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Background: This study brings lesbian, gay, bisexual, transgender (trans), and queer (LGBTQ+) populations into scholarly discourse related to precarious employment through a political economy of queer struggle. Methods: Drawing on narrative inquiry, 20 gay, bisexual, and queer men shared stories of precarious employment that were analyzed using Polkinghorne's narrative analysis. Results: Results tell an overarching narrative in three parts that follow the trajectory of participants' early life experiences, entering the labor market and being precariously employed. Part 1: Devaluation of LGBTQ+ identities and adverse life experiences impacted participants' abilities to plan their careers and complete postsecondary education. Part 2: Participants experienced restricted opportunities due to safety concerns and learned to navigate white, cis, straight, Canadian ideals that are valued in the labor market. Part 3: Participants were without protections to respond to hostile treatment for fear of losing their employment. Conclusions: These stories of precarious employment illustrate unique ways that LGBTQ+ people might be particularly susceptible to exploitative labor markets. [ABSTRACT FROM AUTHOR]

Today's labor market has changed over time, shifting from mostly full-time, secure, and standard employment relationships to mostly entrepreneurial and precarious working arrangements. In this context, self-employment (SE), a prominent type of precarious work, has been growing rapidly due to globalization, automation, technological advances, and the rise of the 'gig' economy, among other factors. Employment precarity profoundly impacts workers' health and well-being by undermining the comprehensiveness of social security systems, including occupational health and safety systems. This study examined how self-employed (SE'd) workers sought out support from informal support systems following illness, injury, and income reduction or loss. Based on in-depth interviews with 24 solo SE'd people in Ontario, Canada, narrative analysis was conducted of participants' experiences with available informal supports following illness or injury. We identified three main ways that SE'd workers managed to sustain their businesses during periods of need: (i) by relying on savings; (ii) accessing loans and financial support through social networks, and (iii) receiving emotional and practical support. We conclude that SE'd workers managed to survive despite social security system coverage gaps by drawing on informal support systems. [ABSTRACT FROM AUTHOR]

Background In recent decades, there has been a signifcant transformation in the world of work that is characterized by a shift from traditional manufacturing and managerial capitalism, which ofered stable full-time employment, to new forms of entrepreneurial capitalism. This new paradigm involves various forms of insecure, contingent, and non-standard work arrangements. Within this context, there has been a noticeable rise in Self-Employed individuals, exhibiting a wide range of -working arrangements. Despite numerous investigations into the factors driving individuals towards Self-Employment and the associated uncertainties and insecurities impacting their lives and job prospects, studies have specifcally delved into the connection between the precarious identity of Self-Employed workers and their overall health and well-being. This exploratory study drew on a ‘precarity’ lens to make contributions to knowledge about Self-Employed workers, aiming to explore how their vulnerable social position might have detrimental efects on their health and well-being. Methods Drawing on in-depth interviews with 24 solo Self-Employed people in Ontario (January – July 2021), narrative thematic analysis was conducted based on participants’ narratives of their work experiences. The dataset was analyzed with the support of NVIVO qualitative data analysis software to elicit narratives and themes. Findings The fndings showed that people opt into Self-Employment because they prefer fexibility and autonomy in their working life. However, moving forward, in the guise of fexibility, they encounter a life of precarity, in terms of job unsustainability, uncertainties, insecurities, unstable working hours and income, and exclusion from social benefts. As a result, the health and well-being of Self-Employed workers are adversely afected by anger, anomie, and anxiety, bringing forward potential risks for a growing population. Conclusion and implications Neoliberalism fabricates a ‘precariat’ Self-Employed class. This is a social position that is vague, volatile, and contingent, that foreshadows potential threats of the health and wellbeing of a growing population in the changing workforce. The fndings in this research facilitate some policy implications and practices at the federal or provincial government level to better support the health and wellbeing of SE’d workers. [ABSTRACT FROM AUTHOR]

People with dementia are excluded from research due to methodological challenges, stigma, and discrimination. Including perspectives of people with dementia across a spectrum of abilities is essential to understanding their perspectives and experiences. Engaging people living with dementia in qualitative research can require adaptation of methods. Qualitative research is typically considered when researchers seek to understand the perspectives, lived experiences, or opinions of individuals' social reality. This scoping review explores current use of adapted methods with people with dementia in qualitative research, including methods used and impacts on the engagement as it relates to meeting accessibility needs. This review considered rationales for adaptations provided by authors, particularly whether authors identified a human rights or justice rationale for adapting methods to promote accessibility and engagement. This review began with a search of primary studies using qualitative research methods published in English in OECD countries from 2017 to 2022. Two reviewers screened titles and abstracts for inclusion. Full texts were reviewed, and data from included studies were extracted using a pre-determined chart. Content analysis of rationales was conducted and reviewed by all authors. Studies were assessed for findings related to impacts of adapted methods. Twenty-eight studies met inclusion criteria. Adaptations to qualitative research methods ranged from minor changes, such as maintaining a familiar interviewer, to more extensive novel methods such as photo-elicitation techniques. Twenty-seven studies provided a rationale for adapting their methods. No studies assessed impacts of their methodology on engagement or accessibility. Five studies observed that their methodology supported engagement. This review helps understand the breadth of adaptations that researchers have made to qualitative research methods to include people with dementia in research. Research is needed to explore adaptations and their impact on engagement of persons with dementia with a range of abilities and backgrounds. [ABSTRACT FROM AUTHOR]

BACKGROUND: The COVID-19 pandemic increased demand for app-based platform-based couriers, creating job opportunities for individuals who have lost income because of COVID-19. Through various stages of lockdown, courier workers (e.g., delivering for Uber Eats, Amazon Flex, and Lyft) provide an essential service. At the same time, this form of work poses risks for exposure to the SARS-CoV-2 virus as these workers are highly mobile and in contact with many individuals. OBJECTIVE: To explore how platform-based couriers discuss risks associated with their work during periods of high (first wave, second wave, third wave/rise in concerns regarding variants) and low risk during the COVID-19 pandemic, 2020–2021. METHODS: We provide a narrative analysis of user posts (n = 2,866) on Reddit during periods of interest. RESULTS: Our analysis resulted in three central findings. First, we identified changing patterns in discourse as the pandemic went on. Second, we found that the theme of risk prevailed largely in the first wave, with dialogue dominated by tips and asking for advice about how to manage risk. Third, our findings reveal a growing polarization among users during the latter phases of the study. CONCLUSION: Polarization largely focused on acceptance (or not) of public health measures and the nature of their work as independent contractors and the role/responsibility of courier companies to offer protection. Our study is the first to document risks, from the perspectives of anonymous couriers who may be unwilling to share their honest opinions and thoughts through primary data collection where anonymity is not guaranteed. [ABSTRACT FROM AUTHOR]

This article focuses on the risk that work disability policies lock people into work disability rather than promote durable health and return to work. We outline the concept of a work disability trap as a heuristic device to explore this policy paradox inherent in the design of most social insurance systems. This is a conceptual paper drawing on examples from existing research. We identify three manifestations of the disability trap: not overcoming disability; underperforming; and returning to work prematurely. The causes of these manifestations are identified as structural rather than based on malingering clients, while negative consequences are identified both on client and system levels. We emphasize the need for systems built on trust and reasonable expectations, and the need for providing rehabilitation support independently of economic compensation. Universal basic income is introduced as a potential tool to ameliorate some of the consequences of the disability trap. Compensation systems focusing too prominently on early return to work may have counter-productive effects on rehabilitation. Overly suspicious assessment systems nurture a view of people as malingerers. Rehabilitation professionals need to be attentive to system-generated effects which may prevent overcoming work disability. [ABSTRACT FROM AUTHOR]

Refugee women are often unable to secure meaningful employment on arrival to Canada. As a result, the uptake of social assistance is common among new arrivals as a temporary provision of income whilst attending programs or upgrading skills. This study explored the factors that contribute to the use of social assistance among refugee women with a focus on the women's views and experience with the current welfare state as a tool for social protection. A modified grounded theory analysis guided our study which consisted of interviews with 20 recent refugee women and 9 settlement agency staff. The women described issues with the design and administration of social assistance which, at times, did not align with their needs. Some contrasted the conundrum of working in precarious jobs and receiving reduced social assistance payments as a consequence. Findings question prior assumptions on the use of social assistance among refugee groups. In particular, the refugee women appeared eager to work but were not afforded the same opportunities as other immigrant groups suggesting the need for social assistance schemes to adapt to the particular circumstances of refugee women to facilitate employment integration. [ABSTRACT FROM AUTHOR]

Introduction: As they deliver food, packages, and people across cities, digital platform drivers (gig workers) are in a key position to become infected with COVID‐19 and transmit it to many others. The aim of this study is to identify perceived COVID‐19 exposure and job risks faced by workers and document the measures in place to protect their health, and how workers responded to these measures. Methods: In 2020–2021, in‐depth interviews were conducted in Ontario, Canada, with 33 digital platform drivers and managers across nine platforms that delivered food, packages, or people. Interviews focused on perceived COVID‐19 risks and mitigation strategies. Audio recordings were transcribed verbatim and uploaded to NVivo software for coding by varied dual pairs of researchers. A Stakeholder Advisory Committee played an instrumental role in the study. Results: As self‐employed workers were without the protection of employment and occupational health standards, platform workers absorbed most of the occupational risks related to COVID‐19. Despite safety measures (e.g., contactless delivery) and financial support for COVID‐19 illnesses introduced by platform companies, perceived COVID‐19 risks remained high because of platform‐related work pressures, including rating systems. We identify five key COVID‐19 related risks faced by the digital platform drivers. Conclusion: We situate platform drivers within the broad context of precarious employment and recommend organizational‐ and government‐level interventions to prevent digital platform worker COVID‐19 risks and to assist workers ill with COVID‐19. Measures to protect the health of platform workers would benefit public health aims by reducing transmission by drivers to families, customers, and consequently, the greater population. [ABSTRACT FROM AUTHOR]

Qualitative research is an increasingly popular research approach for tackling the evolving complexity of social issues. With this rise in use, methods of qualitative data collection are becoming highly diverse, moving away from conventional approaches and welcoming more innovative and creative methods of data collection in a quest to produce critically and theoretically engaged new knowledge. Although traditional face-to-face interviews remain a compelling and popular means, modern innovative technology-based interviewing, such as videoconference interviews, can play a pivotal role in qualitative research. This article argues that this approach is pragmatic because video conferencing interviews are relatively affordable for research teams and, for many research participants, they are more accessible than face-to-face interviews. On the other hand, it provides a unique opportunity for researchers and participants by compressing the time-space divide, facilitating safety, reducing travel-related expenses, accessing transnational participants, maintaining social distance, and protecting personal space and privacy. Yet, this article also argues that videoconferencing can be dogged by practical challenges that might conflict with the holistic quality of qualitative research, such as dropped calls and loss of intimacy compared to traditional in-person interviews. This article presents the experiences of a young researcher, who reflects on how and why he conducted Skype interviews in his research. The article concludes that, despite the relative merits and demerits, videoconference interviews can be a useful supplement or replacement for traditional face-to-face interviews. However, more research is needed to gain a robust understanding of how this type of interview meets basic assumptions about the quality of interviews and affects the overall rigor of qualitative research. [ABSTRACT FROM AUTHOR]

Background: Following a work‐related permanent impairment, injured workers commonly face barriers to safe and successful return to work (RTW). Examining workers' experiences with the workers' compensation (WC) system could highlight opportunities to improve RTW outcomes. Objectives included summarizing workers': (1) appraisal of several WC‐based RTW programs, and (2) suggestions for vocational rehabilitation and WC system improvements to promote safe and sustained RTW. Methods: In telephone interviews, 582 Washington State workers with work‐related permanent impairments were asked whether participation in specified WC‐based RTW programs helped them RTW and/or stay at work. Suggestions for program and system improvements were solicited using open‐ended questions; qualitative content analysis methods were used to inductively code responses. Results: Most respondents reported positive impacts from RTW program participation; for example, 62.5% of vocational rehabilitation participants reported it helped them RTW, and 51.7% reported it helped them stay at work. Among 582 respondents, 28.0% reported that no change was needed to the WC system, while 57.6% provided suggestions or critiques. Reduce delays/simplify process/improve efficiency was the most frequent WC system theme—mentioned by 34.9%. Among 120 vocational rehabilitation participants, 35.8% reported that no change was needed to vocational rehabilitation, while 46.7% (N = 56) provided suggestions or critiques. More worker choice/input into the vocational retraining plan was the most frequent vocational rehabilitation theme—mentioned by 33.9%. Conclusions: This study's findings suggest that there is substantial room for improvement in workers' experience with the WC system. In addition, injured workers' feedback may reflect opportunities to reduce administrative burden and to improve worker health and RTW outcomes. [ABSTRACT FROM AUTHOR]

BACKGROUND: Self-employment (SE) is a growing precarious and non-standard work arrangement internationally. Economically advanced countries that favor digital labor markets may be promoting the growth of a demographic of self-employed (SE'd) workers who are exposed to particular occupational diseases, sickness, and injury. However, little is known about how SE'd workers are supported when they are unable to work due to illness, injury, and disability. OBJECTIVE: Our objective was to critically review peer-reviewed literature focusing on advanced economies to understand how SE'd workers navigate, experience, or manage their injuries and illness when unable to work. METHODS: Using a critical interpretive lens, a systematic search was conducted of five databases. The search yielded 18 relevant articles, which were critically examined and synthesized. RESULTS: Five major themes emerged from the review: (i) conceptualizing SE; (ii) double-edged sword; (iii) dynamics of illness, injury, and disability; (iv) formal and informal health management support systems; and (v) occupational health services and rehabilitation. CONCLUSION: We find a lack of research distinguishing the work and health needs of different kinds of SE'd workers, taking into consideration class, gender, sector, and gig workers. Many articles noted poor social security system supports. Drawing on a social justice lens, we argue that SE'd workers make significant contributions to economies and are deserving of support from social security systems when ill or injured. [ABSTRACT FROM AUTHOR]

Background: Roughly 10% of occupational injuries result in permanent impairment. After initial return to work (RTW), many workers with permanent impairments face RTW interruption due to reinjury, unstable health, disability, and layoff. This study used open‐ended survey data to: (1) explore workplace factors identified by workers as important levers for change, some of which may previously have been unrecognized; and (2) summarize workers' suggestions for workplace improvements to promote sustained RTW and prevent reinjury. Methods: This study included data from workers' compensation claims and telephone surveys of 582 Washington State workers who had RTW after a work‐related injury involving permanent impairment. The survey was conducted in 2019, about a year after claim closure. We used qualitative content analysis methods to inductively code open‐ended survey responses. Results: The most frequent themes were: safety precautions/safer workplace (18.1%), adequate staffing/appropriate task distribution (16.2%), and safety climate (14.1%). Other frequent themes included ergonomics, rest breaks, job strain, predictability and flexibility in work scheduling practices, employer response to injury, social support, communication, and respect. Many workers reported that they were not listened to, or that their input was not sought or valued. Workers often linked communication deficiencies to preventable deficiencies in safety practices, safety climate, and RTW practices, and also to lack of respect or distrust. In counterpoint, nearly one‐third of respondents reported that no change was needed to their workplace. Conclusions: Policies and interventions targeting worker‐suggested workplace improvements may promote safe and sustained RTW, which is essential for worker health and economic stability. [ABSTRACT FROM AUTHOR]

Background: This article reports the results of a rapid scoping review of the literature on COVID‐19 transmission risk to workers in essential sectors such as retail, health care, manufacturing, and agriculture, and more particularly the experiences of workers in precarious employment and social situations. Methods: Following scoping review methods, we included 30 studies that varied in terms of methodology and theoretical approaches. The search included peer‐reviewed articles and grey literature published between March and September 2020. Results: Based on the studies reviewed, we found that COVID‐19 infection and death rates increased not only with age and comorbidities, but also with discrimination and structural inequities based on racism and sexism. Racial and ethnic minority workers, including migrant workers, are concentrated in high‐risk occupations and this concentration is correlated to lower socioeconomic conditions. The COVID‐19 pandemic appears in the occupational health and safety spotlight as an exacerbator of already existing socioeconomic inequalities and social inequalities in health, especially in light of the intersection of issues related to racism, ethnic minority status, and sexism. Conclusions: This review provides early evidence about the limitations of institutions' responses to the pandemic, and their capacity to provide a safe and decent working environment for all workers, regardless of their employment status or the social protections they may enjoy under normal circumstances. It is also important to think about these issues in the postpandemic context, when conditions of precariousness and vulnerability persist and possibly worsen. [ABSTRACT FROM AUTHOR]

Sickness insurance and workers' compensation systems decide on peoples' eligibility for benefits, and are commonly based on medical certificates and assessments of work ability. Systems differ in the extent to which they preserve clients' dignity and right to fair assessments. In this article, we define a new concept for studying interactions between individuals and systems: social insurance literacy, which concerns how well people understand the different procedures and regulations in social insurance systems, and how well systems communicate with clients in order to help them understand the system. The concept was defined through a scoping literature review of related concepts, a conceptual re-analysis in relation to the social insurance field, and a following workshop. Five related concepts were reviewed for definitions and operationalizations: health literacy, financial/economic literacy, legal capability/ability, social security literacy, and insurance literacy. Social insurance literacy is defined as the extent to which individuals can obtain, understand and act on information in a social insurance system, related to the comprehensibility of the information provided by the system. This definition is rooted in theories from sociology, social medicine and public health. In the next step, a measure for the concept will be developed based on this review. Social insurance literacy is a new concept that is based on theories in sociology, social medicine and public health. It provides conceptual orientation for analyzing factors that may influence different outcomes of peoples' contacts with social insurance systems. The concept is of relevance for rehabilitation professionals since it focuses on how interactions between individuals and systems can influence the rehabilitation process. The study will in the next step develop a measure of social insurance literacy which will have practical applications for rehabilitation professionals. [ABSTRACT FROM AUTHOR]

Although social constructionism (SC) and Foucauldian discourse analysis (FDA) are well established constructionist analytical methods, this article propose that Foucauldian discourse analysis is more useful for qualitative data analysis as it examines social legitimacy. While the SC is able to illuminate how the "meaning" of our social action is constructed through our everyday interaction in socio-cultural and political contexts, questions emerge that are beyond the scope of the SC. These questions are concerned with understanding how the construction of "meaning" is connected to the power imbalance in our society, as well as how a particular version of reality comes to us as truth, having excluded other versions. Moreover, SC does not distinguish between successful and unsuccessful/marginalized claims. This article reflects on how using FDA addresses weaknesses in SC when used in qualitative data analysis, using specific examples from different literature. [ABSTRACT FROM AUTHOR]