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This paper explores the impact of precarious employment relationships on health outcomes. It uses a novel framework, “Employment Strain” to describe the characteristics of different employment relationships and how they impact health outcomes. It uses interview data and comments provided on a survey to explore these issues. The paper begins by exploring if the health effects reported by mid-career individuals in precarious employment are different from those of younger and older workers. Finding limited evidence to support this hypothesis, the paper goes on to explore in detail the conditions under which precarious employment does increase stress and tension and impact health outcomes. It concludes that a combination of an individual's desire for more permanent employment, the expectation that permanent employment will be found, and the support individuals receive from various sources are critical to understanding the health effects of precarious employment.
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I) Objective: The study aimed to explore the health effects of precarious employment relationships in Ontario, and understand how various forms of support shape health. II) Methods: Three measures make up our "Employment Strain" model: employment relationship uncertainty; employment relationship effort; and, employment relationship support. This new framework was used to measure the characteristics of precarious employment and their effect on health using data from a structured, self-administered, population-based survey completed by 3,244 workers, and 82 semi-structured interviews using a stratified sampling technique to select participants. III) Results: Precarious employment has negative health consequences for many workers. However, the relationship between precarious employment and health is complex, whereby the characteristics of the employment relationship and levels of support determine health outcomes. Using the "Employment Strain" framework, we found that workers exposed to High Employment Strain - workers with high levels of employment relationship uncertainty and high levels of employment relationship effort - have poorer health. Importantly, support does shapes health and can help to buffer the health risks associated with precarious employment.
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This article reports a new conceptual approach to measuring the characteristics of precarious employment and their effect on health. Our starting point is the Karasek 'job strain' model. We argue that 'job strain' focuses on the health effects of work once people are employed. It is less effective in capturing the health effects associated with the employment relationship, the process by which workers acquire work, keep work and negotiate its terms and conditions. We develop a new construct, 'employment strain' to measure these aspects of work organisation. Evidence presented indicates employment strain is associated with poorer health outcomes.
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This interdisciplinary volume offers a powerful critique of how social structures and relations as well as ideologies shape workplaces, labour markets, and households in contemporary Canada. Contributors dissect recent transformations in work and expose the uncertainty, insecurity, and instability that increasingly characterize both paid and unpaid work. Using a progressive approach to political economy, contributors propose alternative policies and practices that might secure more decent livelihoods for workers and their families. Contributors include Hugh Armstrong (Carleton), Pat Armstrong (York), Wallace Clement (Carleton), June Corman (Brock), Gillian Creese (British Columbia), Alice de Wolff (Independent Researcher), Ann Duffy (Brock), Andy King (United Steelworkers of America), Kate Laxer (York), Belinda Leach (Guelph), Wayne Lewchuk (McMaster), David W. Livingstone (OISE), Meg Luxton (York), Norene Pupo (York), Antonie Scholtz (OISE), Vivian Shalla (Guelph), Janet Siltanen (Carleton), Leah F. Vosko (York), Rosemary Warskett (Carleton), and Charlotte Yates (McMaster).
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