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Informal employment as a social determinant of health: A conceptual framework and research agenda accounting for context

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  • Aronsson, Amanda E.
  • Huijts, Tim

Abstract

Despite most workers globally being informally employed, our understanding of the role of informal employment as a social determinant of health and health inequalities remains limited. Existing research tends to focus mainly on direct associations between informality and health and to some extent on how informality affects health through micro-level factors such as gender and working conditions. This research has produced mixed results on the relationship between informality and health. We argue that this is because most existing work has not sufficiently addressed how informality affects health. This holds especially for quantitative research. In this paper, we aim to provide a conceptual framework that addresses these limitations by emphasizing the role of contextual factors located at the macro- and meso-levels in shaping the health consequences of informality. Not only does attention to context allow comparisons to be made across settings despite heterogenous meanings of informality, but such an approach also enables more comprehensive explanations of when, where and for whom informality is harmful to health. We furthermore propose attention to the level of regulation and protection available to workers, as a strategy to analytically operationalize contextual factors. Based on this framework, we present a research agenda in which we suggest prioritized directions for future research that would contribute to a more comprehensive understanding of how informality is linked to health.

Suggested Citation

  • Aronsson, Amanda E. & Huijts, Tim, 2025. "Informal employment as a social determinant of health: A conceptual framework and research agenda accounting for context," Social Science & Medicine, Elsevier, vol. 368(C).
  • Handle: RePEc:eee:socmed:v:368:y:2025:i:c:s0277953625001388
    DOI: 10.1016/j.socscimed.2025.117809
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    1. Tatiana Karabchuk & Natalia Soboleva, 2020. "Temporary Employment, Informal Work and Subjective Well-Being Across Europe: Does Labor Legislation Matter?," Journal of Happiness Studies, Springer, vol. 21(5), pages 1879-1901, June.
    2. Michael Silva-Peñaherrera & Paula Santiá & Fernando G. Benavides, 2022. "Informal Employment and Poor Mental Health in a Sample of 180,260 Workers from 13 Iberoamerican Countries," IJERPH, MDPI, vol. 19(13), pages 1-12, June.
    3. Yang Cai & Weiwei Kong & Yongsheng Lian & Xiangxin Jin, 2021. "Depressive Symptoms among Chinese Informal Employees in the Digital Era," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    4. Fujishiro, Kaori & Ahonen, Emily Q. & Winkler, Megan, 2021. "Poor-quality employment and health: How a welfare regime typology with a gender lens Illuminates a different work-health relationship for men and women," Social Science & Medicine, Elsevier, vol. 291(C).
    5. Laetitia Lebihan, 2023. "Minimum wages and health: evidence from European countries," International Journal of Health Economics and Management, Springer, vol. 23(1), pages 85-107, March.
    6. Laura Alfers & Rachel Moussié, 2020. "The ILO World Social Protection Report 2017–19: An Assessment," Development and Change, International Institute of Social Studies, vol. 51(2), pages 683-697, March.
    7. Malinowski, B. & Minkler, M. & Stock, L., 2015. "Labor unions: A public health institution," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 261-271.
    8. repec:ilo:ilowps:375000 is not listed on IDEAS
    9. Gkiouleka, Anna & Huijts, Tim & Beckfield, Jason & Bambra, Clare, 2018. "Understanding the micro and macro politics of health: Inequalities, intersectionality & institutions - A research agenda," Social Science & Medicine, Elsevier, vol. 200(C), pages 92-98.
    10. Lauren C. Manzione & Heidi Kriser & Emily G. Gamboa & Curtis M. Hanson & Generose Mulokozi & Osiah Mwaipape & Taylor H. Hoj & Mary Linehan & Scott Torres & P. Cougar Hall & Josh H. West & Benjamin T. , 2019. "Maternal Employment Status and Minimum Meal Frequency in Children 6-23 Months in Tanzania," IJERPH, MDPI, vol. 16(7), pages 1-10, March.
    11. Hussmanns, Ralf., 2004. "Measuring the informal economy : from employment in the formal sector to informal employment," ILO Working Papers 993750003402676, International Labour Organization.
    12. Nisha Naicker & Frank Pega & David Rees & Spo Kgalamono & Tanusha Singh, 2021. "Health Services Use and Health Outcomes among Informal Economy Workers Compared with Formal Economy Workers: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(6), pages 1-15, March.
    13. Andreas Buehn & Friedrich Schneider, 2012. "Shadow economies around the world: novel insights, accepted knowledge, and new estimates," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 19(1), pages 139-171, February.
    14. Frank Pega & Srinivasan Govindaraj & Nguyen Toan Tran, 2021. "Health service use and health outcomes among international migrant workers compared with non-migrant workers: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-18, June.
    15. David A. Hurtado & Philipp Hessel & Mauricio Avendano, 2017. "The hidden costs of informal work: lack of social protection and subjective well-being in Colombia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(2), pages 187-196, March.
    16. María Lopez-Ruiz & Fernando G. Benavides & Alejandra Vives & Lucía Artazcoz, 2017. "Informal employment, unpaid care work, and health status in Spanish-speaking Central American countries: a gender-based approach," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(2), pages 209-218, March.
    17. Sverdlik, Alice & Kothiwal, Kanupriya & Kadungure, Artwell & Agarwal, Siddharth & Machemedze, Rangarirai & Verma, Shabnam & Loewenson, Rene, 2024. "Understanding the interplay of occupational, public health, and climate-related risks for informal workers: A new framework with findings from Zimbabwe and India," Social Science & Medicine, Elsevier, vol. 348(C).
    18. Joonho Ahn & Jaeyong Lee & Hyeyeon Park & Yangwon Kang & Chungwon Kang & Young-Jin You & Mo-Yeol Kang, 2020. "The Health Status of Informal Waste Collectors in Korea," IJERPH, MDPI, vol. 17(15), pages 1-12, July.
    19. Michael Silva-Peñaherrera & Amaya Ayala-Garcia & Erika Alferez Mayer & Iselle Sabastizagal-Vela & Fernando G. Benavides, 2022. "Informal Employment, Working Conditions, and Self-Perceived Health in 3098 Peruvian Urban Workers," IJERPH, MDPI, vol. 19(10), pages 1-9, May.
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