Precarious employment and mental health in the Belgian service voucher system: the role of working conditions and perceived financial strain.

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Christophe Vanroelen, Eva Padrosa Sayeras, Jessie Gevaert, Kelly Huegaerts, Mattias Vos, Kim Bosmans
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引用次数: 0

Abstract

Introduction: Jobs in domestic cleaning are often conceived as 'precarious employment' (PE)-i.e. a multidimensional concept referring to accumulated adverse characteristics of employment due to workers' weak bargaining position. Against this background, the Belgian service voucher system (SVS) was implemented aimed at creating formal and stable, subsidized domestic services jobs.

Purpose: The current study assesses the relationship between PE and mental health (WHO5) in the Belgian SVS, accounting for the potential mediating role of working conditions and perceived financial strain at the household level.

Methods: We analysed a cross-sectional sample of 1,115 Belgian SVS domestic cleaners, collected in 2019 through an online survey. A mediation model was estimated.

Results: The crude effect of PE on adverse mental health was strong (ß 0.545-S.E. 0.063). However, 50% of the association between PE and mental well-being was mediated by work task characteristics (quantitative demands, physical demands, task variation and autonomy) and 25% by household-level perceived financial strain. The remaining direct effect of PE on adverse mental well-being is ß 0.066 (S.E. 0.032-25% of the total effect).

Conclusion: These findings are the first based on the Belgian Employment Precariousness Scale (EPRES-BE) and are consistent with earlier-made-but seldom simultaneously tested-assumptions on the mechanisms relating PE to adverse mental health-i.e. involving direct associations and indirect associations via adverse working conditions and material deprivation. Based on the results, we recommend more democratic and higher-quality management practices in the SVS, in addition to higher wages and working time reduction.

Abstract Image

比利时服务券制度中的不稳定就业与心理健康:工作条件和经济压力的作用。
引言家庭清洁工作通常被视为 "不稳定就业"(PE)--即一个多层面的概念,指的是由于工人谈判地位薄弱而累积的不利就业特征。在此背景下,比利时实施了服务券制度(SVS),旨在创造正规、稳定、有补贴的家政服务工作。目的:本研究评估了比利时服务券制度中的 "不稳定就业 "与心理健康(WHO5)之间的关系,并考虑了工作条件和家庭层面的经济压力的潜在中介作用:我们分析了 2019 年通过在线调查收集的 1 115 名比利时 SVS 家庭清洁工的横截面样本。结果PE对不良心理健康的粗略影响很强(ß 0.545-S.E. 0.063)。然而,PE 与心理健康之间关系的 50%受工作任务特征(数量要求、体力要求、任务变化和自主性)的影响,25%受家庭经济压力的影响。剩余的 PE 对不良心理健康的直接影响为 ß 0.066(S.E. 0.032-25% 的总影响):这些研究结果是首个基于比利时就业不稳定量表(EPRES-BE)的研究结果,与早先提出的、但很少同时得到验证的关于就业不稳定与不良心理健康相关机制的假设一致,即涉及直接关联以及通过不利工作条件和物质匮乏产生的间接关联。根据研究结果,我们建议,除了提高工资和减少工作时间外,还应在社会服务系统中采取更加民主和更高质量的管理措施。
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来源期刊
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
期刊介绍: International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.
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