Self-employed workers with chronic health conditions: A qualitative study.

Chronic health conditions affect many individuals of working age, who cope with physical, psychological, and social difficulties that often involve limited work ability. This qualitative study explored experiences of self-employed individuals with chronic health conditions to advance our understanding of the effect of chronic illness on work. In-depth semi-structured interviews were conducted with 23 self-employed individuals coping with cancer, heart disease, inflammatory bowel disease, lung disease, or asthma. Data were analyzed with thematic analysis. Analysis of the interviews revealed four themes: uncertainty in planning work and committing to customers, acceptance versus denial of reduced work abilities, disclosure of health status to workers and customers, and temporal substitutes as a source of both support and concern. The results indicate that self-employed workers with a chronic health condition cope with unique challenges due to the need to sustain their business in the face of illness and a sense of sole responsibility.

A comparative study of governmental financial support and resilience of self-employed people in Sweden and Canada during the COVID-19 pandemic.

Globally, self-employed people were among the hardest hit by the repercussions of the COVID-19 pandemic and faced hardships such as financial decline, restrictions, and business closures. A plethora of financial support measures were rolled out worldwide to support them, but there is a lack of research looking at the effect of the policy measures on self-employed people. To understand how different governmental financial support measures enhanced the resilience of the self-employed and improved their ability to manage the pandemic, we conducted a mixed-method study using policy analysis and semi-structured interviews. The documents described policies addressing governmental financial support in Sweden and Canada during the pandemic, and the interviews were conducted with Swedish and Canadian self-employed people to explore how they experienced the support measures in relation to their resilience. The key results were that self-employed people in both countries who were unable to telework were less resilient during the pandemic due to financial problems, restrictions, and lockdowns. The interviews revealed that many self-employed people in hard-hit industries were dissatisfied with the support measures and found them to be unfairly distributed. In addition, the self-employed people experiencing difficulties running their businesses reported reduced well-being, negatively affecting their business survival.

Socioeconomic Disparities in the Association Between All-Cause Mortality and Health Check-Up Participation Among Healthy Middle-Aged Workers: A Nationwide Study.

BACKGROUND: This study assessed the relationship between non-participation in health check-ups and all-cause mortality and morbidity, considering socioeconomic status. METHODS: Healthy, middle-aged (35-54 years) working individuals who maintained either self-employed or employee status from 2006-2010 were recruited in this retrospective cohort study from the National Health Insurance Service in Korea. Health check-up participation was calculated as the sum of the number of health check-ups in 2007-2008 and 2009-2010. Adjusted hazard ratio (HR) and 95% confidence interval (CI) of all-cause mortality were estimated for each gender using multivariable Cox proportional hazard models, adjusting for age, income, residential area, and employment status. Interaction of non-participation in health check-ups and employment status on the risk of all-cause mortality was further analyzed. RESULTS: Among 4,267,243 individuals with a median 12-year follow-up (median age, 44; men, 74.43%), 89,030 (2.09%) died. The proportion (number) of deaths of individuals with no, one-time, and two-time participation in health check-ups was 3.53% (n = 47,496), 1.66% (n = 13,835), and 1.33% (n = 27,699), respectively. The association between health check-up participation and all-cause mortality showed a reverse J-shaped curve with the highest adjusted HR (95% CI) of 1.575 (1.541-1.611) and 1.718 (1.628-1.813) for men and women who did not attend any health check-ups, respectively. According to the interaction analysis, both genders showed significant additive and multiplicative interaction, with more pronounced additive interaction among women who did not attend health check-ups (relative excess risk due to interaction, 1.014 [0.871-1.158]). CONCLUSION: Our study highlights the significant reverse J-shaped association between health check-up participation and all-cause mortality. A pronounced association was found among self-employed individuals, regardless of gender.

'Wait , let me tell you, if I worked for a boss, I would be on sick leave': A Qualitative Study of Self-Employed Workers in Physically Demanding Jobs in the Netherlands.

PURPOSE: The purpose of this study was to explore the perspectives of self-employed workers with a physically demanding job on work participation. METHODS: We interviewed self-employed workers with a physically demanding job, using semi-structured interviews, which were audio recorded. The main topic addressed was the workers' health in relation with their work participation, work demands, and preventive measures. The interviews were transcribed verbatim and coded by three team members of the research team in several steps. We used the consolidated criteria for reporting qualitative research (COREQ) checklist to report our findings. RESULTS: We interviewed 18 self-employed workers: 83% male, 49 years (SD 7), self-employed for 18 years (SD 9) and the majority (n = 14) worked in the construction sector. Thematic analysis revealed facilitators and barriers for work participation across three main themes: personal factors, work factors, and healthcare. Personal factors compassed sub-themes such as health and financial consequences. Work factors included sub-themes related to work demands and adaptations and healthcare encompassed sub-themes associated with work-related care and medication. CONCLUSION: To our knowledge, this is the first qualitative study that investigated the perspectives of self-employed workers in physically demanding jobs regarding work participation. While most facilitators and barriers were consistent with those described in the literature for employees, certain factors, such as financial consequences of ceasing work, emerged important factors for work participation among self-employed workers.

Work-related experiences of prostate cancer survivors in Australia: a qualitative study.

BACKGROUND: Prostate cancer (PCa) is the most diagnosed cancer in Australian men, and the number of survivors is growing with advances in diagnosis and treatment. Work participation following PCa diagnosis and treatment becomes a significant aspect of quality of life and survivorship. Using a qualitative phenomenological approach, we explored the work-related experiences of PCa survivors in Australia. METHODS: Semi-structured telephone interviews were conducted with 16 men (6 salaried employees, 10 self-employed; 8 diagnosed ≥ 5 years) purposively sampled from a community setting. Interviews were inductively analysed. RESULTS: Five main themes emerged: motivations to work; treatment decisions and work; the effects of PCa and its treatment on ability to participate in work; being an employee versus being self-employed; and personal agency. PCa and its treatment side-effects were detrimental to men's work capacity and ability, and could persist over an extended period. Most men expressed a strong desire to retain work or return to work. Discussions with healthcare professionals about work-related consequences were largely missing when treatment decisions were made. Self-employed men faced greater challenges than their salaried counterparts due to high financial burden and limited social and business support. Family, workplace and wider community support, and self-care, enhanced men's work participation experiences. CONCLUSIONS: PCa and its treatment substantially and persistently impacted men's working lives, and their experiences were diverse and multifaceted. Self-employed and long-term PCa survivors face greater challenges and are at high risk of poor work outcomes. A systematic approach and involvement of stakeholders at all levels is required to support ongoing work participation.

Organising the self-employed: combining community unionism, coworking and cooperativism across contexts.

The growing insecurity, flexibilisation and fragmentation of labour markets goes hand-in-hand with the decrease of social protection levels and collective representation for workers in non-standard employment relationships, such as the hybrid category of 'solo self-employed workers'. In response, on the one hand, trade unions attempt to approach and organise this heterogenous category of workers. On the other, new freelancer organisations are emerging to improve worker rights and safety, and overcome their social and professional isolation. Reporting the findings of long-term, slow ethnography, we describe a failed collaboration between three new collective actors in the representation and organisation of self-employed workers. In the second half of the 2010s, two UK organisations, Coworking (all names pseudonyms), a coworking space operator working in a deprived ex-industrial area, and Union, a former industrial union, created Coworking.Union, a cooperative trade union offering services and advocacy for the self-employed. Coworking.Union collaborated with Cooperative, a freelancer cooperative based in Northern Europe, with a view to emulate aspects of its model in the UK. We present a detailed reconstruction of the interactions of the three actors over time, including their context, expectations, and visions, starting from the motivations that generated the first contacts, through to the development of operational agreements, up to the failure of these agreements as relations cooled. The case study, and the failed experiment it captures, constitutes an important opportunity to understand the dynamism, complexity, and contradiction manifest in organising the self-employed. While the strategic ingredients of significant organisational innovation were in evidence between the three actors, it generated instead a failure. The case study thus demonstrates the importance of an in-depth analysis of failed attempts at organising the self-employed and their meaning for broader struggles by old and new actors to alter the terrain of the hybrid areas of employment more generally.

Incorporating self-employed maintainers into WEEE formal recycling system: A system dynamic approach.

The establishment and operation of a formal recycling system for waste electrical and electronic equipment is an important measure to reduce environmental hazards and improve the recycling of resources, but how to incorporate self-employed maintainers into the system has formed an important research gap. Based on the perspective of extended producer responsibility, we argue that self-employed maintainers are required to assume the corresponding environmental responsibility for the environmental externality caused by informal maintenance activities. Using qualitative structural analysis techniques of system dynamics approach with quantitative simulation analysis techniques, we construct an incentive model for self-employed maintainers' participation in formal recycling system, based on which we propose four incentive strategies. A simulation analysis is further conducted by using the case of waste mobile phones recycling in Qingdao to verify the effectiveness of our incentive model and strategies.

A dataset on declared tax evasion attitudes of students and entrepreneurs from Poland under the slippery slope framework.

The datasets included in this article come from a survey carried out on a group of Polish students and self-employed entrepreneurs and were originally created for studies on tax behaviour under the slippery slope framework. The slippery slope framework explains the role of extensive power execution and building trust in the tax administration in enhancing either enforced or voluntary tax compliance accordingly [1]. Students of economics, finance, and management at the Faculty of Economic Sciences and the Faculty of Management at the University of Warsaw were surveyed in two rounds, in 2011 and 2022, using paper-based questionnaires handed to them personally. Entrepreneurs were invited to fill in online questionnaires in 2020. Questionnaires were filled in by self-employed individuals from the Kuyavia-Pomerania, Lower Silesia, Lublin, and Silesia Province. The datasets provide 599 records for students and 422 observations for entrepreneurs. The purpose of collecting these data was to analyse the attitudes of the mentioned social groups towards tax compliance and tax evasion under the slippery slope framework along two dimensions: trust in authorities and power of authorities. The sample was selected because students in these fields are the most likely to become entrepreneurs, so the study sought to capture the potential behavioural change that is taking place. Each questionnaire consisted of three parts, a description of a fictitious country (Varosia) in one of four scenarios: (1) high trust-high power; (2) low trust-high power; (3) high trust-low power; (4) low trust-low power, 28 questions including manipulation checks on trust in authorities and power of authorities, intended tax compliance, voluntary tax compliance, enforced tax compliance, intended tax evasion, tax morale and the perceived similarity between Varosia and Poland, and finally two questions on gender and age of respondents. The data presented are particularly useful for policymakers in shaping tax policy and economists in analyses regarding taxation. Researchers may be interested in reusing the provided datasets for comparative research in other social groups, regions, and countries.

Life Satisfaction among Self-Employed People in Different Welfare Regimes during the COVID-19 Pandemic: Significance of Household Finances and Concerns about Work.

Most studies have shown that self-employed people have higher levels of life satisfaction than employed people due to high levels of job satisfaction, work flexibility, and job control. However, during the COVID-19 pandemic, many self-employed people experienced economic strain and worried about the situation of their employees and survival of the company. The aim of this study was to examine the level of life satisfaction among self-employed people during the COVID-19 pandemic in different welfare regimes. Analyses were mainly based on Eurofound's "Living, Working and COVID-19" online survey. Fieldwork took place between April and June 2020 in 27 EU countries. The results showed that there was a significantly lower level of life satisfaction among self-employed people than employed people during the pandemic. This was in contrast to analyses from approximately one year before the pandemic, which showed that life satisfaction was higher among self-employed people. The main reasons for this lower level of life satisfaction among the self-employed during the pandemic were worse household financial situation and more worries about their job. Analyses of life satisfaction among the self-employed in different welfare regimes indicated that self-employed people in the Nordic welfare state regime largely kept their relatively high level of life satisfaction during the pandemic, but this was not the case for self-employed people in other welfare regimes.

The blurring line between freelance journalists and self-employed media workers.

This study uses the question, 'what makes a freelancer specifically a journalist' as a starting point for investigating the ways Australian freelance journalists experienced and managed precarious employment in COVID-19 impacted 2020. Drawing on qualitative interviews with 32 self-identified freelance journalists, we analyse the types of work they did, the influence of the precarious job situation on their work choices and the consequent ways they chose to display their identity as journalists. Our findings reveal a complex picture, which calls into question some of the binaries established around journalism. While nearly all participants had to resort to work outside journalism in 2020, at least half still displayed strong links to journalism, demonstrated by their sense of belonging to a community of journalists, and their continued interest in doing self-funded public interest journalism as 'passion projects'. However, we also noticed a blurring between the descriptors of journalist and writer, based partly on employment opportunities but also, importantly, on interest in increasing creativity in the journalistic space. These results lead us to question work-test definitions as a signifier of a freelancer's bond to journalism and to propose, instead, that freelancers merit a new standing in the flattening hierarchy of journalism.

The impact of Covid-19 on self-employed female psychologists in the UK.

This scoping study reports on the experiences of 41 female self-employed psychologists (or psychologists in private practice) during the first Covid-19 lockdown in the UK. Psychologists are more likely to be female, and unlike employed people, self-employed female psychologists were more likely to be working in lone contexts, and they were unlikely to have had broader organisational and government support available to them. Yet, self-employed female psychologists still made a significant contribution to the UK's response to the Covid-19 pandemic. In addition to supporting children and adults, they have played an important role in shaping government policy, and in the delivery of mass media campaigns and public health messaging. In view of this, the current scoping study focused on how self-employed female psychologists were fairing during the unprecedented circumstances. How were their needs being met? Responses to open-ended survey questions were qualitatively examined using a thematic analysis approach. Overall, the findings suggest that lockdown has afforded some positive opportunities for self-employed female psychologists in the UK. However, for many, it has also had a detrimental impact on their family relationships, and on their own mental health and wellbeing. The findings indicate that self-employed female psychologists may need a more nuanced approach to mitigate against any long-term negative effects of Covid-19.

Understanding changes to perceived socioeconomic and psychosocial adversities during COVID-19 for UK freelance cultural workers.

There is a dearth of qualitative research exploring how freelancers working in the cultural industries have been affected during COVID-19. In particular, there is a lack of research exploring how socioeconomic and psychosocial adversities may have changed or evolved, and how these changes have been perceived and subjectively experienced by freelance cultural workers. This study builds on qualitative interviews carried out in July-November 2020 (n = 20) by exploring findings from follow-up interviews conducted in May-July 2021 (n = 16). It presents an inequality of experiences connected to a range of socioeconomic and psychosocial factors, showing how some freelancers experienced small changes (e.g. to the kind of work carried out), with others experiencing major changes (e.g. leaving the sector completely). It concludes with a call for highly bespoke financial and psychological support, as well as a need to rethink what cultural value is for this workforce in the "new normal", considering changing valuing processes.

Perceptions of Health Insurance Among Self-employed Korean Immigrants From South Korea in the United States.

Korean Americans in the United States are more likely than other Asian ethnic groups to lack health insurance despite their high education and economic prosperity. According to the model of health service selection, immigrants' perceptions of the health care system and health care behaviors in their host country are affected by sociocultural referents including premigration health care experience in the country of origin. This study explored Korean immigrants' perceptions of health insurance and their intentions to purchase and maintain health insurance in the United States. We conducted in-depth interviews with 24 self-employed Korean immigrants who migrated from South Korea and were living in the Greater Los Angeles area in 2015. Participants generally had negative perceptions of U.S. health insurance in terms of cost, benefits, simplicity, and accessibility. Coupled with their positive experiences with the single-payer, universal health insurance in South Korea, respondents evaluated U.S. health insurance as not worth purchasing, and indicated they would not maintain health insurance once the individual mandate of the Affordable Care Act was abolished. On the contrary, respondents who immigrated prior to the establishment of the Korean universal health insurance in South Korea were relatively satisfied with U.S. health insurance and had maintained health insurance for substantial periods of time. Korean immigrants' premigration health care experiences appeared to influence their decisions to purchase health insurance in the United States and their intention to maintain health insurance. The study findings highlight the necessity of tailored health education that takes into account sociocultural determinants of health coverage among immigrants.

Gender differences in the determinants of mature entrepreneurship? The case of Germany.

Mature female entrepreneurs represent a non-traditional model of self-employed workers in both ways: in terms of gender and age. The transition into self-employment for women aged 45 years and older represents a topic of aging research that still tends to be overlooked. Previous studies found ambivalent results for the issue regarding motives and entrepreneurial pathways between former employmen or unemployment-and starting one's own business and the ways in which these entrepreneurial activities are shaped by social differences (such as gender) and biographically accumulated resources and restrictions. This article studies biographical-related factors and motivations that determine what is variously referred to as mature entrepreneurship for men and women aged 45 and above. Using data from the German Socio-Economic Panel (SOEP), the descriptive analysis explains the main gender differences among people within the target age group who have taken the step into self-employment. The multivariate analysis interrogates the main determinants that govern any increase in the probability of becoming self-employed after the age of 45 and seeks to identify the main differences between women and men in relation to such determinants. The results show substantial gender-based occupational segregation in entrepreneurship patterns in this age group, with men working longer hours on average than women and enjoying higher average earnings. However, the multivariate analysis shows that the main drivers for mature entrepreneurship are similar for both men and women and that necessity represents an important factor for everyone for starting a business.

Work Addiction Among Employees and Self-Employed Workers: An Investigation Based on the Italian Version of the Bergen Work Addiction Scale.

The increasing interest in work addiction is connected to recent changes in the work culture and work habits. Despite this interest, knowledge pertaining to this phenomenon and measures to assess it are still limited. This study aims to contribute by examining the psychometric features of the Italian version of the Bergen Work Addiction Scale, a unidimensional scale based on the perspective of addiction. The research method consisted in two steps: in the first cross-sectional study, a convenience sample of 1,035 workers filled in a self-report questionnaire; the second step was a two-wave longitudinal study that involved a convenience sample of 292 workers. Results confirmed the psychometric properties of the scale across employees and self-employed groups. Moreover, results showed a significantly higher level of work addiction among self-employed workers than employees. This study provides support for the evaluation of workaholism in the Italian context among different kind of professions.

Sometimes needs change minds: Interests and values as determinants of attitudes towards state support for the self-employed during the COVID-19 crisis.

This contribution investigates public attitudes toward providing financial help to the self-employed, a less well-researched area in the otherwise vibrant literature on welfare state attitudes. We analyse to what extent the self-employed themselves soften their general anti-statist stance in times of need, and how the public thinks about supporting those who usually tend to oppose government interventions. To answer these questions, we study public attitudes towards providing financial aid to the self-employed during the lockdowns adopted in response to the COVID pandemic in Switzerland, using survey data collected in the spring and in the autumn of 2020. The results show that most respondents favour the provision of financial support. In addition, the self-employed are the staunchest supporters of the more generous forms of help, like non-refundable payments. We conclude that, when exposed to significant economic risk, need and interests override ideological preferences for less state intervention.

Income protection for self-employed and non-standard workers during the COVID-19 pandemic.

Based on original evidence from the European Social Policy Network (ESPN), the article investigates the extent to which self-employed and non-standard workers, who are less protected by "ordinary" social protection, were included in "extraordinary" income protection and job retention schemes during the COVID-19 pandemic in the European Union (EU) and the United Kingdom. When the crisis hit, countries quickly introduced unprecedented emergency income replacement measures for the self-employed. Nevertheless, most of these schemes provided only basic support through lump sums and were, in some cases, subject to a variety of eligibility conditions. Non-standard workers were in general included in job retention schemes, but substantial gaps remained in some countries. The article discusses how such gaps were addressed in five EU Member States. The article concludes by highlighting some policy pointers for better and more adequate "extraordinary" income protection for the self-employed and non-standard workers in times of crisis.

Sur la base de données inédites du Réseau européen de politique sociale (ESPN), l'article examine dans quelle mesure les travailleurs indépendants et atypiques, qui sont moins protégés par la protection sociale «ordinaire¼, ont été inclus dans des régimes «extraordinaires¼ de protection du revenu et de maintien dans l'emploi pendant la pandémie de COVID­19 dans l'Union européenne (UE) et au Royaume­Uni. Lorsque la crise est survenue, les pays ont rapidement mis en place des mesures d'urgence sans précédent de remplacement du revenu pour les travailleurs indépendants. Cependant, la plupart de ces régimes ne fournissaient qu'une aide de base sous forme de montants forfaitaires et étaient, dans certains cas, soumis à diverses conditions d'ouverture des droits. Les travailleurs atypiques étaient en général inclus dans les programmes de maintien dans l'emploi, mais des lacunes importantes subsistaient dans certains pays. L'article examine comment ces lacunes ont été comblées dans cinq États membres de l'UE. Il conclut en mettant en évidence quelques pistes pour améliorer et rendre plus adéquate la protection des revenus «extraordinaires¼ des travailleurs indépendants et des travailleurs atypiques en temps de crise.

Sobre la base de datos originales de la Red Europea de Política Social (REPS), en el artículo se investiga hasta qué punto se incluyó a los trabajadores por cuenta propia y a los trabajadores atípicos, menos cubiertos por los sistemas de protección social "ordinarios", en los regímenes "extraordinarios" de protección de los ingresos y de mantenimiento del empleo durante la pandemia de COVID­19 en la Unión Europea (UE) y el Reino Unido. Con la llegada de la crisis, los países adoptaron rápidamente medidas de emergencia sin precedentes para garantizar la sustitución de los ingresos de los trabajadores por cuenta propia. No obstante, la mayoría de estos regímenes solo prestaron una ayuda básica en forma de pagos únicos que, en algunos casos, estaban sujetos a diversas condiciones de elegibilidad. En general, los trabajadores atípicos fueron incluidos en los regímenes de mantenimiento del empleo, pero en algunos países siguió habiendo deficiencias importantes. En el artículo se analiza cómo se abordaron esas deficiencias en cinco Estados miembros de la UE, y concluye destacando algunas pautas políticas para que la protección de los ingresos "extraordinaria" en tiempos de crisis sea mejor y más adecuada para los trabajadores por cuenta propia y los trabajadores atípicos.

Com base em evidências originais da Rede europeia em matéria de política social (ESPN, European Social Policy Network), este artigo investiga até que ponto trabalhadores autônomos e trabalhadores não padronizados, que são menos protegidos pela proteção social "comum", foram incluídos em regimes "extraordinários" de proteção de renda e manutenção de emprego durante a pandemia de COVID­19 na União Europeia (UE) e no Reino Unido. Quando a crise chegou, os países rapidamente introduziram medidas emergenciais sem precedentes de reposição de renda para os trabalhadores autônomos. No entanto, a maioria desses regimes proporcionou apenas apoio básico por meio de parcelas únicas e, em alguns casos, estavam sujeitos a uma variedade de condições de elegibilidade. Em geral, os trabalhadores não padronizados foram incluídos em regimes de manutenção de emprego, mas lacunas substanciais se mantiveram em alguns países. Este artigo discute como essas lacunas foram abordadas em cinco Estados­membros da União Europeia. O artigo conclui destacando alguns indicadores políticos para uma proteção de renda "extraordinária" melhor e mais adequada para os trabalhadores autônomos e os trabalhadores não padronizados em tempos de crise.

Musculoskeletal Symptoms in Professional Musicians: Do Self-employed and Employer-employed Musicians Differ?

Concerns have been raised for the health and wellbeing of self-employed workers. Musicians are the 'original' gig workers, and musicians have a high prevalence of musculoskeletal symptoms (MSSs). Studies of musicians' MSSs have typically focused on classical, employer-employed musicians; leaving self-employed musicians under-investigated. We investigated the prevalence of MSS outcomes in all types of professional musicians, and compared the MSS outcomes between self-employed and employer-employed musicians. We conducted a cross-sectional study of professional musicians. Given the large proportion of musicians who were both self-employed and employer-employed, three groups were compared: self-employed only (self-employed group), employer-employed only (employer-employed group), and both self-employed and employer-employed (both group) musicians. Multivariable regression analyses were conducted. A total of 225 professional musicians were included in the study, 87.9% of whom reported MSSs in the last 12 months. For MSSs that impaired musical activity, the 12-month prevalence was 43.2%. Musicians in the self-employed group reported a significantly higher 7-day prevalence of MSSs compared with those in the employer-employed group. Compared with musicians in the employer-employed group, musicians in the both group reported a higher 12-month prevalence of MSSs that impaired musical activity. A higher proportion of symptomatic musicians in the both group reported seeing a health professional for their MSSs, compared with the employer-employed group. Similarly, symptomatic musicians in the both group reported higher ratings of emotional impact from MSSs, compared with symptomatic musicians in the employer-employed group. The majority of musicians have experienced MSSs. Several significant differences were reported between the three groups of musicians, with musicians in the both group generally reporting poorer MSS outcomes, compared with musicians in the employer-employed group. There are several potential reasons for why musicians who are both self-employed and employer-employed appear to have poorer MSS outcomes, including the stress of balancing multiple demands. Further research is required into the risk factors for MSS outcomes in self-employed musicians, including those who are both self-employed and employer-employed, and interventions should be directed towards self-employed musicians to minimise the MSS burden.

Socio-Ecological Factors and Well-Being among Self-Employed in Europe during the COVID-19 Pandemic.

BACKGROUND: The self-employed are at increased risk of negative well-being outcomes when facing adversity such as the COVID-19 pandemic. Studies that examine socio-ecological factors that may protect their well-being are warranted. METHODS: Data were drawn from a cross-sectional survey of European self-employed people (n = 1665). The WHO-5 Well-being Index was used to examine the impact on well-being of factors at four socio-ecological levels. Independent sample t-tests, Pearson correlations and linear regression were applied to analyse differences between groups of self-employed and interactions between variables using SPSS. RESULTS: Well-being and the socio-ecological factors of resilience, social support, useful work and finding the rules clear were positively correlated with well-being. For self-employed who reported that it was challenging to run their business during the pandemic, social support and finding rules clear were of significantly greater importance to their well-being. CONCLUSIONS: The findings highlight that the socio-ecological factors of resilience, social support, doing useful work and finding the rules clear affect well-being. The results also indicate that it is vital to consider factors at multiple socio-ecological levels to improve the well-being of the self-employed during adversity.

One Year on: The Impact of COVID-19 on the Lives of Freelance Orchestral Musicians in the United Kingdom.

Before the drastic disruption caused by the sudden emergence of the COVID-19 pandemic, 85% of the United Kingdom's 14,000 orchestral musicians were self-employed freelance workers, engaged in busy and varied portfolio careers comprising a combination of orchestral, West End theatre, chamber music, and commercial recording work. Between May and June 2020 we carried out a first study examining the impact of the pandemic on the lives of 24 self-employed orchestral musicians, all established freelancers. Twelve were mid-career and 12 were late-career (described in that study as "seasoned"). They all reported having lost their much-loved performing careers, missing music making and colleagues, and being anxious about the future of the music profession. However, there were some differences between the two groups: the late-career participants demonstrated greater financial and emotional resilience, while the mid-career musicians reported distress, confusion, and anxiety about their identity as musicians. In the present follow-up study, we aimed to examine the impact of the first year of the pandemic on the lives of 21 of the same musicians. We found that while all the mid-career participants remained committed to their performing careers, many late-career participants aged 54-59 had developed interests in non-performing music work, and the older late-career participants, aged 65 and over, feared that they might already, de facto, have retired. We discuss the findings with reference to the precarity of freelance orchestral musicians' lives, lifespan models of musicians' careers, self-determination theory and post-traumatic growth, and their implications for music colleges and musicians' support organizations.