Work-family conflict, self-reported general health and work-family reconciliation policies in Europe: Results from the European Working Conditions Survey 2015

Lea-Sophie Borgmann; Lars E Kroll; Stephan Müters; Petra Rattay; Thomas Lampert

doi:10.1016/j.ssmph.2019.100465

Work-family conflict, self-reported general health and work-family reconciliation policies in Europe: Results from the European Working Conditions Survey 2015

SSM Popul Health. 2019 Aug 7:9:100465. doi: 10.1016/j.ssmph.2019.100465. eCollection 2019 Dec.

Authors

Lea-Sophie Borgmann¹, Lars E Kroll², Stephan Müters¹, Petra Rattay¹, Thomas Lampert¹

Affiliations

¹ Department of Epidemiology and Health Monitoring, Robert Koch Institute, Nordufer 20, 13353, Berlin, Germany.
² Department of Health Care Research and Risk Structure, Central Research Institute of Ambulatory Health Care in the Federal Republic of Germany (Zi), Salzufer 8, 10587, Berlin, Germany.

Abstract

The increasing labor market participation of women in Europe leads to many women and men having to reconcile paid work with family work and thus reporting work-family conflict (WFC). WFC is related to different dimensions of health. In the present article, we analyzed the role different reconciliation policies among European countries may play regarding WFC and its association with self-reported health. The analyses are based on data from Eurofound's European Working Conditions Survey 2015. The working populations from 23 European countries aged between 18 and 59 with at least one child up to 18 years of age are included (n = 10,273). Weighted logistic regression was applied to estimate the association between WFC and self-reported general health (SRH). Using multilevel models, country-level variations in the association of individual-level WFC and health were calculated. In a second step, the effect of country-level reconciliation policies on WFC was examined (adjusted for age, sociodemographic and occupational characteristics). The odds ratio for moderate to very poor SRH is 2.5 (95% CI: 1.92-3.34) for mothers with high WFC compared to mothers with low WFC. For fathers with high WFC, the adjusted odds ratio is also 2.5 (95% CI: 1.80-3.37). Between countries, the association between WFC and health is similar. Country-level parental leave policies, the use of formal childcare and mothers' labor market participation are associated with reduced WFC in Europe. In conclusion, the results reveal a strong association between WFC and SRH in Europe. The multilevel analyses show that certain reconciliation policies have an impact on the prevalence of WFC, with different results for mothers and fathers. Mothers in particular can be supported by sufficient maternal leave and formal care for children. These are tangible policy approaches for reducing WFC and may thus improve health in Europe.

Keywords: EU, European Union; EWCS, European Working Conditions Survey; Europe; Multilevel analyses; Reconciliation policies; SRH, self-reported general health; Self-reported general health; WFC, Work-family conflict; Work-family conflict; Working parents.