S09-5 Precarious employment in chile: macroeconomic determinants of the association with self-reported health

IntroductionEmployment and working conditions are key determinants of health and health inequities in middle and high-income countries like Chile. They are also key determinants of occupational health outcomes and occupational health inequities. Individual determinants of poor employment conditions...

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Published in:Occupational and environmental medicine (London, England) England), 2016-09, Vol.73 (Suppl 1), p.A110
Main Authors: Vives, Alejandra, Benmarhnia, Tarik, González, Francisca, Benach, Joan
Format: Article
Language:English
Subjects:
Economic crisis
Economic factors
Employment
Occupational health
Quality of life
Working conditions
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Summary:IntroductionEmployment and working conditions are key determinants of health and health inequities in middle and high-income countries like Chile. They are also key determinants of occupational health outcomes and occupational health inequities. Individual determinants of poor employment conditions and health have been abundantly studied, mainly related to the axes of inequalities and disadvantage in the labour market. Contextual determinants, however, including policies and regulatory frameworks, but especially macroeconomic conditions and economic structure, have seldom been analysed as determinants of health through the mediation of employment conditions. In Chile, questions pertaining to individuals and their eco-social context can be answered by comparing across the Chilean Regions given their differentiated economic structures and macro-economic outcomes.MethodsThis study addresses these questions through the three following specific stages: i) a multilevel study assessing the association between employment precariousness and self-reported health in Chilean workers by region estimating regional risk ratios (RRR), with individual-level data from the first Chilean Work, employment health and quality of life survey (2009-2010); ii) assessing to which extent such association is varying across Chilean regions using the I² statistic; iii) investigating which regional-level macro-economic factors are associated with the magnitude of the RRR, performing random effects meta-regression analyses. ResultsWe found that there is a regional variation in the probability of reporting poor health across levels of employment precariousness (I² = 44%). We particularly found that GDP variability, especially during the 2008 economic crisis period, was associated with the magnitude of the RRR. Specifically, we found that the higher the economic crisis impact on regional GDP, the higher the impact of employment precariousness on workers’ self-reported health.ConclusionResults show that macro-economic factors can play a role in employment conditions’ impact on occupational health, highlighting the necessity of designing occupational prevention policies that integrate macroeconomic conditions and economic structures.
ISSN:1351-0711
1470-7926
DOI:10.1136/oemed-2016-103951.297