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Work, Health, and Welfare: The Association between Working Conditions, Welfare States, and Self-Reported General Health in Europe

Bambra, Clare; Lunau, Thorsten; van Der Wel, Kjetil A.; Eikemo, Terje Andreas; Dragano, Nico
Journal article, Peer reviewed
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URI
http://hdl.handle.net/11250/2386692
Date
2014
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  • Institutt for sosiologi og statsvitenskap [1769]
  • Publikasjoner fra CRIStin - NTNU [19824]
Original version
International Journal of Health Services 2014, 44(1):113-136   10.2190/HS.44.1.g
Abstract
This article is the first to examine the association between self-reported

general health and a wide range of working conditions at the European level

and by type of welfare state regime. Data for 21,705 men and women ages 16

to 60 from 27 European countries were obtained from the 2010 European

Working Conditions Survey. The influence of individual-level sociodemographic,

physical, and psychosocial working conditions and of the organization

of work were assessed in multilevel logistic regression analyses,

with additional stratification by welfare state regime type (Anglo-Saxon,

Bismarckian, Eastern European, Scandinavian, and Southern). At the

European level, we found that “not good” general health was more likely

to be reported by workers more exposed to hazardous working conditions.

Most notably, tiring working positions, job strain, and temporary job

contracts were strongly associated with a higher likelihood of reporting

“not good” health. Analysis by welfare state regime found that only tiring

or painful working conditions were consistently associated with worse

self-reported health in all regimes. There was no evidence that the

Scandinavian welfare regime protected against the adverse health effects

of poor working conditions. The article concludes by examining the implications

for comparative occupational health research.
Publisher
SAGE Publications
Journal
International Journal of Health Services

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