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This article examines the relationship between health and the organization of precarious employment. We develop the concept of "employment strain" to capture the characteristics of precarious employment. Preliminary evidence suggests that workers in precarious employment relationships report poorer overall health than working Canadians and higher levels of stress than workers in standard employment relationships. They face high levels of uncertainty regarding access to work, the terms and conditions of that work, and future earnings. They engage in additional effort searching for work and balancing the demands of multiple employers. They have low earnings, few benefits, and reside in low income households.