%0 Journal Article %A Bertina Kreshpaj %A David H Wegman %A Bo Burstrom %A Letitia Davis %A Tomas Hemmingsson %A Carin Håkansta %A Johanna Jonsson %A Gun Johansson %A Katarina Kjellberg %A Nestor Sanchez Martinez %A Nuria Matilla-Santander %A Cecilia Orellana %A Theo Bodin %T Precarious employment and occupational injuries in Sweden between 2006 and 2014: a register-based study %D 2023 %R 10.1136/oemed-2022-108604 %J Occupational and Environmental Medicine %P 179-185 %V 80 %N 4 %X Background Precarious employment (PE) has been suggested as a risk factor for occupational injuries (OIs). However, several issues such as under-reporting and time at risk pose obstacles to obtaining unbiased estimates of riskObjective To investigate if PE is a risk factor for OIs in Sweden.Methods This register-based study included employed workers aged 18–65, resident in Sweden between 2006 and 2014. PE was operationalised as a multidimensional construct (score) and by its five items (contract insecurity, contractual temporariness, multiple jobs/multiple sectors, income level, collective bargaining agreement). Our outcome was OI in the following year. Pooled ORs for OIs in relation to PE and PE items were calculated by means of multivariate logistic regression models for women and men separately.Results Precarious workers were at lower risk of OIs as compared with non-precarious workers among both males and females (OR <1) also when applying weights for under-reporting and adjusting for time at risk (part-time work). Male agencies workers had a higher risk of OIs (OR 1.19, 95% CI 1.15 to 1.23), as did male and female workers in multiple jobs/sectors (OR 1.25, 95% CI 1.23 to 1.28 and OR 1.10, 95% CI 1.07 to 1.13 respectively), and female workers in the low-income groups (OR 1.11, 95% CI 1.09 to 1.12). Low coverage of collective bargaining agreements was associated with a lower risk of OIs for both men and women (OR 0.30, 95% CI 0.29 to 0.31 and OR 0.26, 95% CI 0.24 to 0.27, respectively).Conclusions While several mechanisms may explain why precarious workers in Sweden present lower risks of OIs, several dimensions of PE such as temp agency work and multiple job-holding could be important risk factors for OIs and merit further research.Data can be obtained through acquisition from Swedish registers. The data collection process is described in the method section of this article. Details from the analysis can be obtained from the corresponding author on request. %U https://oem.bmj.com/content/oemed/80/4/179.full.pdf