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Cited by 60Employment and Welfare StudiesHealth disparities and outcomesPublic Health and Social Inequalities

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Ramifications of Precarious Employment for Health and Health Inequity: Emerging Trends from the Americas

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Hajat, Anjum, Andrea, Sarah B., Oddo, Vanessa M., Winkler, Megan R., Ahonen, Emily Q.·2024·Annual Review of Public Health
DOI 10.1146/annurev-publhealth-071321-042437PMC PMC11128534
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Abstract

Precarious employment (PE), which encompasses the power relations between workers and employers, is a well-established social determinant of health that has strong ramifications for health and health inequity. In this review, we discuss advances in the measurement of this multidimensional construct and provide recommendations for overcoming continued measurement challenges. We then evaluate recent evidence of the negative health impacts of PE, with a focus on the burgeoning studies from North America and South America. We also establish the role of PE in maintaining and perpetuating health inequities and review potential policy solutions to help alleviate its health burden. Last, we discuss future research directions with a call for a better understanding of the heterogeneity within PE and for research that focuses both on upstream drivers that shape PE and its impacts on health, as well as on the mechanisms by which PE causes poor health.

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Metadata

Authors
Hajat, A., Andrea, S. B., Oddo, V. M., Winkler, M. R., & Ahonen, E. Q.
Affiliations
  • University of Washington (US)
  • Portland State University (US)
  • University of Illinois Chicago (US)
  • Emory University (US)
  • University of Utah (US)
ORCID
Venue
Annual Review of Public Health
Publisher
Annual Reviews
Published
2024-05-20
Volume
45
Issue
1
Pages
235-251
ISSN
  • 0163-7525 (ISSN-L)
  • 1545-2093
DOI
10.1146/annurev-publhealth-071321-042437
PMC
PMC11128534
OpenAlex
W4389068553
Cited by
60
References
6
Citations by year
2026: 25 · 2025: 19 · 2024: 16
FWCI
3.03
Type
journal article
Language
en
Open access
Licence
Locations
  • Annual Review of Public Health (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Aging (R01AG060011)
  • National Institute of Environmental Health Sciences (P30ES007033)
  • National Institute on Minority Health and Health Disparities (R00MD012807)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Employment and Welfare Studies
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Health › Public Health and Social Inequalities
Keywords
precarious employment, health disparities, social determinants of health, employment policy, Latin America, North America
MeSH terms
Health Inequities, Job Security, Americas, Employment, Humans, Health Status Disparities, Social Determinants of Health

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Hajat, A., Andrea, S. B., Oddo, V. M., Winkler, M. R., & Ahonen, E. Q. (2024). Ramifications of Precarious Employment for Health and Health Inequity: Emerging Trends from the Americas. Annual Review of Public Health. https://doi.org/10.1146/annurev-publhealth-071321-042437