Occupational Gradients in Work-Related Insecurity and Health: Interrogating the Links.

This study investigates patterns of exposure to work-related insecurity across the occupational hierarchy and whether these contribute to occupational gradients in health outcomes. Drawing on data from a national panel survey of the Canadian workforce, a multilevel growth curve modeling approach is used to examine the relationship between work-insecurity exposures and workers' self-rated health trajectories over 5 years. Findings show that work-related insecurity is associated with declines in self-rated health, although the type of insecurity as well as the magnitude, direction, and duration of the effect varies by occupational status-position. The application of pseudo-R2 tests confirmed this study's central hypothesis that gradients in health outcomes across occupational hierarchies are due, in part, to differences in exposure to work-related insecurity. Going forward, the development of effective health promotion interventions that can modify work-related health gradients, must work toward mitigating the risk of exposure to adverse work circumstances that is systemic to occupational hierarchies. PMID: 30839248 [PubMed - as supplied by publisher]
Source: International Journal of Health Services - Category: Health Management Tags: Int J Health Serv Source Type: research