Suicidal ideation is a variable prior to suicidal behaviour and one of the main producers of risk of death by suicide. The sample consisted of a total of 1,288 people living in Spain who at the time ...of answering the questionnaire were in active employment. Contractual status is a significant variable for the prediction of suicidal ideation. Contractual temporality is a risk factor for suicidal ideation, whereas permanent employment is a protective factor. In suicidal ideation, job insecurity is a mediating risk factor and a key dimension of job precariousness because of the adverse effects on mental health it causes. Job insecurity interacts with objective causes of precariousness and is presented as a necessary variable for understanding the relationship between these material causes and suicidal thoughts.
El aumento de la expectativa de vida de la población tensiona la discusión sobre la extensión de años productivos, el retraso de la edad de jubilación y pone en riesgo la anulación del goce y el ...descanso en la vejez. En países pobres y/o periféricos, con un frágil sistema de seguridad social, el trabajo en personas viejas ocurre como única forma de subsistencia económica que permite mantener las condiciones materiales de la vida. En este contexto, se fuerzan formas precarizadas de trabajo asalariado formal o informal que no alcanzan para un estándar de vida digna. Esta investigación analizó representaciones y narrativas sobre el trabajo en la vejez que se construyen en medios de comunicación y redes sociales en Chile.
As a consequence of the Spring 2020 lockdown that occurred in Spain due to the COVID-19 pandemic, many people lost their jobs or had to be furloughed. The objective of this study is to analyse the ...influence of the latter changes in labour market status on psychological well-being. For this purpose, an ad-hoc questionnaire featuring socio-demographic and mental health criteria was created. Granted that the pandemic can be viewed as an exogenous shock, the bias caused by the bidirectional problems between the work situation and mental well-being can be tackled. Results indicate that the lockdown exerted a greater negative effect on the self-perceived well-being of unemployed and furloughed persons than on those in employment. Moreover, among those in continuous employment, teleworkers experienced a lesser degree of self-perceived well-being post lockdown as compared to those people remaining in the same work location throughout the COVID-19 crisis. Finally, the lockdown provoked worse effects on the self-perceived well-being of women as compared to men, a result that appears to be related to gender differences in household production. In conclusion, these results could be especially relevant given that the evolution of the pandemic is having ongoing effects on employment and, therefore, on the mental health of workers.
Climate emergency and decent work Benavides, Fernando G; Delclos, George L
Scandinavian journal of work, environment & health,
05/2024, Letnik:
50, Številka:
4
Journal Article
Recenzirano
Odprti dostop
The climate crisis and loss of biodiversity, two closely related threats to human and planetary health, meet the criteria for the World Health Organization (WHO) to declare an international public ...health emergency, as occurred with COVID-19 (1), and urged by numerous scientific journals (2). Attaining decent work, understood as “opportunities for women and men to work in conditions of freedom, equity, security and human dignity” (3), in the context of the climate emergency, creates a paradox for worker health. Outdoor workers (notably those in agriculture and construction), many of them informal workers, are among the populations most vulnerable to climate-related hazards. Simultaneously, they are inevitably at risk of exposure due to their role in maintaining the economy and functioning of society. A similar situation happened during the pandemic with essential workers (4). The WHO declaration of a public health emergency helped manage that global crisis. A consequence of the industrial revolution The current climate crisis is a direct consequence of the Industrial Revolution where key processes emerged to explain the current situation: the appearance of wage labor and the working class, with consumerism as a basic economic driver, and the exploitation of natural resources – especially fossil fuels – in their own territories and in the colonies. The extension of this capitalist model of society to virtually the entire planet is a reality. Now, we see how this economic system has brought both great harm and significant benefits. Since its beginning, capitalism has wrought great suffering for people, masterfully described, among others, by Fredrich Engels in the Manchester of 1845 (5) or the London of 1838 in Charles Dickens` Oliver Twist (6). Although working conditions have since improved in many countries, there are still unbearable examples worldwide of worker exploitation and suffering. Among them, child labor, where 70% are working in agriculture (7) or some underregulated platform work (8), in a context of ever-increasing social inequalities (9). On the other hand, due to improved working and life conditions, there has also been an extraordinary increase in the world population, from one billion at the beginning of the 19th century to approximately eight billion today, leading to a linear increase in life expectancy at birth, which doubled globally between the beginning of the 20th century and the present. In 2015, the Lancet Commission on Planetary Health (10) pointed out that never before has humanity faced such an unintended paradox. While human well-being has been improving, the planet has been degrading. A contradiction that can no longer be sustained. We have lived as if our planet`s resources are unlimited. Based on comparisons to average temperature readings of the planet between 1850 and 1900, the United Nations International Panel on Climate Change estimated in its latest report that temperatures increased by 1.1° C between 2011 and 2020. This increase is very close to the 1.5° C established by the 2015 Paris Agreement as the limit beyond which climate impacts may become irreversible. Beyond any reasonable doubt, this is mostly attributable to the greenhouse effect produced by CO2 emissions, a consequence mainly of human activity and our way of living initiated by the Industrial Revolution. This global increase in temperature, with heat waves, floods and other extreme temperature events as its most obvious manifestations, is already having effects on worker health (12, 13). Climate change is also having effects on the economy and the labor market, both in the primary (agriculture and fishing) and services (tourism) sectors, with reductions in productivity and employment. Estimates from the European Commission reveal an average loss of 3% of GDP among EU countries between 1980 and 2020 (14). Simultaneously, we should not forget that the capitalist society that emerged from the Industrial Revolution is based, among other pillars, on full or near full employment. As such, wages represent the main economic resource for the majority of people, in addition to being the primary source of wealth generation for society, on whose income and taxes the welfare state was built. Of course, employment means much more than wage earning, as it plays a fundamental role in the social processes that sustain human dignity and social cohesion (15). However, only approximately 50% of the employed population, mainly in high-income countries, enjoy decent employment with a living wage and social rights (16). The resulting Gordian knot before us is enormous, with humanity facing the climate emergency and trying to move from fossil fuels to renewable energy sources, while simultaneously seeking to maintain and increase decent employment for all Earth`s inhabitants, boosting the welfare states at the same time (17). Controlling climate-related hazards and just green transition The alternatives proposed to escape this crossroads vary between those that propose a new paradigm, which radically changes the current economic model, betting on measures that break drastically from the capitalist economy (18), versus a gradual process, supported by mitigation, adaptation, and compensation policies (19). Favoring this second alternative, but without ruling out the need to profoundly change human consumption patterns with important repercussions on the productive system (energy, transportation, food, etc.), gradualist policies will also directly or indirectly impact employment and working conditions during the transition from carbon emission energy to green energy. To cope with this urgent situation, specific control measures have been proposed over the last few decades. Schulte and colleagues have systematically reviewed the literature (20, 21, 22), identifying new and exacerbated old climate-related hazards such as extreme temperatures, air pollution, ultraviolet radiation, natural disasters, biological hazards, indoor air quality, etc., and they also assessed the impact of employment transition and economic burden on occupational health equity and mental health. On this basis, the US National Institute for Occupational Safety and Health has elaborated recommendations to mitigate and control the impact of several climate-related hazards on worker health and well-being (23). Similarly, the EU Agency for Safety and Health at Work has published guidelines for heat at work (24). Going further, some governments, such as Spain, have begun regulating and enforcing specific measures (25). Implementation of these workplace preventive measures to mitigate the impact of climate change is the responsibility of employers, with full participation of workers. Devoting resources to hazard recognition; performing risk assessments to identify which workers are most vulnerable to climate change-related hazards; and implementing a control strategy with policies, procedures, equipment, and work organization changes aiming to eliminate or minimize the impact of these hazards can improve employer preparedness (26). Adaptation policies to reduce emissions of CO2 and other gases that are driving the greenhouse effect, still with limited results, could mean a loss of six million jobs worldwide, according to estimates of the International Labor Organization (ILO) (27). This same estimation predicts a promising creation of 24 million jobs, mainly in economies emphasizing recycling and reutilization of manufactured products (the so-called “circular economy”), infrastructure construction, development of renewables and energy efficiency. Also, during this transition, new forms of work will emerge (e.g., human-robot interfaces and artificial intelligence), and with them the need to train workers, both new and existing, to adapt to those new forms of work. While waiting for positive results from mitigation and adaptation policies, a just transition to a green economy must simultaneously incorporate compensation policies. To achieve this, it is essential to strengthen social protection systems, a cornerstone of decent employment. For example, there were measures adopted during the pandemic, such as temporary employment regulation for employees or benefits covering the cessation of activity of the self-employed. Similar compensation measures may help workers affected by mitigation and adaptation policies during a transition phase, possibly to a lesser degree than in the pandemic, but lasting longer. In summary, as was the case in the most recent public health emergency, the COVID-19 pandemic, declaring the climate emergency as an international public health emergency by the WHO could play a critical role in managing this new global health crisis. Research programs, supported by global occupational health surveillance systems, to monitor the effectiveness of mitigation, adaptation and compensation measures are urgent. Conflict of interest statement The authors report no conflicts of interest. References 1. WHO. International Health Regulations, 3rd edition. Geneva: WHO; 2016. Available on: https://www.who.int/publications/i/item/9789241580496. Accessed 4 February 2024. 2. Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. BMJ Open. 2023;13(10):e080907. https://doi.org/10.1136/bmjopen-2023-080907 3. International Labour Organization. Report of the Director-General: decent work. Paper presented at the 87th Annual International Labour Conference, Geneva, 1999. Available at: https://www.ilo.org/public/english/standards/relm/ilc/ilc87/rep-i.htm Accessed March 9 2024. 4. Burdorf A, Porru F, Rugulies R. The COVID-19 (Coronavirus) pandemic: consequences for occupational health. Scand J Work Environ Health. 2020; 46(3):229-230. https://doi.org/10.5271/sjweh.3893 5. Engels, F. The condition of the working class in England (D. McLellan, Ed.). Oxford: Oxford University Press; 2009. https://doi.org/10.1093/owc/9780199554652.00
Background Previous studies have suggested that employment insecurity is associated with adverse health outcomes. We explored the association between temporary employment and smoking ...behaviors.Methods We analyzed 11,795 workers (51,867 observations) from the Korea Health Panel Study (2009–2018). Employment types were categorized as regular, fixed-term, or daily, based on the duration of labor contract. The outcomes were current smoking status and changes in smoking behavior (initiation or cessation) in the following year. Generalized estimating equations were used to estimate odds ratio (OR) and 95% confidence interval (CI).Results The proportions of fixed-term and daily workers were 41.2% and 16.4% for women and 23.6% and 12.4% for men, respectively. Temporary employment was associated with increased odds of current smoking, while also demonstrating prospective associations with changes in smoking behaviors. For instance, in prospective analyses, male workers with fixed-term and daily employments were associated with a decreased likelihood of smoking cessation (OR:0.77; 95% CI:0.65–0.91 for fixed-term employment and OR:0.66; 95% CI:0.52–0.83 for daily employment) in the following year compared to those with regular employment. Moreover, those experiencing consecutive temporary employment was most inversely associated with smoking cessation in both men (OR:0.56; 95% CI:0.44–0.71) and women (OR:0.37; 95% CI:0.16–0.85) compared to those experiencing consecutive regular employment. However, no clear association between temporary employment and smoking initiation was observed in both men and women.Conclusions Temporary employment is directly associated with current smoking and inversely associated with smoking cessation. Policies are needed to improve job insecurity among temporary employees.
•This study examines the association of patterns of precarious employment with self-rated health among US workers.•Latent class analysis identifies four distinct classes of precarious employment ...experienced by workers.•Logistic regression analysis shows that there are differences in perceived health across precarious employment classes.
Although the prevalence of precarious employment has been on the rise due to structural changes in the global labor market, there is still lack of a clear understanding of whether precarious employment is a social determinant of health. Data from the 2006–2010–2014 General Social Survey (N=5,411) were used to examine the relationships between patterns of precarious employment and perceived health among US workers. Based on a multidimensional construct of precarious employment, latent class analysis identified four differential patterns of precarious employment experienced by workers: (1) the most precarious group, (2) low precarious with middle income group, (3) low precarious with high income group, and (4) mixed precarious group. I then conducted a multinomial logistic regression and found that socio-demographic characteristics, such as gender, race/ethnicity, and education, were significantly associated with precarious employment class membership. Finally, a logistic regression analysis showed that there were significant differences in perceived health status across precarious employment classes, controlling for individual background characteristics. Study findings highlight the heterogeneity and various patterns of precarious employment experiences and indicate a need for the use of a multidimensional construct of employment precariousness in determining its health impact on the working population.
Objective
The aim of this article was to examine the relationship between precarious employment (PE), welfare states (WS) and mental health in Europe from a gender perspective.
Methods
Data were ...derived from the European Working Conditions Survey 2015. PE was measured through the Employment Precariousness Scale for Europe (EPRES-E), validated for comparative research in 22 European countries, and categorized into quartiles. Countries were classified into Continental, Anglo-Saxon, Scandinavian, Southern and Central-Eastern WS. Mental health was assessed through the WHO-5 Well-Being Index and dichotomized into poor and good mental health. In a sample of 22,555 formal employees, we performed gender-stratified multi-level logistic regression models.
Results
Results showed greater prevalences of PE and poor mental health among women. However, the association between them was stronger among men. Cross-country differences were observed in multi-level regressions, but the interaction effect of WS was only significant among women. More precisely, Central-Eastern WS enhanced the likelihood of poor mental health among women in high precarious employment situations (quartiles 3 and 4).
Conclusions
These findings suggest the interaction between contextual and individual factors in the production of mental health inequalities, both within and across countries. They also call for the incorporation of gender-sensitive welfare policies if equitable and healthy labor markets are to be achieved in Europe.
Precarious and insecure employment arrangements are important social determinants of health. Prior evidence has consistently found perceived job insecurity to be associated with poorer mental health. ...Nonetheless, several key under-researched areas remain in the existing evidence base. This study addresses some of these gaps by examining trajectories of job (in)security and assessing the effect of various persistent job security trajectories on subsequent mental health of both men and women. Utilising 15 waves of data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey, we employed group-based trajectory modelling (GBTM) to identify trajectories of job (in)security through men and women's prime working years (from baseline age of 28–38yrs to 41–51yrs) across 14 years (waves 5–18), before subsequently examining the associations between these estimated trajectories and mental health at wave 19 (aged 42–52yrs). We identified four distinct trajectories of job (in)security for both men and women: persistently secure, becoming more secure, becoming less secure, and persistently insecure. Examining the association between these trajectories and mental health, we found that chronic exposure to any amount of persistent job insecurity (improving, worsening or persistently insecure) is detrimental to the mental health of both men and women. Furthermore, a somewhat incremental or dose dependant effect was found, with persistent job insecurity associated with the largest declines in mental health scores. Given mental health disorders are a substantial cause of disability globally, our study provides evidence that developing policy and practice interventions to reduce job insecurity (as an increasingly recognised and highly modifiable social determinant of mental health) has considerable potential to enact positive population health improvements.
•Secure employment is an important social determinant of health.•We identified trajectories of job (in)security for men and women over 14 years.•Exposure to any amount of persistent job insecurity detrimental to future mental health.•Australian men and women similarly negatively impacted.•Reducing job insecurity has potential to enact positive population health gains.