Background: This study synthesizes findings on precariously employed workers’ self-reported feelings of severe or extreme anxiety and depression, along with their experiences accessing mental health services. Methods: This mixed-methods research included surveys (N = 259) and interviews (N = 40) with precariously employed workers in Ontario, Canada, conducted from November 2020 to July 2021. Inclusion criteria included: (i) not being directly employed, being self-employed, or a gig worker; (ii) not working full-time; (iii) not holding a permanent or open-ended contract; (iv) performing informal work; or (v) being recently unemployed. Results: The adjusted, statistically significant odds of reporting severe or extreme anxiety or depression were higher among workers with greater precarity (2.28), self-employed workers with no employees (3.61), gig or platform workers (3.08), workers earning less than 60% of the median income (2.75), and those unsure whether their hours would vary in the next three months (2.59). The odds were lower (0.22) for workers with some or little income variation in the previous three months. Interview participants described chronic stress, worry, anxiety, depression, and overall negative wellbeing linked to their precarious employment. Despite an increased need for mental health services, participants reported similar difficulties accessing them. Interpretation: To improve access to mental health services, sustainable intersectoral solutions with demonstrated potential are required, including increasing social and health expenditures, revising labor market legislation, and reorganizing the delivery of employer-dependent health services. Recommendations are made for solutions at various levels, including those that could be adopted by medical practitioners.

BACKGROUND:World economies increasingly rely on non-standard employment arrangements, which has been linked to ill health. While work and employment conditions are recognized structural determinants of health and health equity, policies aiming to protect workers from negative implications predominantly focus on standard employment arrangements and the needs of workers in non-standard employment may be neglected. The aim of this study is to explore workers' experiences of gaps in labour regulations and social protections and its influence on their health and well-being across 6 countries with differing policy approaches: Belgium, Canada, Chile, Spain, Sweden, and the United States. METHODS:250 semi-structured interviews with workers in non-standard employment were analyzed thematically using a multiple case-study approach. RESULTS:There are notable differences in workers' rights to protection across the countries. However, participants across all countries experienced similar challenges including employment instability, income inadequacy and limited rights and protection, due to policy-related gaps and access-barriers. In response, they resorted to individual resources and strategies, struggled to envision supportive policies, and expressed low expectations of changes by employers and policymakers. CONCLUSIONS:Policy gaps threaten workers' health and well-being across all study countries, irrespective of the levels of labour market regulations and social protections. Workers in non-standard employment disproportionately endure economic risks, which may increase social and health inequality. The study highlights the need to improve social protection for this vulnerable population.

Precarious employment (PE) is a major determinant of population health and contributor to health and social inequities. The purpose of this article is to synthesize and critically appraise available evidence on labor market initiatives addressing PE identified through a systematic review. Of the 21 initiatives reviewed, grouped into four categories—labor market policies, legislation, and reforms; union strategies; apprenticeships and other youth programs; social protection programs—10 showed consistently positive outcomes and 11 a combination of negative, mixed, or inconclusive outcomes. In addition to reviewing the key findings, we discuss public health implications and recommendations related to PE and the implementation and evaluation of initiatives. Given the wide diversity of initiatives, implementation approaches, evaluation methods, and socioeconomic and historical contexts characterizing the labor markets of the countries studied, we refrain from making recommendations regarding the most effective initiatives to address PE. Instead, we discuss several implications concerning the four types of initiatives to further support those searching for solutions to address PE. We strongly recommend tailoring adopted initiatives to local contexts to match a country's specific PE problems and unique labor market and socioeconomic context.

Precarious employment (PE) is non-standard employment with uncertain and unstable contract duration, low wages, and limited labour protections and rights. Research has associated PE with workers’ poor mental health and well-being; however, this association has been studied primarily using quantitative methods. This qualitative study seeks to examine the mechanisms between PE and mental health in the context of the COVID-19 pandemic in Ontario, Canada. Specifically, it aims to address: (Benach J, Muntaner C. Precarious employment and health: developing a research agenda. J Epidemiol Community Health. 2007;61(4):276.) How do PE and working conditions impact the mental well-being of workers and members of their close families or households?; and (Kreshpaj B, Orellana C, Burström B, Davis L, Hemmingsson T, Johansson G, et al. What is precarious employment? A systematic review of definitions and operationalizations from quantitative and qualitative studies. Scand J Work Environ Health. 2020;46(3):235–47.) How has the COVID-19 pandemic shaped these relationships? Semi-structured interviews were conducted with a sample of 40 individuals aged 25–55 engaged in PE during the first wave of the COVID-19 pandemic or whose employment was terminated due to the pandemic. Results showed that PE amplified mental health symptoms and illnesses for workers and their families. These experiences were described as chronic, where impacts were exerted on precariously employed workers through systemic discrimination and racism, colonialism, workplace hierarchies, and gendered ideologies. PE negatively impacted mental health through emotional stress about employment and income instability, insecurity, and loss; added pressure for households where both partners are engaged in PE; impacted ability to maintain or improve overall health and well-being; and barriers to social connectedness. Overall, this study characterizes multiple dimensions of PE and the consequences they have on the mental health of workers and their families.

This article presents synthesized evidence from 16 studies examining initiatives with potential to mitigate workers’ exposure to precarious employment through the adoption of minimum wage policies. All studies were set in low-income countries and focused on both formal and informal workers. A systematic review of evaluated initiatives addressing precarious employment identified the evidence. We consider minimum wage policies as initiatives that could address precarious employment because of the central role of minimum wages in establishing employment terms for workers in precarious situations. We include initiatives aimed at formal and informal workers, given that precarious employment can exist in both sectors, that these workers share concerns regarding income and would benefit from minimum wage policies. The findings imply that minimum wage policies could increase precariously employed workers’ financial compensation, although with some differences and with little or no effect on employment security. It is not feasible to extend these conclusions beyond low-income economies due to differences with high-income economies in how the mechanisms through which minimum wage policies could impact worker compensation and employment security. However, they should serve as a reminder for high-income economies, many of which experience expanding informal sectors, about the need for related research and policy.

Getting Left Behind was prepared by the Poverty and Employment Precarity in Southern Ontario (PEPSO) research group, a university-community joint initiative. This report is one component of a larger PEPSO research program.

This edited collection introduces and explores the causes and consequences of precarious employment in Canada and across the world. After contextualizing employment precarity and its root causes, the authors illustrate how precarious employment is created amongst different populations and describe the accompanying social impacts on racialized immigrant women, those in the non-profit sector, temporary foreign workers and the children of Filipino immigrants.

In recent decades, economic crises and political reforms focused on employment flexibilization have increased the use of non-standard employment (NSE). National political and economic contexts determine how employers interact with labour and how the state interacts with labour markets and manages social welfare policies. These factors influence the prevalence of NSE and the level of employment insecurity it creates, but the extent to which a country's policy context mitigates the health influences of NSE is unclear. This study describes how workers experience insecurities created by NSE, and how this influences their health and well-being, in countries with different welfare states: Belgium, Canada, Chile, Spain, Sweden, and the United States. Interviews with 250 workers in NSE were analysed using a multiple-case study approach. Workers in all countries experienced multiple insecurities (e.g., income and employment insecurity) and relational tension with employers/clients, with negative health and well-being influences, in ways that were shaped by social inequalities (e.g., related to family support or immigration status). Welfare state differences were reflected in the level of workers' exclusion from social protections, the time scale of their insecurity (threatening daily survival or longer-term life planning), and their ability to derive a sense of control from NSE. Workers in Belgium, Sweden, and Spain, countries with more generous welfare states, navigated these insecurities with greater success and with less influence on health and well-being. Findings contribute to our understanding of the health and well-being influences of NSE across different welfare regimes and suggest the need in all six countries for stronger state responses to NSE. Increased investment in universal and more equal rights and benefits in NSE could reduce the widening gap between standard and NSE.

This paper examines the social and economic effects of precarious employment in the Greater Toronto-Hamilton area. The analysis is based on data from two surveys conducted in 2011 and in 2014 by the Poverty and Employment Precarity in Southern Ontario (PEPSO) research group. The survey findings paint a picture of how low earnings and economic uncertainty translate into delayed formation of relationships, lower marriage rates for workers under the age of 35, and fewer households with children. They also suggest that workers in precarious employment are more likely to experience social isolation. These findings suggest that the Precarity Penalty is not limited to economic outcomes from employment but also includes disadvantages in establishing healthy households and being engaged in one's community. Workers in secure employment enjoy better economic outcomes from employment that provide the basis for better household wellbeing and increased social integration. While much has been made in recent years of the unequal distribution of income, the PEPSO study also points to the unequal distribution of many of the non-financial aspects of life that people value including companionship, having a family and having friends.

Previous articleNext article No AccessBook ReviewsThe Story of Work: A New History of Humankind. By Jan Lucassen. New Haven, CT: Yale University Press, 2021. Pp. xviii+524. $35.00Wayne LewchukWayne LewchukMcMaster University Search for more articles by this author PDFPDF PLUSFull Text Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmailPrint SectionsMoreDetailsFiguresReferencesCited by The Journal of Modern History Volume 95, Number 3September 2023 Article DOIhttps://doi.org/10.1086/725939 For permission to reuse, please contact [email protected].PDF download Crossref reports no articles citing this article.

Abstract Background While the Canadian universal health system provides access to basic services, key health benefits are employer dependent. Given that non-standard workers (NSWs) only rarely have access to such benefits they have increased vulnerability to the many insecurities derived from their precarious employment, as clearly seen during the pandemic. The growing problem of non-standard work and workers’ heightened risk for health status deterioration, followed by a possible accentuation of health inequities, is a population health concern. This study summarizes several health services gaps experienced by NSWs and discusses policy implications and possible solutions. Methods From January to July 2021, we conducted semi-structured interviews with a purposive sample of 40 NSWs in Ontario, Canada, part of a larger mixed-methods six-country study, including three European countries. The target population consisted of workers aged 25 to 55 who, at the time of the survey, were in non-standard employment or lost their job due to the COVID-19 pandemic. Results Our findings highlight complex physical and mental health problems and an overall high burden of disease facing NSWs during the pandemic as linked to a combination of constant stress and worry arising from their employment insecurity, the limited and inconsistent income available to cover their basic needs, and the inadequate and unsafe working conditions they are afraid to challenge. Despite their increased health needs, given that specialized health services are not available to them for free they face financial barriers in accessing much needed health services that could help improve their health status and as a result, delay seeking care or avoid it altogether. Conclusions Sustainable multi sectorial policy solutions are needed including the adoption of relevant labour market legislation and increases in social and health expenditures along with re-adjustments in the ways in which health services are delivered. Key messages • During the pandemic non-standard workers in Ontario, Canada experienced complex health problems and, despite increased health needs, encountered barriers in accessing specialized health services. • The growing problem of non-standard work and workers’ heightened risk for health status deterioration, followed by a possible accentuation of health inequities, is a population health concern.

Workers have a right to participate in enforcement of occupational health and safety. Using a review of 688 cases submitted to the Ontario Labour Relations Board (OLRB) and 25 in-depth interviews with workers who went through the process, we examined the state's strategy to protect workers from employer reprisals when they exercise health and safety rights at work. We argue that the existing remedies are important but limited and should be enhanced by a strategy of enforcing workers' participation rights through sanctions directed against specific employer behaviours. In particular, the state should sanction employer harassment that masquerades as supervision.

The COVID-19 crisis is a global event that has created and amplified social inequalities, including an already existing and steadily increasing problem of employment and income insecurity and erosion of workplace rights, affecting workers globally. The aim of this exploratory study was to review employment-related determinants of health and health protection during the pandemic, or more specifically, to examine several links between non-standard employment, unemployment, economic, health, and safety outcomes during the COVID-19 pandemic in Sweden, Belgium, Spain, Canada, the United States, and Chile, based on an online survey conducted from November 2020 to June 2021. The study focused on both non-standard workers and unemployed workers and examined worker outcomes in the context of current type and duration of employment arrangements, as well as employment transitions triggered by the COVID-19 crisis. The results suggest that COVID-19-related changes in non-standard worker employment arrangements, or unemployment, are related to changes in work hours, income, and benefits, as well as the self-reported prevalence of suffering from severe to extreme anxiety or depression. The results also suggest a link between worker type, duration of employment arrangements, or unemployment, and the ability to cover regular expenses during the pandemic. Additionally, the findings indicate that the type and duration of employment arrangements are related to the provision of personal protective equipment or other COVID-19 protection measures. This study provides additional evidence that workers in non-standard employment and the unemployed have experienced numerous and complex adverse effects of the pandemic and require additional protection through tailored pandemic responses and recovery strategies.

The decline in the prevalence of the Standard Employment Relationship in Canada has created challenges for Canadian unions. This article reviews the available estimates of the prevalence of precarious employment and gig work in Canada. Using data from the Poverty and Employment Precarity in Southern Ontario (PEPSO) research group it evaluates both the success of unions in organising workers in precarious employment and bargaining for them. The last section reviews recent union strategies to organise workers in precarious employment with a focus on the subset of precarious employment referred to as gig work. Organising gig workers presents unique challenges for unions as many are deemed by their employers as independent contractors and as a result not covered by existing Canadian labour legislation and hence not eligible for union membership. The paper concludes by arguing that organising precarious workers is a work in progress, whose ultimate outcome remains uncertain.

The world of work is facing an ongoing pandemic and an economic downturn with severe effects worldwide. Workers trapped in precarious employment (PE), both formal and informal, are among those most affected by the COVID-19 pandemic. Here we call attention to at least 5 critical ways that the consequences of the crisis among workers in PE will be felt globally: (a) PE will increase, (b) workers in PE will become more precarious, (c) workers in PE will face unemployment without being officially laid off, (d) workers in PE will be exposed to serious stressors and dramatic life changes that may lead to a rise in diseases of despair, and (e) PE might be a factor in deterring the control of or in generating new COVID-19 outbreaks. We conclude that what we really need is a new social contract, where the work of all workers is recognized and protected with adequate job contracts, employment security, and social protection in a new economy, both during and after the COVID-19 crisis.

This chapter explores why employment rules and norms took the form they did, the prevalence of precarious employment in the labour market today, and the social implications of the era of Increased Precarious Employment. The employment norms associated with the era of Increased Precarious Employment represent one component of a broader shift to a neoliberal form of social organization. The chapter begins by reviewing the factors that led to the transition from the Standard Employment Relationship and the forces that shaped the employment relationship in the era of Increased Precarious Employment. It then examines debates over how to measure the prevalence of the precarious workforce, before considering the impact of precarious employment on households, families, and communities. The chapter looks at the findings of the Poverty and Employment Precarity in Southern Ontario research group.

Benchmarking is being used extensively in management's drive to achieve 'world class' levels of performance. The majority of benchmarking studies have little if anything to say about working conditions or the tradeoffs between productivity improvements and the conditions of working life. This article is based on a study which focuses on working conditions as described by workers, raising questions about the tradeoffs betwcen work reorganization and the quality of working life under Lean Production. The results, based on a survey of 1670 workers at 16 different companies, suggest that work life under Lean Production has not improved. Compared with workers in traditional Fordist style plants, those at Lean companies reported their work load was heavier and faster. They rcported work loads were increasing and becoming faster. They reported it was difficult to change things they did not like about their job and that it was becoming more difficult to get time off. While our survey results suggest that working in traditional Fordist plants is far from paradise, they also suggest that working in Lean plants is worse. At a minimum, our results should be viewed as a wake-up call to those who have painted a positive picture of work under Lean Production.

This chapter discusses how the major union representing Canadian workers in the industry, the Canadian Automobile Workers (CAW), developed its policy on work reorganization and to present the results of a worker survey sponsored by the union. The decision by the CAW in 1994 to sponsor one of the largest studies ever done on worker attitudes to work reorganization was not a random event. The CAW interest in worker surveys and benchmarking the quality of working life represents a third wave of CAW research into the changing nature of work in the automobile industry. The chapter traces the evolution of CAW policy towards work reorganization, presents the results of a new research project into the impact of work reorganization on the quality of working life, and discusses the attempts by the CAW to defend its members' interests.

This article integrates the employment strain model with the social stress model in order to reveal the mechanisms that explain the relation between precarious employment and mental well-being. This model is applied to the case of temporary agency employment by analysing 41 in-depth interviews with temporary agency workers from Canada. The results show how temporary agency workers perceive employment-related uncertainties and efforts mainly as negative and to a lesser extent as positive experiences, respectively evoking strain or activation. Further, it is revealed how uncertainties and efforts mutually reinforce each other, which increases strain, and how support can serve as a buffer.