vives, jeph, 2013

Hindawi Publishing Corporation Journal of Environmental and Public Health V olume 2013, Article ID 978656, 10 pages http://dx.doi.org/10.1155/2013/978656 Research Article Emplo yment Pre cariousness and Poor Men tal Hea lth: Eviden ce fro m Spain o n a New Soc ial Determinant o f He alt h Alejandra Vives, 1,2,3 Marc elo Amable , 2,4,5 Montserrat Ferrer , 6, 7 Salvad or Monc ada, 8 Clara Llorens, 5, 8 Carles Muntaner , 2, 9 Fernando G. Benavides, 3, 7 and Joan Benach 2, 7 1 Departament o de Salud Pública, Facultad de Medicina, Ponti�cia Universidad Católica de Chile, 8330073 Santiago , Chile 2 Health Inequalities Research Group, Employment Conditions Knowledge Network (GREDS-EMCONET), Department of Political and Social Sciences, Universi tat Pompeu Fabra, 08005 Barcelona, Spain 3 Center for Research in Occupation al Health (CISAL), Department of Experimental and Health Sciences, Universitat Pompeu Fabra, 08003 Barcelona, Spain 4 Departament o de Ciencias Ambientales, Univer sidad Nacional de A vellaneda, B1870BWH Ciudad de Avellaneda, Argenti na 5 Department of Sociology, Faculty of Political Science and Sociology, Universitat Autòn oma de Barcelon a (UAB), 08193 Bellaterr a, Barcelo na, Spain 6 Unit at de Recerca en Servei s Sanitaris, Institut Municipal d’In vestigació Mèdica, 08003 Barcelo na, Spain 7 CIBER Epidemiología y Salud Pública (CIBERESP), Spain 8 Union Institute of Work Environment and Health (ISTAS), 08003 Barcelona, Spain 9 Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada M5T 1P8 Correspondenc e should be addressed to Alejandra V ives; [email protected] Received 10 August 2012; Accepted 24 December 2012 Academic Editor: Michael Quinlan Copy right © 2013 Ale jandr a V ives et al . is is an openaccess artic le distr ibut ed underthe Crea tive Commons At tribu tion Licen se, which permits unrestricted use, distribution, and reproductio n in any medium, provided the original work is properly cited. Background. Evide nce on the healt h-da magin g effects of prec arious emp loyment is limit ed by the use of one-dime nsio nal approaches focused on employment instability. is study assesses the association between precarious employment and poor mental health using the multidimensional Employment Precariousness Scale. Methods. Cross-sectional study of 5679 temporary and perma nent wor kersfrom the pop ulat ion-b ased Psy chos ocial Fact ors Surveywas carrie d out in 2004 -2005in Spain. Poor ment al healt h was dene d as SF-36ment al healt h scor es belo w the 25thpercent ile of the Span ish refe rence for eachrespond ent � s sex and age . Prevalence proportion ratios (PPRs) of poor mental health across quintiles of employment precariousne ss (reference: 1st quintile) were calculated with log-binomial regressions, separately for women and men. Results. Crude PPRs showed a gradient association with poor mental health and remained generally unchanged aer adjustments for age, immigrant status, socioeconomic position, and previous unemployment. Fully adjusted PPRs for the 5th quintile were 2.54 (95% CI: 1.95–3.31) for women and 2.23 (95 % CI: 1.86–2.68) for men. Conclusion. e study nds a gradient association between employment precariousness and poor mental health, which was somewhat stronger among women, suggesting an interaction with gender-related power asymmetries. Further research is needed to strengthen the epidemiological evidence base and to inform labour market policy-making. 1. Introduction Prec ariou s empl oyme nt and unemploy ment, key social deter - minants of health [1], affect numerous workers in developed and developing countries [2], warranting concern among public health researchers. But, while there is solid evidence of the adverse effects of job loss on health [2], and despite the rapid increase of precarious employment over the past three decades, research on its health effects is limited by the lack of an appropriate measuremen t instrument to assess precarious employmen t [3]. Duri ng good par t of the 20t h cen tur y , pr eca riousemplo y- ment in industrialied countries was conned to minority worker subpopulations [4]. Today, it has expanded with the shi undertaken by these countries towards more exible labour arr ang ement s [2, 5, 6] and the res ult ing dec line

vives, jeph, 2013

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