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Work–Family Balance Issues and Work–Leave Policies

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Handbook of Occupational Health and Wellness

Abstract

Unhealthy work environments are not only the consequence of physical characteristics. Psychosocial aspects of the environment, including control and social support, are also consequential factors. While holding multiple roles as both worker and family member can have positive implications for health, chronic stress experienced from lack of work–family balance has negative effects. This chapter describes an interdisciplinary model of how work–family strains impact the health and well being of employees, their families, and the organizations in which they work. We argue that both structure and culture count at the workplace: work–family conflict increases with both a lack of supervisor support for family obligations and ineffective workplace policies and programs regarding employees’ control over the time and timing of work. We then describe an ongoing randomized field experiment to implement and evaluate a workplace-based prevention program to improve work–family balance. We conclude with the implications of this model for future research.

Demographic, social, technological, and economic changes occurring in the USA since the 1950s have radically altered family life, work, and the labor market, making it harder for families to juggle work and family responsibilities. Given the breadth and pace of these changes, clinical research in occupational health and wellness requires a new model of how stress from work–family balance issues impact the health of employees, their families, and the organizations in which they work. As will be reviewed in the present Chapter, a comprehensive understanding of these mechanisms will provide a schematic for primary, secondary, and tertiary prevention efforts in this area. We will put forward a biopsychosocial model of the occupational health risks from stress associated with work–family balance issues, and also map out the pathways through which the conditions and demands of work, family, and work–family conflict affect health and well-being. Our model incorporates the role of workplace policies, including work–leave policies, in exacerbating or ameliorating the strains on workers and their families. Our theoretical foundation draws on what is known about work–family conflict and health outcomes from basic research across the social and behavioral sciences.

This chapter was supported through the Work, Family and Health Network (www.WorkFamilyHealthNetwork.org), which is funded by a cooperative agreement through the National Institutes of Health and the Centers for Disease Control and Prevention: Eunice Kennedy Shriver National Institute of Child Health and Human Development (Grant # U01HD051217, U01HD051218, U01HD051256, U01HD051276), National Institute on Aging (Grant # U01AG027669), Office of Behavioral and Science Sciences Research, and National Institute for Occupational Safety and Health (Grant # U01OH008788, U01HD059773). Grants from the William T. Grant Foundation, Alfred P Sloan Foundation, and the Administration for Children and Families have provided additional funding. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of these institutes and offices. Special acknowledgement goes to Extramural Staff Science Collaborator, Rosalind B. King, PhD and Lynne Casper, PhD for design of the original Work, Family, Health and Well-Being Network Initiative.

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Correspondence to Rosalind B. King Ph.D. .

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King, R.B. et al. (2012). Work–Family Balance Issues and Work–Leave Policies. In: Gatchel, R., Schultz, I. (eds) Handbook of Occupational Health and Wellness. Handbooks in Health, Work, and Disability. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-4839-6_15

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