abstract: 'Background Social epidemiologic research in relation to the health

  impacts of precarious employment has grown markedly during the past

  decade. While the multidimensional nature of precarious employment has

  long been acknowledged theoretically, empirical studies have mostly

  focused on one-dimensional approach only (based either on employment

  temporariness or perceived job insecurity). This study compares the use

  of a multidimensional employment precariousness scale (EPRES) with

  traditional one-dimensional approaches in relation to distinct health

  outcomes and across various socio-demographic characteristics. Methods

  We used a subsample of formal salaried workers (n = 3521) from the first

  Chilean employment and working conditions survey (2009-2010). Multilevel

  modified Poisson regressions with fixed effects (individuals nested

  within regions) and survey weights were conducted to estimate the

  association between general health, mental health and occupational

  injuries and distinct precarious employment exposures (temporary

  employment, perceived job insecurity, and the multidimensional EPRES

  scale). We assessed the presence of effect measure modification

  according to sex, age, educational level, and occupational class

  (manual/non-manual). Results Compared to one-dimensional approaches to

  precarious employment, the multidimensional EPRES scale captured a

  larger picture of potential health effects and differences across

  subgroups of workers. Patterns of effect measure that modification were

  consistent with the expectations that groups in greater disadvantage

  (women, older individuals, less educated and manual workers) were more

  vulnerable to poor employment conditions. Conclusions Multidimensional

  measures of precarious employment better capture its association with a

  breath of health outcomes, being necessary tools for research in order

  to strengthen the evidence base for policy making in the protection of

  workers'' health.'
affiliation: 'Vives, A (Corresponding Author), Pontificia Univ Catolica Chile, Sch
  Med, Dept Publ Hlth, Santiago, Chile.

  Vives, A (Corresponding Author), Conicyt Fondap, Ctr Sustainable Urban Dev CEDEUS,
  Santiago, Chile.

  Vives, Alejandra, Pontificia Univ Catolica Chile, Sch Med, Dept Publ Hlth, Santiago,
  Chile.

  Vives, Alejandra, Conicyt Fondap, Ctr Sustainable Urban Dev CEDEUS, Santiago, Chile.

  Benmarhnia, Tarik, Univ Calif San Diego, Dept Family Med \& Publ Hlth, San Diego,
  CA 92103 USA.

  Benmarhnia, Tarik, Univ Calif San Diego, Scripps Inst Oceanog, San Diego, CA 92103
  USA.

  Gonzalez, Francisca, Univ Tecn Federico Santa Maria, Dept Math, Valparaiso, Chile.

  Benach, Joan, Univ Pompeu Fabra, Dept Polit \& Social Sci, GREDS EMCONET, Hlth Inequal
  Res Grp, Barcelona, Spain.

  Benach, Joan, Johns Hopkins Univ Pompeu Fabra Univ Publ Policy, Barcelona, Spain.

  Benach, Joan, Univ Autonoma Madrid, Transdisciplinary Res Grp Socioecol Transit
  GinTR, Madrid, Spain.'
article-number: e0238401
author: Vives, Alejandra and Benmarhnia, Tarik and Gonzalez, Francisca and Benach,
  Joan
author-email: alejandra.vives@uc.cl
author_list:
- family: Vives
  given: Alejandra
- family: Benmarhnia
  given: Tarik
- family: Gonzalez
  given: Francisca
- family: Benach
  given: Joan
da: '2023-09-28'
doi: 10.1371/journal.pone.0238401
files: []
issn: 1932-6203
journal: PLOS ONE
keywords-plus: TEMPORARY EMPLOYMENT; SAFETY
language: English
month: SEP 24
number: '9'
number-of-cited-references: '27'
orcid-numbers: 'Benach, Joan/0000-0003-2285-742X

  Vives, Alejandra/0000-0001-5851-0693'
papis_id: 83abc62d3d11b520faa64133813b100b
ref: Vives2020importanceusing
researcherid-numbers: 'Benach, Joan/H-2519-2013

  Vives, Alejandra/AFB-2073-2022'
times-cited: '10'
title: 'The importance of using a multi-dimensional scale to capture the various impacts
  of precarious employment on health: Results from a national survey of Chilean workers'
type: Article
unique-id: WOS:000576265600017
usage-count-last-180-days: '1'
usage-count-since-2013: '6'
volume: '15'
web-of-science-categories: Multidisciplinary Sciences
year: '2020'