Evidence map›Paper›PMID 36137738›Full record

ArticleJournal of epidemiology and community health2022

Does persistent precarious employment affect health outcomes among working age adults? A systematic review and meta-analysis.

Andrew Pulford, Alekh Thapa, Rachel M Thomson, Annette Guilding, Michael James Green, Alastair Leyland, Frank Popham, Srinivasa Vittal Katikireddi

Open access · hybridAbstract read
In one paragraph

Article in Journal of epidemiology and community health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
13.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  8. Job Quality as an Upstream Social Determinant of Health in Middle Age.Journal of occupational and environmental medicine · 2026
    Article
  9. Absence of a Written Employment Contract and Health Outcomes Among Employed Adults in Chile.International journal of environmental research and public health · 2026
    Article
  10. Article
  11. Employment quality and mortality in Canada.Journal of epidemiology and community health · 2025
    Article
  12. Article
  13. Intersectionality and Long Covid: Understanding the Lived Experiences of Ethnic Minority Groups in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Andrew PulfordEvidence for Action Team, Public Health Scotland Glasgow Office, Glasgow, UK andrew.pulford@phs.scot.ORCID http://orcid.org/0000-0001-8378-3431
Alekh ThapaCollege of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, UK.
Rachel M ThomsonMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-3060-939X
Annette GuildingMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Michael James GreenMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0003-3193-2452
Alastair LeylandMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Frank PophamMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Srinivasa Vittal KatikireddiMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0001-6593-9092
MRC/CSO Social and Public Health Sciences Unit · GBUniversity of Glasgow · GB

Funding

Chief Scientist Office SCAF/15/02Medical Research Council MC_UU_00022/1Medical Research Council MC_UU_00022/2
6 · The paper itself

Abstract

objectiveTo evaluate the impact of persistent precarious employment (lasting 12+ months) on the health of working age adults, compared with more stable employment. Persistent precarity reflects a shift towards less secure forms of employment and may be particularly important for health.

methodsNine databases were systematically searched to identify quantitative studies that assessed the relationship between persistent precarious employment and health outcomes. Risk of bias (RoB) was assessed using an adaptation of the Effective Public Health Practice Project tool. Narrative synthesis and random effects meta-analysis were conducted. Certainty of evidence was assessed using the Grades of Recommendations, Assessment, Development and Evaluation (GRADE) approach.

resultsOf 12 940 records screened, 50 studies met the inclusion criteria and 29 were included in meta-analyses. RoB was generally high (n=18). The most reported outcome domain was mental health; with evidence also reported relating to general health, physical health,and health behaviours. Of GRADE assessed outcomes, persistent precarious employment was associated with increased risk of poor self-rated health (OR 1.53, 95% CI 1.09 to 2.14, I

conclusionsPersistent precarious employment is associated with poorer health, particularly for outcomes with short time lags, though associations are small and causality is highly uncertain. Further research using more robust methods is needed but given potential health harms of persistent precarious employment, exploration of precautionary labour regulations and employment policies is warranted.

Indexed as

META-ANALYSISPUBLIC HEALTHSYSTEMATIC REVIEW

Identifiers

PMID36137738
PMCPMC9554022
OpenAlexW4296696452

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.