Precarious employment and mental health in the Belgian service voucher system: the role of working conditions and perceived financial strain.

Journal: International archives of occupational and environmental health

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Affiliated Institutions:  Brussels Institute for Social and Population Studies, Vrije Universiteit Brussel, Brussels, Belgium. christophe.vanroelen@vub.be. ESIMar (Mar Nursing School), Parc de Salut Mar, Universitat Pompeu Fabra-Affiliated, Barcelona, Spain. Brussels Institute for Social and Population Studies, Vrije Universiteit Brussel, Brussels, Belgium.

Abstract summary 

Jobs in domestic cleaning are often conceived as 'precarious employment' (PE)-i.e. a multidimensional concept referring to accumulated adverse characteristics of employment due to workers' weak bargaining position. Against this background, the Belgian service voucher system (SVS) was implemented aimed at creating formal and stable, subsidized domestic services jobs.The current study assesses the relationship between PE and mental health (WHO5) in the Belgian SVS, accounting for the potential mediating role of working conditions and perceived financial strain at the household level.We analysed a cross-sectional sample of 1,115 Belgian SVS domestic cleaners, collected in 2019 through an online survey. A mediation model was estimated.The crude effect of PE on adverse mental health was strong (ß 0.545-S.E. 0.063). However, 50% of the association between PE and mental well-being was mediated by work task characteristics (quantitative demands, physical demands, task variation and autonomy) and 25% by household-level perceived financial strain. The remaining direct effect of PE on adverse mental well-being is ß 0.066 (S.E. 0.032-25% of the total effect).These findings are the first based on the Belgian Employment Precariousness Scale (EPRES-BE) and are consistent with earlier-made-but seldom simultaneously tested-assumptions on the mechanisms relating PE to adverse mental health-i.e. involving direct associations and indirect associations via adverse working conditions and material deprivation. Based on the results, we recommend more democratic and higher-quality management practices in the SVS, in addition to higher wages and working time reduction.

Authors & Co-authors:  Vanroelen Padrosa Sayeras Gevaert Huegaerts Vos Bosmans

Study Outcome 

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Statistics
Citations :  Adriaenssens S, Theys T, Verhaest D, Deschacht N (2023) Subsidized household services and informal employment: the Belgian service voucher policy. J Soc Policy 52(1):85–106. https://doi.org/10.1017/S0047279421000428
Authors :  6
Identifiers
Doi : 10.1007/s00420-024-02057-z
SSN : 1432-1246
Study Population
Male,Female
Mesh Terms
Other Terms
Belgium;Domestic cleaners;EPRES;Job quality;Mental health;Precarious employment
Study Design
Study Approach
Quantitative
Country of Study
Publication Country
Germany