评估全球化背景下不稳定就业的健康风险和影响途径：2017 - 2023年日本全国纵向研究

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2025-04-11 DOI:10.1016/j.socscimed.2025.118063

Dan Li , Masaaki Yamada , Wenmeng Feng , Liuchun Xiang , Shuang Gao , Haisong Nie

{"title":"评估全球化背景下不稳定就业的健康风险和影响途径：2017 - 2023年日本全国纵向研究","authors":"Dan Li , Masaaki Yamada , Wenmeng Feng , Liuchun Xiang , Shuang Gao , Haisong Nie","doi":"10.1016/j.socscimed.2025.118063","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Since the 1970s, neoliberalism has transformed the global economy, replacing full-time, long-term employment with flexible work arrangements, contributing to precarious employment (PE). PE has been linked to negative health outcomes, but research on the multiple dimensions of PE remains limited.</div></div><div><h3>Methods</h3><div>This study employed a longitudinal cohort design using data from the Japanese Panel Study of Employment Dynamics (JPSED) from 2017 to 2023, focusing on individuals aged 16–65 who were employed but not on full-time permanent contracts. We developed a modified Employment Precariousness Scale (EPRES-JP) for evaluation. The entropy-based TOPSIS method with adjustable weight coefficients (Ea-TOPSIS) method was applied to calculate the Precarious Employment Index (PEI), and logistic regression analyzed its association with health outcomes, while Structural Equation Modeling (SEM) explored potential mediating pathways.</div></div><div><h3>Results</h3><div>The study found that the \"Rights\" dimension (social insurance and leave access) had the highest average weight at 40.2 %, with the impact of COVID-19 (introduced in 2021) significantly contributing to the PEI. Higher PEI was associated with greater risks of headaches (OR<sub>0.1</sub> = 1.11, 95 % CI [1.06, 1.16]), fatigue (OR<sub>0.1</sub> = 1.09, 95 % CI [1.04, 1.14]), anxiety (OR<sub>0.1</sub> = 1.12, 95 % CI [1.07, 1.17]), depression (OR<sub>0.1</sub> = 1.18, 95 % CI [1.13,1.24]), loss of appetite (OR<sub>0.1</sub> = 1.22, 95 % CI [1.16, 1.28]), and sleep disturbances (OR<sub>0.1</sub> = 1.20, 95 % CI [1.15, 1.25]). SEM identified mediating pathways between PE, job and life satisfaction, and health outcomes.</div></div><div><h3>Conclusion</h3><div>These findings deepen our understanding of how PE affects worker health. Enhancing job characteristics and life satisfaction may mitigate the health risks of PE. Broader labor policies are essential to improve job security and worker well-being.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"374 ","pages":"Article 118063"},"PeriodicalIF":4.9000,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluate the health risks and impact pathways of precarious employment in the context of globalization: A national longitudinal research from 2017 to 2023 in Japan\",\"authors\":\"Dan Li , Masaaki Yamada , Wenmeng Feng , Liuchun Xiang , Shuang Gao , Haisong Nie\",\"doi\":\"10.1016/j.socscimed.2025.118063\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Since the 1970s, neoliberalism has transformed the global economy, replacing full-time, long-term employment with flexible work arrangements, contributing to precarious employment (PE). PE has been linked to negative health outcomes, but research on the multiple dimensions of PE remains limited.</div></div><div><h3>Methods</h3><div>This study employed a longitudinal cohort design using data from the Japanese Panel Study of Employment Dynamics (JPSED) from 2017 to 2023, focusing on individuals aged 16–65 who were employed but not on full-time permanent contracts. We developed a modified Employment Precariousness Scale (EPRES-JP) for evaluation. The entropy-based TOPSIS method with adjustable weight coefficients (Ea-TOPSIS) method was applied to calculate the Precarious Employment Index (PEI), and logistic regression analyzed its association with health outcomes, while Structural Equation Modeling (SEM) explored potential mediating pathways.</div></div><div><h3>Results</h3><div>The study found that the \\\"Rights\\\" dimension (social insurance and leave access) had the highest average weight at 40.2 %, with the impact of COVID-19 (introduced in 2021) significantly contributing to the PEI. Higher PEI was associated with greater risks of headaches (OR<sub>0.1</sub> = 1.11, 95 % CI [1.06, 1.16]), fatigue (OR<sub>0.1</sub> = 1.09, 95 % CI [1.04, 1.14]), anxiety (OR<sub>0.1</sub> = 1.12, 95 % CI [1.07, 1.17]), depression (OR<sub>0.1</sub> = 1.18, 95 % CI [1.13,1.24]), loss of appetite (OR<sub>0.1</sub> = 1.22, 95 % CI [1.16, 1.28]), and sleep disturbances (OR<sub>0.1</sub> = 1.20, 95 % CI [1.15, 1.25]). SEM identified mediating pathways between PE, job and life satisfaction, and health outcomes.</div></div><div><h3>Conclusion</h3><div>These findings deepen our understanding of how PE affects worker health. Enhancing job characteristics and life satisfaction may mitigate the health risks of PE. Broader labor policies are essential to improve job security and worker well-being.</div></div>\",\"PeriodicalId\":49122,\"journal\":{\"name\":\"Social Science & Medicine\",\"volume\":\"374 \",\"pages\":\"Article 118063\"},\"PeriodicalIF\":4.9000,\"publicationDate\":\"2025-04-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Social Science & Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0277953625003934\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Science & Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0277953625003934","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

自20世纪70年代以来，新自由主义改变了全球经济，用灵活的工作安排取代了全职、长期的就业，导致了不稳定的就业（PE）。体育锻炼与负面健康结果有关，但对体育锻炼的多个维度的研究仍然有限。方法本研究采用纵向队列设计，使用2017年至2023年日本就业动态小组研究（JPSED）的数据，重点关注16-65岁的有工作但没有全职永久合同的个人。我们开发了一种改良的就业不稳定性量表（epress - jp）进行评估。采用基于熵的可调权系数TOPSIS法（Ea-TOPSIS）计算不稳定就业指数（PEI）， logistic回归分析其与健康结果的相关性，结构方程模型（SEM）探索潜在的中介途径。研究发现，“权利”维度（社会保险和休假）的平均权重最高，为40.2%，2019冠状病毒病（2021年引入）的影响对PEI有显著贡献。较高的PEI与头痛（OR0.1 = 1.11, 95% CI[1.06, 1.16]）、疲劳（OR0.1 = 1.09, 95% CI[1.04, 1.14]）、焦虑（OR0.1 = 1.12, 95% CI[1.07, 1.17]）、抑郁（OR0.1 = 1.18, 95% CI[1.13,1.24]）、食欲不振（OR0.1 = 1.22, 95% CI[1.16, 1.28]）和睡眠障碍（OR0.1 = 1.20, 95% CI[1.15, 1.25]）的风险较高相关。扫描电镜发现了体育运动、工作和生活满意度以及健康结果之间的中介途径。结论这些发现加深了我们对体育运动如何影响工人健康的理解。提高工作特征和生活满意度可以减轻体育运动的健康风险。更广泛的劳工政策对于改善工作保障和工人福利至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Evaluate the health risks and impact pathways of precarious employment in the context of globalization: A national longitudinal research from 2017 to 2023 in Japan

Background

Since the 1970s, neoliberalism has transformed the global economy, replacing full-time, long-term employment with flexible work arrangements, contributing to precarious employment (PE). PE has been linked to negative health outcomes, but research on the multiple dimensions of PE remains limited.

Methods

This study employed a longitudinal cohort design using data from the Japanese Panel Study of Employment Dynamics (JPSED) from 2017 to 2023, focusing on individuals aged 16–65 who were employed but not on full-time permanent contracts. We developed a modified Employment Precariousness Scale (EPRES-JP) for evaluation. The entropy-based TOPSIS method with adjustable weight coefficients (Ea-TOPSIS) method was applied to calculate the Precarious Employment Index (PEI), and logistic regression analyzed its association with health outcomes, while Structural Equation Modeling (SEM) explored potential mediating pathways.

Results

The study found that the "Rights" dimension (social insurance and leave access) had the highest average weight at 40.2 %, with the impact of COVID-19 (introduced in 2021) significantly contributing to the PEI. Higher PEI was associated with greater risks of headaches (OR_0.1 = 1.11, 95 % CI [1.06, 1.16]), fatigue (OR_0.1 = 1.09, 95 % CI [1.04, 1.14]), anxiety (OR_0.1 = 1.12, 95 % CI [1.07, 1.17]), depression (OR_0.1 = 1.18, 95 % CI [1.13,1.24]), loss of appetite (OR_0.1 = 1.22, 95 % CI [1.16, 1.28]), and sleep disturbances (OR_0.1 = 1.20, 95 % CI [1.15, 1.25]). SEM identified mediating pathways between PE, job and life satisfaction, and health outcomes.

Conclusion

These findings deepen our understanding of how PE affects worker health. Enhancing job characteristics and life satisfaction may mitigate the health risks of PE. Broader labor policies are essential to improve job security and worker well-being.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.