With contributions by: Carles Muntaner, University of Toronto Dalla Lana School of Public Health; Joan Benach, Universitat Pompeu Fabra, Barcelona, Grup de Recerca en Desigualtats en Salut; Jane Lipscomb, University of Maryland School of Nursing, Baltimore; Jeffrey Johnson, University of Maryland School of Nursing, Baltimore; Peter Schnall, University of California, Irvine, Center for Occupational & Environmental Health; Kevin Riley, University of California, Los Angeles, Labor Occupational Safety & Health Program; Ellen Rosskam, Rosskam International Development Consulting, Geneva; Jennifer Zelnick, Touro College Graduate School of Social Work, New York.
Work organization, job insecurity, and occupational health disparities
Version of Record online: 16 OCT 2012
© 2012 Wiley Periodicals, Inc.
American Journal of Industrial Medicine
Special Issue: Achieving Health Equity in the Workplace
Volume 57, Issue 5, pages 495–515, May 2014
How to Cite
Landsbergis, P. A., Grzywacz, J. G. and LaMontagne, A. D. (2014), Work organization, job insecurity, and occupational health disparities. Am. J. Ind. Med., 57: 495–515. doi: 10.1002/ajim.22126
Disclosure Statement: The authors report no substantive conflicts of interest. The only funding they received for the preparation of this manuscript were travel expenses paid by the National Institute for Occupational Safety and Health (NIOSH) to attend a NIOSH-sponsored conference on this topic in 2011 and to present an earlier version of this paper at the conference.
- Issue online: 7 APR 2014
- Version of Record online: 16 OCT 2012
- Manuscript Accepted: 7 SEP 2012
- Australian National Health & Medical Research Council. Grant Number: 375196
- work organization;
- job stress;
- job insecurity;
- health disparities;
- occupational health disparities
Changes in employment conditions in the global economy over the past 30 years have led to increased job insecurity and other work organization hazards. These hazards may play a role in creating and sustaining occupational health disparities by socioeconomic position, gender, race, ethnicity, and immigration status.
A conceptual model was developed to guide the review of 103 relevant articles or chapters on the role of work organization and occupational health disparities identified through a comprehensive search conducted by NIOSH. A second review was conducted of employment and workplace policies and programs designed to reduce the health and safety risks due to job insecurity and other work organization hazards.
There is consistent evidence that workers in lower socioeconomic or social class positions are exposed to greater job insecurity and other work organization hazards than workers in higher socioeconomic positions. Likewise, racial and ethnic minorities and immigrants are exposed to greater job insecurity. Limited research examining the effects of interventions targeting work organization hazards on disparities has been conducted; nonetheless, intervention strategies are available and evidence suggests they are effective.
Job insecurity and work organization hazards play a role in creating and sustaining occupational health disparities. Employment and workplace policies and programs have the potential to reduce these hazards, and to reduce disparities. Am. J. Ind. Med. 57:495–515, 2014. © 2012 Wiley Periodicals, Inc.