Evidence map›Paper›PMID 40131914›Full record

ArticlePloS one2025

Labour and social protection gaps impacting the health and well-being of workers in non-standard employment: An international comparative study.

Signild Kvart, Isabel Cuervo, Virginia Gunn, Wayne Lewchuk, Kim Bosmans, Letitia Davis, Astrid Escrig-Piñol, Per-Olof Östergren, Eva Padrosa, Alejandra Vives and 17 more

Abstract readComparative Study
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
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

27 authors.

Signild KvartUnit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-7181-631X
Isabel CuervoBarry Commoner Center for Health and the Environment, Queens College, City University of New York, New York, United States of America.
Virginia GunnUnit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Wayne LewchukDepartment of Economics and School of Labour Studies, McMaster University, Hamilton, Canada.
Kim BosmansDepartment of Sociology, Brussels Institute for Social and Population Studies, Vrije Universiteit Brussel, Brussels, Belgium.
Letitia DavisUnit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Astrid Escrig-PiñolSocial Determinants and Health Education Research Group (SDHEd), Hospital del Mar Research Institute, Barcelona, Spain.
Per-Olof ÖstergrenSocial Medicine and Global Health, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Eva PadrosaSocial Determinants and Health Education Research Group (SDHEd), Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6367-4860
Alejandra VivesSchool of Public Health, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Alessandro ZaupaSchool of Public Health, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Emily Q AhonenDepartment of Family and Preventive Medicine, Division of Occupational and Environmental Health, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Valentina Álvarez-LópezDepartment of Territorial Studies and Intercultural Dialogues, Universidad de Playa Ancha, Valparaíso, Chile.
Mireia BolíbarCentre d'Estudis Sociològics sobre la Vida Quotidiana i el Treball (QUIT), Department of Sociology, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Spain.ORCID https://orcid.org/0000-0001-9525-0907
Ignacio DiazSchool of Public Health, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Mariana Gutiérrez-ZamoraResearch Group on Health Inequalities, Environment - Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
Lars IvarssonKarlstad Business School, Karlstad University, Karlstad, Sweden.
Mireia JuliàSocial Determinants and Health Education Research Group (SDHEd), Hospital del Mar Research Institute, Barcelona, Spain.
Carles MuntanerLawrence S. Bloomberg Faculty of Nursing, St. George Campus, Toronto, Ontario, Canada.
Patricia O'CampoUnit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Marisol E RuizInstitute of Public Health, School of Medicine, Universidad Austral de Chile, Valdivia, Chile.
Kristian VänerhagenKarlstad Business School, Karlstad University, Karlstad, Sweden.
Emilia F VignolaDepartment of Community Health and Social Sciences, City University of New York Graduate School of Public Health and Health Policy, New York, United States of America.
David VílchezResearch Group on Health Inequalities, Environment - Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
Mattias VosDepartment of Sociology, Brussels Institute for Social and Population Studies, Vrije Universiteit Brussel, Brussels, Belgium.ORCID https://orcid.org/0000-0003-3602-2837
Theo BodinUnit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Sherry L BaronBarry Commoner Center for Health and the Environment, Queens College, City University of New York, New York, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorld 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.

methods250 semi-structured interviews with workers in non-standard employment were analyzed thematically using a multiple case-study approach.

resultsThere 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.

conclusionsPolicy 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.

Indexed as

EmploymentOccupational HealthAdultBelgiumCanadaChileFemaleHumansInternationalityMaleMiddle AgedSpainSwedenUnited States

Identifiers

PMID40131914
PMCPMC11936240

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.