The health consequences of informal employment among female workers and their children: a systematic review

Globalization and Health

Review

Pilar Vidaurre-Teixidó¹  Amanda Emma Aronsson¹  Solvor Solhaug²  Magnus Rom Jensen²  Courtney McNamara³ 

[1] Centre for Global Health Inequalities Research (CHAIN), Department of Sociology and Political Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;Library Section for Research Support, Data and Analysis, University Library, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;Library Section for Research Support, Data and Analysis, University Library, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK;

关键词: Informal employment;    Health inequalities;    Women’s and children’s health;    Systematic review;   

DOI  :  10.1186/s12992-023-00958-1

 received in 2023-04-13, accepted in 2023-07-31,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundInformal employment is unprotected and unregistered and it is often characterized by precarious working arrangements. Although being a global phenomenon and the most common type of employment worldwide, scholarly attention to its health effects has only recently accelerated. While there is still some debate, informal employment is generally understood to be detrimental to workers’ health. However, because women are more vulnerable to informality than men, attention is required to the health consequences of female workers specifically. We conducted a systematic review with the objective to examine the global evidence on the consequences of informal employment, compared to formal employment, on the health of female workers and their children.MethodsWe searched peer-reviewed literature in Embase, Medline, PsychInfo, Scopus and Web of Science up until November 11, 2022. No restrictions were applied in terms of year, language or country. Individual-level quantitative studies that compared women of reproductive age in informal and formal employment, or their children (≤ 5 years), were eligible for inclusion. If studies reported outcomes per subgroup level, these were included. Study quality was assessed using the Joanna Briggs Institute checklist and a narrative synthesis of the results were conducted.Results13 articles were included in the review, looking at breastfeeding outcomes (n = 4), child nutritional status and low birthweight (n = 4), antenatal health (n = 3), and general health outcomes for women (n = 2). The overall evidence from the included studies was that compared to formal employment, there was an association between informal employment and worse health outcomes, especially on child nutritional status and antenatal health. The evidence for breastfeeding outcomes was mixed and showed that informal employment may be both protective and damaging to health.ConclusionThis review showed that informal employment is a potential risk factor for health among female workers and their children. Further research on the pathways between informal employment and health is needed to strengthen the understanding of the health consequences of informal employment.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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