Initiatives Addressing Precarious Employment and Its Effects on Workers’ Health and Well-Being: A Systematic Review

International Journal of Environmental Research and Public Health

Sherry Baron¹  Emilia F. Vignola²  Emily Q. Ahonen³  Carles Muntaner⁴  Patricia O’Campo⁵  Bertina Kreshpaj⁶  Maria Albin⁶  Nuria Matilla-Santander⁶  Carin Håkansta⁶  Cecilia Orellana⁶  Theo Bodin⁶  Virginia Gunn⁶  Christer Hogstedt⁶  David H. Wegman⁷ 

[1] Barry Commoner Center for Health and the Environment, Queens College, City University of New York, New York, NY 11367, USA;Department of Community Health and Social Sciences, Graduate School of Public Health and Health Policy, City University of New York, New York, NY 10025, USA;Division of Occupational and Environmental Health, Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA;Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, St. George Campus, Toronto, ON M5T 1P8, Canada;MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Michael’s Hospital, Unity Health Toronto, Toronto, ON M5B 1W8, Canada;Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, 11365 Stockholm, Sweden;University of Massachusetts Lowell, Lowell, MA 01854, USA;

关键词: employment conditions;    evaluation;    health equity;    implementation;    informal employment;    intervention;   

DOI  :  10.3390/ijerph19042232

来源: DOAJ

【 摘 要 】

The prevalence of precarious employment has increased in recent decades and aspects such as employment insecurity and income inadequacy have intensified during the COVID-19 pandemic. The purpose of this systematic review was to identify, appraise, and synthesise existing evidence pertaining to implemented initiatives addressing precarious employment that have evaluated and reported health and well-being outcomes. We used the PRISMA framework to guide this review and identified 11 relevant initiatives through searches in PubMed, Scopus, Web of Science, and three sources of grey literature. We found very few evaluated interventions addressing precarious employment and its impact on the health and well-being of workers globally. Ten out of 11 initiatives were not purposefully designed to address precarious employment in general, nor specific dimensions of it. Seven out of 11 initiatives evaluated outcomes related to the occupational health and safety of precariously employed workers and six out of 11 evaluated worker health and well-being outcomes. Most initiatives showed the potential to improve the health of workers, although the evaluation component was often described with less detail than the initiative itself. Given the heterogeneity of the 11 initiatives regarding study design, sample size, implementation, evaluation, economic and political contexts, and target population, we found insufficient evidence to compare outcomes across types of initiatives, generalize findings, or make specific recommendations for the adoption of initiatives.

【 授权许可】

Unknown