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Employment quality and mortality in Canada
Faraz V Shahidi1,2, Alessandra T Andreacchi3,2, Anne E Fuller4,5
1Institute for Work and Health, Toronto, Ontario, Canada fshahidi@iwh.on.ca.
Employment quality significantly impacts mortality risk. Precarious jobs show the highest mortality rates, while standard and portfolio jobs have the lowest, highlighting the need for nuanced job quality assessment.
Area of Science:
- Occupational Health
- Epidemiology
- Sociology of Work
Background:
- Non-standard employment is linked to poorer health outcomes compared to standard employment.
- Previous research has not adequately differentiated between types of non-standard employment quality.
- This study addresses this gap by examining diverse employment quality typologies and mortality in Canada.
Purpose of the Study:
- To investigate the association between a detailed typology of employment quality and mortality.
- To identify specific employment arrangements linked to increased mortality risk.
- To explore sex/gender differences in these associations.
Main Methods:
- Utilized the 2006 Canadian Health and Environment Cohort (n=2,805,550) linked to death records (2006-2019).
- Classified employment into five types: standard, portfolio, marginal, intermittent, and precarious.
- Employed Poisson regression to estimate covariate-adjusted mortality risks by employment type and sex/gender.
Main Results:
- A dose-response relationship was observed between employment quality and mortality.
- Workers in precarious employment faced the highest mortality rates.
- Standard and portfolio employment were associated with the lowest mortality rates, with marginal and intermittent employment in between. Sex/gender differences were noted, with greater inequalities among men.
Conclusions:
- Findings challenge a simple binary view of 'standard' vs. 'precarious' jobs.
- A nuanced understanding of employment arrangements and their health impacts is crucial.
- Policies promoting high-quality jobs and protecting vulnerable workers can improve population health and longevity.
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