Combining employment and family in Europe: the role of family policies in health
Combining employment and family in Europe: the role of family policies in health
复制标题
DOI：
10.1093/eurpub/ckt170
复制
发表时间：
2014-08-01
影响因子：
4.4
通讯作者：
Borrell, Carme
中科院分区：
文献类型：
--
作者：
Artazcoz, Lucia;Cortes, Imma;Borrell, Carme
目标：这项研究的目的是：(1)分析欧盟27国的健康状况与带薪工作时间和家庭结构之间的关系；(2)考察家庭政策类型和性别之间的关联模式是否有所不同。方法：基于2010年第五次欧洲工作条件调查数据的横断面研究。样本包括25-年龄在欧盟27岁的已婚或同居员工(10,482名男性和8,882名女性)。因变量为自感健康状况和心理幸福感。结果：尽管不同国家的家庭政策类型不同，但长时间工作在男性中更常见，兼职工作在女性中更常见。在欧洲大陆和南欧国家，就业和家庭需求在两性中都与健康状况不佳有关，但在女性中更一致。在盎格鲁-撒克逊国家，该协会主要限于男性。最后，在北欧和东欧国家，就业和家庭需求在很大程度上与两性健康状况不佳无关。结论：在采用双职工家庭政策模式的国家，就业和家庭需求的组合与健康状况基本无关，但在采用市场化模式的国家，主要是男性，就业和家庭需求的组合与较差的健康结果有关。这种关联在采用传统模式的国家的女性中更为一致，在这些国家，男性是养家糊口的人，女性负责家务和护理工作。
Objectives: The objectives of this study were: (i) to analyse the relationship between health status and paid working hours and household composition in the EU-27, and (ii) to examine whether patterns of association differ as a function of family policy typologies and gender. Methods: Cross-sectional study based on data from the 5th European Working Conditions Survey of 2010. The sample included married or cohabiting employees aged 25-64 years from the EU-27 (10,482 men and 8,882 women). The dependent variables were self-perceived health status and psychological well-being. Results: Irrespective of differences in family policy typologies between countries, working long hours was more common among men, and part-time work was more common among women. In Continental and Southern European countries, employment and family demands were associated with poor health status in both sexes, but more consistently among women. In Anglo-Saxon countries, the association was mainly limited to men. Finally, in Nordic and Eastern European countries, employment and family demands were largely unassociated with poor health outcomes in both sexes. Conclusions: The combination of employment and family demands is largely unassociated with health status in countries with dual-earner family policy models, but is associated with poorer health outcomes in countries with market-oriented models, mainly among men. This association is more consistent among women in countries with traditional models, where males are the breadwinners and females are responsible for domestic and care work.