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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2017 December;176(12):671-86

DOI: 10.23736/S0393-3660.17.03446-5

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: Italian

Job insecurity and health. conceptual aspects and empirical evidences of their association

Martina RONCHETTO 1, Flavio RONCHETTO 2

1 Ufficio Presidenza e Direzione generale, Assolombarda Confindustria Milano-Monza-Brianza, Milano, Italia; 2 Libero professionista, Torino, Italia


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In the last decades, the growing push towards a more flexible labor market has had an impact on the individual and collective health and well-being. Most of the scientific literature has documented adverse effects on the psychological and physical health (anxiety, depression, fatigue, sickness absenteeism, muscolo-skeletal disorders, cardiovascular diseases and other) of different employment experiences and of work organization, such as temporary work, downsizing, outsourcing and privatization of public services. In this paper, the authors emphasize a conceptual model linking these conditions to poor health, placing job insecurity, which is configured as a strong psycosocial job stressor, at the center of the relational chain. This model is consistent with the results of several both cross sectional and longitudinal studies of association that have been reviewed. In particular, longitudinal studies have shown clear evidence for unidirectional causality over time from work to health (not reversed or reciprocal). The authors conclude that the transit through the phase of chronic insecurity (with or without other factors of work stress) is crucial as a prerequisite to the completion of the relational chain. Whitout this step there are no adverse health effects. In addition, it may explain, at least in part, the long times for the appearance of health effects.


KEY WORDS: Health - Employment - Stress, psychological - Mental health

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