Poor Employment Conditions Research Articles

Precarious employment expectancy by history of mental-health-related sickness absence in Finland

Abstract Background Poor mental health may lead to labour market insecurity including precarious employment and vice versa. Less is known of how mental health is associated with cumulative engagement in precarious employment over the working career. We examined how the working career is expected to be distributed into precarious and other types of employment by history of mental-health-related sickness absence. Methods We used a register-based 70% population sample to examine wage-earners living in Finland in 2018. Applying the Sullivan method, we calculated the expectancy of precarious and non-precarious employment between age 25 and 63 (N = 1268666) based on a novel measure (score with items on temporariness, agency employment, multijob holding, underemployment and income level) and limited employment (due to which precariousness could not be assessed) among those with and without compensated (granted after 10 weekdays) sickness absence due to mental disorders in the past five years (mental SA history). Results Precarious employment expectancy was higher among those with than among those without a mental SA history (2.5 vs. 1.5 among men and 3.5 vs. 2.8 years among women). The difference in the limited employment expectancy was in the same direction, but much larger among men (6.5 vs. 3.3 among men and 4.4 vs. 3.4 years among women). Men with a mental SA history were expected to spend almost a fourth of their working career with either precarious or limited employment, whereas for men without such a history the number was 13%. Conclusions Individuals with mental disorders have notable accumulation of precarious employment over the working career. They also spend excessive time with limited employment, which may have similar elements as precarious employment and reflect broader labour market insecurity. Attempts should be made to ensure that insecure employment conditions among people with mental health problems do not further deteriorate their health and work ability. Key messages • People with mental disorders spend a disproportionate part of their working career either precariously employed or facing other insecurities in the labour market. • Interventions aiming to promote health and work ability should take into account the interplay between poor mental health and poor employment conditions.

Perceived discrimination and mental health among female migrant domestic workers in Hong Kong: A sequential explanatory mixed-methods study.

Female migrant domestic workers (MDW), often unemployed in their home country, are household workers that migrate abroad for better wages. Although poor employment conditions have shown detrimental effects on MDWs health, the mental health effect of perceived discrimination remains understudied among MDWs. This mixed-methods study seeks to (a) assess the association between perceived discrimination and mental health among female MDWs and (b) explore in-depth the common ways MDWs experience discrimination. A cross-sectional self-administered survey (n = 1965) was conducted among Filipino and Indonesian MDWs from August 2020 to August 2021 in Hong Kong. A multivariable logistic regression model, controlling for background characteristics, assessed associations between perceived discrimination with anxiety and depression. Qualitative semistructured interviews were then conducted (n = 20) to provide in-depth information about perceived discrimination. Thematic analysis was used to identify the contexts and types of discrimination experienced. Among survey respondents, 60.4% reported ever experiencing discrimination, and 10.5% reported often/always feeling discriminated against. Of MDWs, 18.1% and 31.5% were classified with anxiety and depression, respectively. MDWs reporting higher frequency of discrimination were at increased risk of anxiety (ORadj: 2.30-6.60) and depression (ORadj: 2.06-5.91). In-depth interviews revealed that perceived discrimination inside the workplace (from overwork, lack of autonomy, and employer-imposed restrictions) and outside the workplace (from MDW policies) had strong effects on MDWs' mental health. Increased availability to mental health services should be considered. To improve MDW mental health, policymakers may also regulate maximum weekly working hours and ensure minimum standards for living environments. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Higher anxiety level and associated work-related factors of delivery workers in South Korea: from the 6th Korean working conditions survey.

This study investigates anxiety risk and work-related factors among platform workers. The recent growth in the platform industry is a worldwide trend, with delivery workers in Korea representing typical platform workers. This cross-sectional study used the 6th Korean Working Conditions Survey to assess anxiety risk among 532 delivery workers compared to general employees. It identified associations between work-related factors and anxiety, including job demands and autonomy, legal protection, and emotional labor. Delivery workers exhibited significantly higher anxiety (odds ratio [OR] = 1.67 95% confidence interval [CI] = 1.23-2.28) and work-related anxiety (OR = 2.17 95% CI = 1.48-3.18) risk than the general workforce, and a significantly higher risk of having unfavorable work environment factors. Their anxiety risk was significantly associated with work-related factors, such as long shifts, quick return, time pressure, job stress, absence of union, work-family conflict, and emotional labor. This study identified high levels of anxiety among Korean delivery workers and associated occupational factors. It highlights the importance for industry and government interventions to enhance mental health support, mitigate poor employment conditions, and ensure legal safeguards.

‘They treat us like machines’: migrant workers’ conceptual framework of labour exploitation for health research and policy

BackgroundThe exploitation of migrant workers ranks high on global political agendas including the Sustainable Development Goals. Research on exploited workers, using assessment tools where exploitation is defined by professional experts,...

Employment conditions and mental health of overseas female migrant domestic workers in Hong Kong: a parallel mediation analysis

BackgroundFemale migrant domestic workers (MDW), approximately 8.5 million globally, often live in their employer’s home under vulnerable conditions. In Hong Kong, MDWs currently comprise 5% of the population. This study was conducted to assess the association between employment conditions and mental health, and the mediating roles stress and job satisfaction have, among female MDWs in Hong Kong.MethodsParticipants completed an online cross-sectional survey. A total of 1,965 survey were collected between August 2020 and August 2021. Questions in the survey were related to MDWs background information, employment conditions, stress, job satisfaction, and two mental health outcomes: anxiety and depression. An employment conditions score was created to assess the cumulative effect poor employment conditions had on mental health. A multicategorical parallel mediation analysis was used to assess the direct effect employment conditions have on mental health and the indirect effects through stress and job satisfaction.ResultsOverall, 17.7% of MDWs were reported to be suffering from anxiety and 30.8% from depression. An increase in poor employment conditions was statistically associated with an increase in both outcomes, while stress levels and job satisfaction mediated this association.ConclusionsThe findings call for increased scrutiny of employment conditions and mental well-being of MDWs.

Working conditions of the kinesiologists working in the Atacama region in the context of the COVID-19 pandemic

Introduction: The social-health crisis generated by the COVID-19 pandemic highlights the importance of attending to the working conditions of health personnel in order to provide for risks at work. Kinesiologists had a frontline role during the pandemic which led to the modification of their activities and at the same time increased hiring of these professionals in health care services. Objective: To understand the working conditions of kinesiologists working in the Atacama region, in northern Chile, during the COVID-19 pandemic. Method: The qualitative study is based on the naturalistic paradigm, the tendency used is the grounded theory with a systematic design of Strauss and Corbin J. With two levels of open and axial analysis. Twenty semi-structured interviews were carried out with kinesiologists, ten women and ten men. Results: The analysis allowed establishing eight predominant categories: poor working conditions, poor employment conditions, attitudes and feelings, professionalism, facilitators of working conditions, relevance of the professional role, good employment conditions and lack of knowledge of concepts of employment and working conditions. Conclusion: The working conditions of kinesiologists are deficient, the informal contractual situation stands out and without access to social security, constituting an element of precarious employment and exposure to psychosocial risks as predominant elements of working conditions that are important to address to ensure the safety and quality of care services through the professionals who provide care

Psychosocial Occupational Health-A Priority for Middle-Income Countries?

In response to new developments of work and employment in high-income countries (HICs), psychosocial aspects of work and health have received increased attention. In contrast, middle-income countries (MICs) are mainly concerned with severe challenges of noxious- and dangerous-material work environments, poor employment conditions, and deficient social policies, which leaves the psychosocial aspects with a marginal role, at best, in occupational health. More recently, differences between these two worlds were even aggravated by the COVID-19 pandemic. Yet, with economic globalisation and the growing worldwide interconnectivity, the world of work in MICs is being rapidly transformed, starting to share several concerns with the modern Western societies. In this process, psychosocial occupational health will become an increasingly pressing issue. This contribution explores the extent to which psychosocial aspects of work and health are already addressed in research originating from MICs. Using a narrative review approach, a selective focus on recent findings from two regions, Asia Pacific and Latin America, revealed an increasing interest in work stress-related problems, but a restricted impact of the respective research findings. It is hoped that future scientific developments in MICs will enrich the international state of the art in this field.

Awareness of racial/ethnic inequities in time to treatment among breast cancer providers.

584 Background: Cancer patients who self-identify as Black and Latinx are more likely to receive delays in care compared with Non-Latinx White patients. Research suggests that while providers are aware of racial/ethnic inequities in access to treatment at a national-level, they fail to recognize these differences at the hospital- or individual-level. This phenomenon is not well understood and has yet to be studied among oncologists. We sought to evaluate awareness of national and local time-to-treatment inequities in breast cancer providers. Methods: We conducted an educational intervention at the Smilow Cancer Hospital, the clinical arm of the Yale Cancer Center, in February 2023. Breast cancer providers (including breast surgeons, medical oncologists, radiation oncologists, breast radiologists, and advanced practice nurses) completed an online survey that assessed their understanding of treatment inequities at three levels (national, hospital, and individual) before and after they watched a 20-minute live presentation. The presentation included real-world national and breast-team specific data on differences in time-to-treatment metrics by race/ethnicity from the Flatiron electronic health record-derived de-identified database. Differences between surveys were evaluated with Fisher’s exact tests. Results: Among 18 providers, most were female (78%), Non-Latinx White (83%), had an average of 15 years of experience (SD=10), and half reported at least 10-25% of the patients they care for were non-White. Awareness of race/ethnicity as a factor in influencing differences in oncological care increased significantly (33% to 77 %, p = 0.02) pre-to-post intervention at the hospital-level but did not significantly change at the national- (78% to 83%, p > 0.05) or individual- (17% to 28%, p > 0.05) level. Providers identified adverse social determinants of health, such as housing insecurity, poor employment conditions, and food insecurity, as the main cause of inequities both nationally and within their disease team. On average, at the post-survey, most providers agreed that patient factors (62%) rather than provider factors (30%) were driving differences in oncological care metrics. However, they reported that larger systems, such as healthcare agencies, government, and providers (all 89%), rather than patients, were responsible for reducing these inequities. Conclusions: In this pilot study, a brief educational intervention increased awareness of local hospital-level factors, but not national- and individual-level factors, associated with racial/ethnic inequities in time to cancer treatment. As the oncology field continues to address inequities in care, it is crucial for providers to not only acknowledge the existence of these inequities but also to establish successful interventions to reduce these inequities within their own disease team.

A Toxic Combination: Performance, Temporariness, and Struggling for Success in Early Working Life

This article examines some of the conditions that can explain the rise in young workers’ mental health and well-being problems in early work life. Based on 30 qualitative interviews with Danish workers under 30, who all had experienced different kinds of mental health and well-being problems in early work life, it shows how poor working environment and employment conditions often are triggering factors for young workers’ mental health and well-being problems. Mental health and well-being in early work life seem to be linked to the conditions through which young workers’ cultivate themselves as valuable working subjects in a time where work is a crucial arena for self-formation and self-realization. It is concluded that the combination of performance-oriented workplace cultures, temporary employment, and young workers’ aiming to achieve success in their work life, is a toxic combination for mental health and well-being.

Water-constrained green development framework based on economically-allocable water resources

Water as a main driver for sustainable development (SD) should be optimally allocated to different users to support economic, social, and environmental functions. Traditional approaches are not able to account for all the mentioned functions simultaneously, therefore a change in the allocation approaches is necessary. This paper proposes a new framework for inter-sectoral water allocation called “water-constrained green development” (WCGD) to better meet the SD goals. The framework optimally allocates economically-allocable water (EAW), which is the total available water resources left after subtracting the amount of water required for drinking, sanitation, and environment (DSE), to different job classes. It was tested in Sistan Region- a low-developed area in southeast of Iran- which stands on agriculture. In the recent years, because of water crisis, intensity of dust problem, lack of sustained occupation, and immigration, the region’s rate of population growth has been negative. Also, due to decrease of Helmand River inflow, Hamoun wetland, being the major source of food and shelter for the Sistan’s residents, has been degraded. Therefore, Sistan Region needs to take a new development route. The shares of occupation and gross domestic product (GDP) in the agricultural sector of Sistan are respectively 29.1 and 14.8%, whereas they are on average 1 and 7% in Iran. Application of the proposed framework in Sistan Region under three scenarios of available EAW resources showed that the optimal reallocation of water among 15 job classes can improve job availability and GDP of the region currently suffering from poor economy and employment conditions. Based on the optimal job pattern obtained, the share of GDP of Sistan’s agricultural sector drops to 7.1% while the shares of industrial and service sectors increase respectively from 9.7 and 75.4% to 13.7 and 79.2%, which are close to those of the country averages. Also, under the WCGD-based optimal solution, 68, 14, and 18% of people will respectively be employed in service, industry, and agriculture sectors. Additionally, the total available jobs and GDP will increase by 8.9 and 51.1%, respectively, leading to improved socio-economic well-being of the region’s people and protection of its environmental resources.

Industrial Relations, Social Dialogue and Pacification of Public Sector Unions in Zambia: Rethinking Trade Union Strategies

This article analyses the incorporation of social dialogue in industrial relations and its role in pacifying public sector unions in Zambia. A sample of 19 managers of public institutions and union leaders in Lusaka participated in the research. The research reveals that social dialogue is used to pacify trade unions as governments implement structural adjustment policies, which bring about poor employment conditions. Although the unions have responded to pacification by diversifying and servicing their membership, they are still weak. This finding is significant because it helps us to understand why unions in Southern Africa are weak in the post-independence era.

Intervention hesitancy among healthcare personnel: conceptualizing beyond vaccine hesitancy.

We propose an emerging conceptualization of “intervention hesitancy” to address a broad spectrum of hesitancy to disease prevention interventions among healthcare personnel (HCP) beyond vaccine hesitancy. To demonstrate this concept and its analytical benefits, we used a qualitative case-study methodology, identifying a “spectrum” of disease prevention interventions based on (1) the intervention’s effectiveness, (2) how the intervention is regulated among HCP in the Israeli healthcare system, and (3) uptake among HCP in the Israeli healthcare system. Our cases ultimately contribute to a more nuanced conceptualization of hesitancy that HCP express towards disease prevention interventions. Our case interventions included the seasonal influenza vaccine, the Mantoux test, and the hepatitis B (HBV) vaccine. Influenza and HBV are vaccine-preventable diseases, though their respective vaccines vary significantly in effectiveness and uptake among HCP. The Mantoux test is a tuberculin skin test which provides a prevention benchmark for tuberculosis (TB), a non-vaccine preventable disease. We conducted semi-structured interviews with relevant stakeholders and analyzed them within Israeli and international policy context between 2016 and 2019, a period just prior to the COVID-19 pandemic. We propose the conceptualization of “intervention hesitancy”—beyond “vaccine hesitancy”—as “hesitancy towards a wide range of public health interventions, including but not limited to vaccines”. Results suggested that intervention hesitancy among HCP is rooted in weak trust in their employer, poor employment conditions, as well as mixed institutional guidelines and culture. Conceptualizing intervention hesitancy expands the ability of healthcare systems to understand the root of hesitancy and foster a supportive institutional culture and trust, cognizant of diverse disease prevention interventions beyond vaccination.

Processes and structures in intergenerational programs: a comparison across different types of programs.

Given the widely acknowledged benefits of intergenerational programs (IGPs), we compared processes and structures across different IGP types and explored potential areas for improvement. Thirteen IGPs were classified into three types: arts, learning, and assistance programs. Data were collected through direct structured interviews and analyzed quantitatively and qualitatively. Participants were recruited from community-based IGPs in the greater Tel Aviv area of Israel. Eighty-four older participants (OPs), 97 younger participants (YPs), and 21 organizers were interviewed. Questions included participant demographics as well as closed- and open-ended questions regarding processes based on the Impact of Intergenerational Programs Questionnaire (IIPQ). Responses to closed-ended questions were compared among IGP types and age groups using two-way ANOVAs for ordinal data, and chi-squares for nominal data. Responses to open-ended questions by OP, YP, and program organizers about potential areas for improvement were analyzed using thematic analysis. Processes in need of improvement were preparation and guidance, length of program participation, and monitoring of activities, which differed across IGP types and age groups. These processes were related to broader structural problems such as lack of resources, organizers' poor employment conditions, and inadequate public services for older persons in Israel. Our study highlights the complex relationships between IGP types, processes, and structures. IGP processes and goals can be hindered by structural variables such as insufficient funding, infrastructure, and public services for older adults.

A matter of fragmentation? Challenges for collective bargaining and employment conditions in the Spanish long-term care sector

The long-term care system in Spain has been characterised by decentralisation, marketisation, fiscal austerity and its reliance on informal family care and cheap migrant labour. Focusing on home-help services, this article addresses the extent to which the sector’s multi-level system of collective bargaining can be characterised as fragmented and whether this has had a negative effect on employment conditions. The research involved an analysis of the legal and collective bargaining framework, expert interviews and employee focus groups. We argue that the precedence given to sectoral agreements within public procurement processes is one main factor preventing a move towards ‘disorganised decentralisation’ in the aftermath of the 2012 labour market reform. Moderate decentralisation has favoured heterogeneity in pay and working conditions at regional and provincial levels. However, these mid-level collective agreements have improved standards with respect to the national collective agreement, and there has been a minor increase in the number of company-level collective agreements since the reform. The limited professionalisation, the lack of recognition of skills and effort in occupational classifications, and the organisation of working time emerge as key contributors to the sector’s poor employment conditions.

“I Wanted to Give Back to the Profession:” Preservice Teacher Supervision as Service Work

ABSTRACT For decades, university supervisors of preservice teachers (PSTs) have been undervalued and ignored. Following neoliberal reforms, post-secondary institutions have outsourced PST supervision to contingent faculty, failed to provide professional development for supervisors, offered poor employment conditions, and overlooked PST supervision in tenure and promotion decisions. These actions, combined with the service orientation of teacher education, have framed PST supervision as service work. This case study sought to understand how supervisors and administrators in one teacher education department positioned supervisors’ work as service and the influence of the institution and department on that positioning. Using a survey, interviews, and document analysis, this study found that supervisors positioned their work as professional, financial, and emotional service. In turn, the institution and teacher education department positioned supervisors’ work as service by providing minimal compensation and no institutional rewards and expecting supervisors to enact roles that were not officially required of them. The study’s implications are that teacher educators and higher education administrators should strive to recruit and retain a professional corps of supervisors, provide ongoing professional development to supervisors to assist in the professionalization of the role, and resist notions of supervision as service.

Investigation into Labor Market Segmentation in the Construction Industry: A Case Study of Denizli City

Bu çalışmanın amacı, tabakalı işgücü piyasası kuramının ortaya attığı; “iyi iş” – “kötü iş” ayrımını inşaat sektörü özelinde değerlendirip, kuramın geçerliliğini Türkiye örneği ile ortaya koymaktır. Çalışmada nitel ve nicel araştırma yöntemleri bir arada kullanılmıştır. Nitel araştırma kapsamında Denizli ilinde, inşaat sektöründe faaliyet gösteren, iki ayrı inşaat firmasında çalışan 16 kişi ile derinlemesine mülakat yapılmıştır. Nicel araştırma kapsamında ise; Türkiye İstatistik Kurumu 2016 yılı Hane Halkı İşgücü Anketi Mikro Veri Setinden yararlanılmıştır. Araştırmanın nicel bulgularına göre; Türkiye’de inşaat sektöründe çalışanların %95,9’u kötü işte çalışmaktadır. Araştırmanın nitel bulgularına göre ise iyi iş; yüksek ücretli, fiziki güç gerektirmeyen, sosyal etkinliklerin, çalışanına değer veren işverenlerin, sorumluluğun ve saygınlığın olduğu, kişinin kendisini geliştirebildiği, sosyal ihtiyaçlarının karşılanabildiği ve işyerinde aidiyet hissinin yaratılabildiği iştir. Kötü iş ise; düşük ücretli, fiziki güç gerektiren, kayıt dışı çalışmanın, mobbingin ve fazla mesainin söz konusu olduğu, çalışma koşullarının ve çalışanların görev tanımlarının belirgin olmadığı, çalışanların sorunlarını ifade edemediği ve meslek hastalığı riski ile karşılaşabildiği iştir.

A Care-Led Recovery From Covid-19: Investing in High-Quality Care to Stimulate And Rebalance The Economy

The COVID-19 pandemic has both devastated employment prospects, particularly of women, and exposed the longstanding neglect of care systems and poor employment conditions of care workers. Most recovery programs propose to stimulate employment by focusing on investment in construction, ignoring gender equality issues. This paper argues for public investment in high-quality care services and better conditions for care workers to build a more gender-equal caring economy. Using input–output analysis, across selected European Union countries and the United States, the study shows a care-led recovery has superior employment outcomes to investment in construction, even when wages and hours are matched. In particular, matching employment and wages in care to the high levels of Scandinavian countries would raise employment rates by more than 5 percentage points and halve most gender employment gaps, while the net cost of investment in construction that achieved as much would generally be at least twice as high. HIGHLIGHTS Public investment in high-quality care is vital to building a more gender-equal economy. Recovery from COVID-19 requires investment in social, not just physical, infrastructure. A care-led, rather than construction-led, recovery program creates more jobs and reduces gender inequality. More jobs would be created even when employment conditions for care workers are improved. A more caring economy, employing more people in care jobs, is also a greener economy.

The adoption of sustainable development indicators in agricultural practices in the Gharb region (Morocco)

Many studies were carried out in Morocco to show that the dynamics of the market gardening is characterized by frequent use and often uncontrolled use of chemical inputs to the detriment of the preservation of natural resources, the health of consumers and the producers themselves. This reality, calls for appropriate structural actions, based on the levels of sustainability of the sector. The IDEA method (Farm Sustainability Indicators) is one way of giving practical expression to the concept of sustainable farms. Based on 40 sustainability indicators covering the three dimensions of sustainability: agro-ecological, socio- territorial, and economic. Using the IDEA method, we conducted this research with a view to analyze the sustainability of market gardening exploitations in three rural communities: Mnasra, Sidi Mohamed Benmansour, and Benmansour. We conducted questionnaire interviews with 180 producers. The results obtained have generally shown that the market gardening farms in this region have low sustainability scores. The sustainability of farms is lowest on the socio-territorial scale due to the absence of product quality approaches, poor human development, and poor employment conditions and services. On the economic scale, the low viability stands out. The agro-ecological scale shows higher values due to the good organization of space and diversified systems.

Burden of schistosomiasis‐related mortality in Brazil: epidemiological patterns and spatial–temporal distribution, 2003–2018

To characterise the epidemiological patterns and the spatial-temporal distribution of schistosomiasis-related mortality in Brazil from 2003 to 2018. A national population-based ecological study that used official data from the Mortality Information System. The data included all deaths recorded in Brazil from 2003 to 2018 in which schistosomiasis was mentioned in the death certificate as an underlying or associated cause of death (multiple causes). The municipalities of residence were used as units of geographic analysis, and standardised and smoothed mortality rates (per 100000 inhabitants) were calculated using the local empirical Bayes method. Spatial autocorrelation was evaluated using global and local Moran indexes. To analyse the spatial dependence, the Getis-Ord G and Gi* statistics were used. During the study period, 18421113 deaths were recorded in Brazil. Schistosomiasis was mentioned in 11487 deaths (proportional mortality: 0.06%); for 8141 deaths (70.87%), it was listed as the underlying cause, and for 3346 deaths (29.13%), it was listed as an associated cause. The mean mortality rate was 0.38 deaths/100000 inhabitants. Individuals≥70years of age (RR: 115.34, 95% CI: 68.56-194.03) and residents in the Northeast region (RR: 10.81, 95% CI: 5.95-19.66) presented higher risks related to schistosomiasis. Municipalities with high mortality rates were identified in all regions, and high-risk clusters were found in municipalities located in the Northeast and Southeast regions of the country. Schistosomiasis remains an important cause of death in persistently endemic areas in Brazil, particularly in those with a high prevalence of the disease and a marked parasite load.

The importance of using a multi-dimensional scale to capture the various impacts of precarious employment on health: Results from a national survey of Chilean workers.

Social epidemiologic research in relation to the health impacts of precarious employment has grown markedly during the past decade. While the multidimensional nature of precarious employment has long been acknowledged theoretically, empirical studies have mostly focused on one-dimensional approach only (based either on employment temporariness or perceived job insecurity). This study compares the use of a multidimensional employment precariousness scale (EPRES) with traditional one-dimensional approaches in relation to distinct health outcomes and across various socio-demographic characteristics. We used a subsample of formal salaried workers (n = 3521) from the first Chilean employment and working conditions survey (2009-2010). Multilevel modified Poisson regressions with fixed effects (individuals nested within regions) and survey weights were conducted to estimate the association between general health, mental health and occupational injuries and distinct precarious employment exposures (temporary employment, perceived job insecurity, and the multidimensional EPRES scale). We assessed the presence of effect measure modification according to sex, age, educational level, and occupational class (manual/non-manual). Compared to one-dimensional approaches to precarious employment, the multidimensional EPRES scale captured a larger picture of potential health effects and differences across subgroups of workers. Patterns of effect measure that modification were consistent with the expectations that groups in greater disadvantage (women, older individuals, less educated and manual workers) were more vulnerable to poor employment conditions. Multidimensional measures of precarious employment better capture its association with a breath of health outcomes, being necessary tools for research in order to strengthen the evidence base for policy making in the protection of workers' health.