Health problems of women whose jobs involved intense time pressure were evaluated in a study of 800 sewing-machine operators employed in Québec between 1976 and 1985. Information on workers' occupational characteristics were obtained from public records. Symptoms of anxiety and depression, use of medication and disability status were determined by interview. Garment workers had an increased prevalence of slight, moderate and severe disability and higher levels of symptoms of anxiety and depression when compared to workers in other occupations. Garment workers paid piecework rates took medication for stomach problems in greater proportion than workers paid an hourly wage. Furthermore, workers who spend 5-9, 10-14, 15-19 and 20 or more years in piecework had an increased prevalence of severe disability compared to the baseline category 0-4 years, with adjusted risk ratios of 2.2 (95% CI = 1.14-4.6), 3.3 (95% CI = 1.5-6.9), 3.6 (95% CI = 1.5-8.4 and 2.3 (95% CI = 0.8-6.6) respectively, independent of age, smoking habits, education, type of task and total length of employment. These findings suggest that short-term, non-disabling conditions associated with time pressure by previous authors may have more important long-term sequelae then had been previously documented.