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O12-3 Social class, working conditions and occupational health in argentina: analysis of the first national working conditions survey
  1. Mª José Itati Iñiguez1,2,
  2. Alejandra Vives3,4,5
  1. 1Universidad de Buenos Aires, Instituto Gino Germani, Ciudad Autónoma de Buenos Aires, Argentina
  2. 2Superintendencia de Riesgos del Trabajo, Ciudad Autónoma de Buenos Aires, Argentina
  3. 3Departamento de Salud Pública, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago de Chile, Chile
  4. 4Center for Sustainable Urban Development (CEDEUS); Advanced Centre for Chronic Diseases (ACCDiS), Conicyt/Fondap, Chile
  5. 5Health Inequalities Research Group, Employment Conditions Knowledge Network (GREDS-EMCONET), Barcelona, Spain

Abstract

Introduction Social class is a key determinant of inequalities in working conditions and health. We analysed, for the first time, the association between social class, working conditions and occupational health outcomes in Argentina.

Methods Data come from the first Argentinian working conditions survey (2010) conducted on non-agricultural formal private-sector workers in registered enterprises. Subjects (n = 7,195) were classified into services class, intermediate and working class according to an adapted Erikson-Golthorpe social class scheme for Argentina. Working conditions and self-reported occupational injuries and occupational disease are compared across social class (Chi2). Poisson regression models to estimate adjusted (by age, sex, and tenure) prevalence proportion ratios (PRR) of each outcome by social class and poor working conditions.

Results Prevalence of exposure to hygienic risks in the working class is more than twice than in the services and intermediate classes; ergonomic risks follow a steep gradient where the working class doubles the risk of the services class. Working time autonomy is highest in the intermediate class and lowest in the working class; psychological demands and social support from superiors follow a slight gradient being highest in the service class, while social support from colleagues is lowest in intermediate classes. PRR of occupational injuries was 1.96 (95% CI: 1.5–2.6) in the working class, and highest for exposure to toxic and biologic risks, and for lack of social support from superiors and colleagues. PRR of occupational disease exhibited no social-class differences, but strong associations with working conditions, including psychosocial risks.

Conclusions Working class workers have the highest exposure to poor working conditions, and highest prevalence of occupational injuries. The absence of social-class differences in occupational disease may be related to differences across classes in the outcomes contained in the self-report, requiring further studies. Results also highlight the relevance of work organisation for occupational health, beyond psychological health.

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