Full-time workers with precarious employment face lower protection for receiving annual health check-ups

Mariko Inoue, Shinobu Tsurugano, Mariko Nishikitani, Eiji Yano

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)


Background: Precarious employment is one of the social determinants of health. In 2010, 34.4% of Japanese workers fell into this employment category. The purpose of our study was to assess whether the use of annual health check-ups varied by worker contract type. Methods: Using 2007 nationally representative survey data, we compared the annual health check-up compliance of permanently employed full-time workers versus that of precariously employed workers (hourly, dispatched, and fixed-term workers). Results: Dispatched workers and hourly workers received health check-ups less often compared with permanent workers. Hourly young male workers received health check-ups five times less frequently than permanent workers. The percentage of workers who consulted a physician after receiving advice to do so did not differ by employment types, except in older men. Conclusions: In Japan, workers with precarious employment, most notably hourly and dispatched workers, had a lower rate of health check-ups compared with full-time workers in permanent positions.

Original languageEnglish
Pages (from-to)884-892
Number of pages9
JournalAmerican Journal of Industrial Medicine
Issue number10
Publication statusPublished - Oct 2012
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health


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