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3. Inadequate employment is also associated with poor health
outcomes.
An important breakthrough in work/health research makes the critical point that simple
comparisons between the health of people working and those who are unemployed fail to
capture the complexity of the range of individuals experiences in the labor force.
Indeed, in 1999, only a third of California workers held what many would consider
"traditional" jobs (i.e., single full-time jobs year-round, working a day shift
as permanent employees).16 To expand the breadth of research linking health and
employment, Dooley, Fielding and Levi17 identified a typology of work
experience reflective of individuals changing work patterns that merit more research
attention. Rather than a simple dichotomy between employment and unemployment, the
researchers proposed a continuum of employment ranging from overemployment (too much
overtime, holding multiple jobs) to long-term unemployment. Between these extremes are a
number of categories such as underemployment (working fewer hours than desired or for
incomes less than education and training would predict) and contingent employment (working
on a temporary or contract basis). Some research has begun to focus on categories within
this typology. Dooley and Prause, for example, found that underemployment, similar to
unemployment, results in increased alcohol consumption but at less extreme levels than
unemployment.18
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