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The mediating effect of effort-reward imbalance in household and family work on the relationship between education and women's health

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  • Sperlich, Stefanie
  • Geyer, Siegfried

Abstract

Occupational stress as a key determinant for explaining health inequalities has been well established while the impact of stress related to family work has rarely been considered. This study investigates whether stress in household and family work may contribute to health inequalities in women. We used a population-based sample of German mothers (n = 3129) to determine the total, direct and indirect effects of education on somatic complaints by means of OLS regression-based mediation models. Inference about indirect effects was determined by 95% bias corrected bootstrap confidence intervals. Education was assessed by a measure combining school education and vocational training. Stress was measured using the adopted effort-reward-imbalance (ERI) questionnaire for household and family work. The von Zerssen list of somatic complaints was used as measure of subjective health. We found a significant total effect of education on somatic complaints (p ≤ 0.001) as well as significant indirect effects through ‘effort’ (p = 0.006) and ‘reward’ in household and family work (p ≤ 0.001). However, the subscales of ERI pointed into different directions: while levels of ‘effort’ increased with women's educational attainment, levels of distress related to low ‘reward’ decreased with higher levels of education. Our findings suggest that the effect of women's education on somatic complaints is mediated through stress related to low reward for household and family work. In particular, lack of ‘societal esteem’ for household and family work contributed to health disadvantages in lower educated mothers. We conclude that research on health inequality would benefit from taking stressful experiences in household and family work greater into account.

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  • Sperlich, Stefanie & Geyer, Siegfried, 2015. "The mediating effect of effort-reward imbalance in household and family work on the relationship between education and women's health," Social Science & Medicine, Elsevier, vol. 131(C), pages 58-65.
    • Handle: RePEc:eee:socmed:v:131:y:2015:i:c:p:58-65
    DOI: 10.1016/j.socscimed.2015.03.001
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    as
    1. Fokkema, Tineke, 2002. "Combining a job and children: contrasting the health of married and divorced women in the Netherlands?," Social Science & Medicine, Elsevier, vol. 54(5), pages 741-752, March.
    2. Florence Jaumotte, 2003. "Female Labour Force Participation: Past Trends and Main Determinants in OECD Countries," OECD Economics Department Working Papers 376, OECD Publishing.
    3. Siv S. Gustafsson & Shirley Dex & Cécile M. M. P. Wetzels & Jan Dirk Vlasblom, 1996. "Women`s labor force transitions in connection with childbirth: A panel data comparison between Germany, Sweden and Great Britain," Journal of Population Economics, Springer;European Society for Population Economics, vol. 9(3), pages 223-246.
    4. Mastekaasa, Arne, 2000. "Parenthood, gender and sickness absence," Social Science & Medicine, Elsevier, vol. 50(12), pages 1827-1842, June.
    5. Lahelma, Eero & Arber, Sara & Kivelä, Katariina & Roos, Eva, 2002. "Multiple roles and health among British and Finnish women: the influence of socioeconomic circumstances," Social Science & Medicine, Elsevier, vol. 54(5), pages 727-740, March.
    6. van Vegchel, Natasja & de Jonge, Jan & Bosma, Hans & Schaufeli, Wilmar, 2005. "Reviewing the effort-reward imbalance model: drawing up the balance of 45 empirical studies," Social Science & Medicine, Elsevier, vol. 60(5), pages 1117-1131, March.
    7. Chandola, Tarani & Kuper, Hannah & Singh-Manoux, Archana & Bartley, Mel & Marmot, Michael, 2004. "The effect of control at home on CHD events in the Whitehall II study: Gender differences in psychosocial domestic pathways to social inequalities in CHD," Social Science & Medicine, Elsevier, vol. 58(8), pages 1501-1509, April.
    8. Bosma, H. & Peter, R. & Siegrist, J. & Marmot, M., 1998. "Two alternative job stress models and the risk of coronary heart disease," American Journal of Public Health, American Public Health Association, vol. 88(1), pages 68-74.
    9. Stronks, Karien & van de Mheen, H. & Looman, Caspar W. N. & Mackenbach, Johan P., 0. "The importance of psychosocial stressors for socio-economic inequalities in perceived health," Social Science & Medicine, Elsevier, vol. 46(4-5), pages 611-623, February.
    10. Matthews, Sharon & Power, Chris, 2002. "Socio-economic gradients in psychological distress: a focus on women, social roles and work-home characteristics," Social Science & Medicine, Elsevier, vol. 54(5), pages 799-810, March.
    11. Siegrist, Johannes & Starke, Dagmar & Chandola, Tarani & Godin, Isabelle & Marmot, Michael & Niedhammer, Isabelle & Peter, Richard, 2004. "The measurement of effort-reward imbalance at work: European comparisons," Social Science & Medicine, Elsevier, vol. 58(8), pages 1483-1499, April.
    12. Griffin, Joan M. & Fuhrer, Rebecca & Stansfeld, Stephen A. & Marmot, Michael, 2002. "The importance of low control at work and home on depression and anxiety: do these effects vary by gender and social class?," Social Science & Medicine, Elsevier, vol. 54(5), pages 783-798, March.
    13. Wamala, Sarah P. & Mittleman, Murray A. & Horsten, Myriam & Schenck-Gustafsson, Karin & Orth-Gomér, Kristina, 2000. "Job stress and the occupational gradient in coronary heart disease risk in women: The Stockholm Female Coronary Risk Study," Social Science & Medicine, Elsevier, vol. 51(4), pages 481-489, August.
    14. Martikainen, Pekka, 1995. "Women's employment, marriage, motherhood and mortality: A test of the multiple role and role accumulation hypotheses," Social Science & Medicine, Elsevier, vol. 40(2), pages 199-212, January.
    15. Graham, Hilary & Hawkins, Summer Sherburne & Law, Catherine, 2010. "Lifecourse influences on women's smoking before, during and after pregnancy," Social Science & Medicine, Elsevier, vol. 70(4), pages 582-587, February.
    16. Arber, Sara, 1997. "Comparing inequalities in women's and men's health: Britain in the 1990s," Social Science & Medicine, Elsevier, vol. 44(6), pages 773-787, March.
    17. Koskinen, Seppo & Martelin, Tuija, 1994. "Why are socioeconomic mortality differences smaller among women than among men?," Social Science & Medicine, Elsevier, vol. 38(10), pages 1385-1396, May.
    18. Matthews, Sharon & Hertzman, Clyde & Ostry, Aleck & Power, Chris, 1998. "Gender, work roles and psychosocial work characteristics as determinants of health," Social Science & Medicine, Elsevier, vol. 46(11), pages 1417-1424, January.
    19. Arber, Sara, 1991. "Class, paid employment and family roles: Making sense of structural disadvantage, gender and health status," Social Science & Medicine, Elsevier, vol. 32(4), pages 425-436, January.
    20. Stefanie Sperlich & Sonja Arnhold-Kerri & Siegfried Geyer, 2011. "What accounts for depressive symptoms among mothers? The impact of socioeconomic status, family structure and psychosocial stress," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(4), pages 385-396, August.
    21. Palència, Laia & Malmusi, Davide & De Moortel, Deborah & Artazcoz, Lucía & Backhans, Mona & Vanroelen, Christophe & Borrell, Carme, 2014. "The influence of gender equality policies on gender inequalities in health in Europe," Social Science & Medicine, Elsevier, vol. 117(C), pages 25-33.
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