As employers respond to new competitive pressures of global capitalism thro
ugh layoffs and the casualization of labor,job insecurity affects a growing
number of workers. It appears to harm mental health, but less is known abo
ut its effects on physical health and health behaviors and the mechanisms t
hrough which it may act. The prevailing individual-centered conceptualizati
on of job insecurity as the perception of a threat to job continuity preclu
des systematic investigation of the social patterning of its health effects
. Analysis of data from a 1994 Canadian national probability sample of adul
ts determined that high levels of job insecurity lowered self-rated health
and increased distress and the use of medications, but had no impact on hea
vy drinking. The findings support one possible mechanism of action whereby
job insecurity reduces feelings of control over one's environment and oppor
tunities for positive self-evaluation; these psychological experiences, in
turn, have deleterious health consequences. There is little evidence of soc
ial patterning of this relationship by gender, education, household income,
age, marital status, and social support at work.