abstract: 'Compared to recent generations, workers today generally experience

  poorer quality employment across both contractual (e.g., wages, hours)

  and relational (e.g., participation in decision-making, power dynamics)

  dimensions within the worker-employer relationship. Recent research

  shows that women are more likely to experience poor-quality employment

  and that these conditions are associated with adverse health effects,

  suggesting employment relations may contribute to gender inequities in

  health. We analyzed data from the General Social Survey (2002-2018) to

  explore whether the multidimensional construct of employment quality

  (EQ) mediates the relationship between gender and health among a

  representative, cross-sectional sample of U.S. wage earners. Using a

  counterfactually-based causal mediation framework, we found that EQ

  plays a meaningful role in a gender-health relationship, and that if the

  distribution of EQ among women was equal to that observed in men, the

  probability of reporting poor self-reported health and frequent mental

  distress among women would be lower by 1.5\% (95\% Confidence Interval:

  0.5-2.8\%) and 2.6\% (95\% CI: 0.6-4.6\%), respectively. Our use of a

  multidimensional, typological measure of EQ allowed our analysis to

  better account for substantial heterogeneity in the configuration of

  contemporary employment arrangements. Additionally, this study is one of

  the first mediation analyses with a nominal mediator within the

  epidemiologic literature. Our results highlight EQ as a potential target

  for intervention to reduce gender inequities in health.'
affiliation: 'Peckham, T (Corresponding Author), Hazardous Waste Management Program
  King Cty, Seattle, WA 98104 USA.

  Peckham, T (Corresponding Author), Univ Washington, Dept Environm \& Occupat Hlth
  Sci, Seattle, WA 98195 USA.

  Peckham, Trevor, Hazardous Waste Management Program King Cty, Seattle, WA 98104
  USA.

  Peckham, Trevor; Seixas, Noah, Univ Washington, Dept Environm \& Occupat Hlth Sci,
  Seattle, WA 98195 USA.

  de Castro, A. B., Univ Washington, Sch Nursing, Seattle, WA 98195 USA.

  Hajat, Anjum, Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA.'
article-number: '11237'
author: Peckham, Trevor and Seixas, Noah and de Castro, A. B. and Hajat, Anjum
author-email: tpeckham@uw.edu
author_list:
- family: Peckham
  given: Trevor
- family: Seixas
  given: Noah
- family: de Castro
  given: A. B.
- family: Hajat
  given: Anjum
da: '2023-09-28'
doi: 10.3390/ijerph191811237
eissn: 1660-4601
files: []
journal: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
keywords: 'gender inequities in health; employment quality; precarious employment;

  mediation analyses; latent class analysis'
keywords-plus: 'SELF-RATED HEALTH; PRECARIOUS EMPLOYMENT; SOCIAL-CLASS; LABOR-FORCE;

  WORK; WOMEN; INEQUALITIES; SEX; JOB; MEN'
language: English
month: SEP
number: '18'
number-of-cited-references: '76'
orcid-numbers: 'Peckham, Trevor/0000-0001-8196-4298

  Hajat, Anjum/0000-0001-8807-9232'
papis_id: d2d355ba17264f59b6e1a7dcdb9ce45c
ref: Peckham2022dodifferent
times-cited: '1'
title: Do Different Patterns of Employment Quality Contribute to Gender Health Inequities
  in the US? A Cross-Sectional Mediation Analysis
type: article
unique-id: WOS:000858644500001
usage-count-last-180-days: '8'
usage-count-since-2013: '16'
volume: '19'
web-of-science-categories: Environmental Sciences; Public, Environmental \& Occupational
  Health
year: '2022'