are unlikely to meet the demands<br />

of the new flexible work environment.<br />

although research on work-related inequalities in health is still<br />

limited, a notable increase in the number of studies has been achieved<br />

since the 90s. The spanish Black report (1996) extensively reviewed<br />

class, gender and geographical inequalities in spain, documenting large<br />

and consistent health inequalities (navarro & Benach, 1996), and the<br />

first study on occupational health inequalities was published as part of<br />

the first Catalonian Black report (artazcoz, Cortès, Benach, &<br />

Benavides, 2003). research shows that there are considerable<br />

differences with regard to exposures to damaging working conditions,<br />

occupational hazards and health outcomes between social classes,<br />

genders, and types of contracts. for example, physical risks,<br />

musculoskeletal problems, and psychosocial factors such as job control<br />

show much worse indicators among manual workers and women<br />

(Benach et al., 2007). prevalence rates for all occupational risk factors<br />

are higher among temporary workers. for example, having control over<br />

job breaks rates are 26.5 per cent and 39 per cent for permanent and<br />

temporary workers, respectively. Working class women have less access<br />

to employment, are more often unemployed, and they have high family<br />

67

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