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Public Health Impacts of Underemployment and Unemployment in the United States: Exploring Perceptions, Gaps and Opportunities

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Listed:
  • Preethi Pratap

    (School of Public Health, University of Illinois Chicago, Chicago, IL 60612, USA)

  • Alison Dickson

    (Champaign School of Labor and Employment Relations, University of Illinois Urbana, Chicago, IL 60607, USA)

  • Marsha Love

    (School of Public Health, University of Illinois Chicago, Chicago, IL 60612, USA)

  • Joe Zanoni

    (School of Public Health, University of Illinois Chicago, Chicago, IL 60612, USA)

  • Caitlin Donato

    (School of Public Health, University of Illinois Chicago, Chicago, IL 60612, USA)

  • Michael A. Flynn

    (National Institute for Occupational Safety and Health, Cincinnati, OH 45226, USA)

  • Paul A. Schulte

    (National Institute for Occupational Safety and Health, Cincinnati, OH 45226, USA)

Abstract

Background: Unemployment, underemployment, and the quality of work are national occupational health risk factors that drive critical national problems; however, to date, there have been no systematic efforts to document the public health impact of this situation. Methods: An environmental scan was conducted to explore the root causes and health impacts of underemployment and unemployment and highlight multilevel perspectives and factors in the landscape of underemployment and unemployment. Methods: included a review of gray literature and research literature, followed by key informant interviews with nine organizational representatives in employment research and policy, workforce development, and industry to assess perceived needs and gaps in practice. Results: Evidence highlights the complex nature of underemployment and unemployment, with multiple macro-level underlying drivers, including the changing nature of work, a dynamic labor market, inadequate enforcement of labor protection standards, declining unions, wage depression, and weak political will interacting with multiple social determinants of health. Empirical literature on unemployment and physical, mental, and psychological well-being, substance abuse, depression in young adults, and suicides is quite extensive; however, there are limited data on the impacts of underemployment on worker health and well-being. Additionally, organizations do not routinely consider health outcomes as they relate to their work in workforce or policy development. Discussion and Conclusions: Several gaps in data and research will need to be addressed in order to assess the full magnitude of the public health burden of underemployment and unemployment. Public health needs to champion a research and practice agenda in partnership with multisector stakeholders to illuminate the role of employment quality and status in closing the gap on health inequities, and to integrate workforce health and well-being into labor and economic development agendas across government agencies and industry.

Suggested Citation

  • Preethi Pratap & Alison Dickson & Marsha Love & Joe Zanoni & Caitlin Donato & Michael A. Flynn & Paul A. Schulte, 2021. "Public Health Impacts of Underemployment and Unemployment in the United States: Exploring Perceptions, Gaps and Opportunities," IJERPH, MDPI, vol. 18(19), pages 1-25, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10021-:d:641635
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    Cited by:

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    2. Michael A. Flynn & Pietra Check & Andrea L. Steege & Jacqueline M. Sivén & Laura N. Syron, 2021. "Health Equity and a Paradigm Shift in Occupational Safety and Health," IJERPH, MDPI, vol. 19(1), pages 1-13, December.
    3. Lewańczyk, Agata Marta & Langham-Walsh, Eleanor & Edwards, Lisa & Branney, Peter & Walters, Elizabeth R. & Mitchell, Paul & Vaportzis, Eleftheria, 2023. "Back Onside protocol: A physical activity intervention to improve health outcomes in people who are unemployed or at risk of unemployment," Evaluation and Program Planning, Elsevier, vol. 97(C).
    4. Yemin Ding & Lee Chin & Fangyan Li & Peidong Deng, 2022. "How Does Government Efficiency Affect Health Outcomes? The Empirical Evidence from 156 Countries," IJERPH, MDPI, vol. 19(15), pages 1-18, August.
    5. Paul A. Schulte & Ivo Iavicoli & Luca Fontana & Stavroula Leka & Maureen F. Dollard & Acran Salmen-Navarro & Fernanda J. Salles & Kelly P. K. Olympio & Roberto Lucchini & Marilyn Fingerhut & Francesco, 2022. "Occupational Safety and Health Staging Framework for Decent Work," IJERPH, MDPI, vol. 19(17), pages 1-28, August.
    6. Paul A. Schulte & George L. Delclos & Sarah A. Felknor & Jessica M. K. Streit & Michelle McDaniel & L. Casey Chosewood & Lee S. Newman & Faiyaz A. Bhojani & Rene Pana-Cryan & Naomi G. Swanson, 2022. "Expanding the Focus of Occupational Safety and Health: Lessons from a Series of Linked Scientific Meetings," IJERPH, MDPI, vol. 19(22), pages 1-21, November.

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