Cited by 1,354Employment and Welfare StudiesEmployment, Labor, and Gender StudiesPublic Health and Social Inequalities

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Precarious Employment: Understanding an Emerging Social Determinant of Health

Benach, J., Vives, A., Amable, M., Vanroelen, C., Tarafa, G., Muntaner, C.·2014·Annual Review of Public Health

DOI 10.1146/annurev-publhealth-032013-182500

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Abstract

Employment precariousness is a social determinant that affects the health of workers, families, and communities. Its recent popularity has been spearheaded by three main developments: the surge in "flexible employment" and its associated erosion of workers' employment and working conditions since the mid-1970s; the growing interest in social determinants of health, including employment conditions; and the availability of new data and information systems. This article identifies the historical, economic, and political factors that link precarious employment to health and health equity; reviews concepts, models, instruments, and findings on precarious employment and health inequalities; summarizes the strengths and weaknesses of this literature; and highlights substantive and methodological challenges that need to be addressed. We identify two crucial future aims: to provide a compelling research program that expands our understanding of employment precariousness and to develop and evaluate policy programs that effectively put an end to its health-related impacts.

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Authors: Benach, J., Vives, A., Amable, M., Vanroelen, C., Tarafa, G., & Muntaner, C.
Affiliations: Universitat Pompeu Fabra (ES)
Pontificia Universidad Católica de Chile (CL)
Vrije Universiteit Brussel (BE)
ORCID: Benach, J.
Vives, A.
Amable, M.
Vanroelen, C.
Tarafa, G.
Muntaner, C.
Venue: Annual Review of Public Health
Publisher: Annual Reviews
Published: 2014-03-18
Volume: 35
Issue: 1
Pages: 229-253
ISSN: 0163-7525 (ISSN-L)
1545-2093
DOI: 10.1146/annurev-publhealth-032013-182500
OpenAlex: W2110313855
Cited by: 1,354
References: 0
Citations by year: 2026: 126 · 2025: 88 · 2024: 117 · 2023: 219 · 2022: 160 · 2021: 160 · 2020: 125 · 2019: 120 · 2018: 67 · 2017: 86 · 2016: 47 · 2015: 24 · 2014: 8
FWCI: 9.43
Type: journal article
Language: en
Open access: closed
Locations: Annual Review of Public Health (publishedVersion)
PubMed (publishedVersion)
VUBIR (Vrije Universiteit Brussel) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Employment and Welfare Studies
Social Sciences › Business, Management and Accounting › Industrial relations › Employment, Labor, and Gender Studies
Social Sciences › Health › Public Health and Social Inequalities
Keywords: precarious employment, social determinants of health, flexible employment, health disparities, health equity, working conditions, labour market policy, health policy evaluation
MeSH terms: Employment, Health Services, Health Status, Humans, Mental Health, Politics, Public Assistance, Global Health, Epidemiologic Research Design, Epidemiologic Studies, Health Status Disparities, Economic Recession, Social Determinants of Health

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Precarious Employment: Understanding an Emerging Social Determinant of Health

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