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Int J Epidemiol. 2003 Dec;32(6):1015-21.

Health inequalities in the workforce: the labour market core-periphery structure.

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  • 1University of Tampere, Medical School, Finland.



To explore health inequalities between six labour market groups ranging from permanent employees to the long-term unemployed receiving minimum daily allowance.


A sample of 15 468 employees or job seekers from a population survey. Their perceived health, diseases, and depression were measured.


Compared with permanent employees, the odds for poor health were highest among the unemployed with low incomes irrespective of adjustments, across all health indicators and in both men and women. High odds were also found among the less disadvantaged unemployed and the employed with atypical contracts, but not among fixed-term employees.


Rather than between the employed and the unemployed, it seems that health inequalities prevail across different labour market groups within the employed and the unemployed. Future studies should employ a more detailed classification of employment situation.

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