ArticleInternational archives of occupational and environmental health2024
Precarious employment and mental health in the Belgian service voucher system: the role of working conditions and perceived financial strain.
Article in International archives of occupational and environmental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Precariousness and depressed mood: a network analysis in the multi-ethnic HELIUS study.Social psychiatry and psychiatric epidemiology · 2026Article
- Precarious employment and its associations with perceived stress and self-rated health: a Danish cross-sectional study.International archives of occupational and environmental health · 2026Article
- Precarious employment and its relation to mental well-being in the gig economy: comparing main and supplementary workers.Scandinavian journal of work, environment & health · 2026Article
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Authors and funding
6 authors.
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Abstract
introductionJobs in domestic cleaning are often conceived as 'precarious employment' (PE)-i.e. a multidimensional concept referring to accumulated adverse characteristics of employment due to workers' weak bargaining position. Against this background, the Belgian service voucher system (SVS) was implemented aimed at creating formal and stable, subsidized domestic services jobs. PURPOSE: The current study assesses the relationship between PE and mental health (WHO5) in the Belgian SVS, accounting for the potential mediating role of working conditions and perceived financial strain at the household level.
methodsWe analysed a cross-sectional sample of 1,115 Belgian SVS domestic cleaners, collected in 2019 through an online survey. A mediation model was estimated.
resultsThe crude effect of PE on adverse mental health was strong (ß 0.545-S.E. 0.063). However, 50% of the association between PE and mental well-being was mediated by work task characteristics (quantitative demands, physical demands, task variation and autonomy) and 25% by household-level perceived financial strain. The remaining direct effect of PE on adverse mental well-being is ß 0.066 (S.E. 0.032-25% of the total effect).
conclusionThese findings are the first based on the Belgian Employment Precariousness Scale (EPRES-BE) and are consistent with earlier-made-but seldom simultaneously tested-assumptions on the mechanisms relating PE to adverse mental health-i.e. involving direct associations and indirect associations via adverse working conditions and material deprivation. Based on the results, we recommend more democratic and higher-quality management practices in the SVS, in addition to higher wages and working time reduction.
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