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Does the psychosocial quality of unpaid family work contribute to educational disparities in mental health among employed partnered mothers?

Original Article

Abstract

Purpose

The contribution of unpaid family work quality to understanding social inequalities in women’s mental health has been understudied and further limited by a scarcity of psychometrically sound instruments available to measure family work. Therefore, using a multi-item scale of family work quality with evidence of validity and reliability, the overall aim of the present study was to determine whether psychosocial qualities of unpaid family work contribute to educational inequities in women’s mental health.

Methods

Study participants in this cross-sectional study were 512 employed partnered mothers living in a Canadian province and recruited from an online research panel. The dependent variable was psychological distress. In addition to a 28-item measure assessing five dimensions of unpaid family work quality, independent variables included material deprivation, job decision latitude, job demands and several measures of the work–family interface. Multiple linear regression was the primary analysis.

Results

Compared to women with high school or less, university educated women reported lower psychological distress [b = − 2.23 (SE = 0.50) p = 0.001]. The introduction of material deprivation into the model resulted in the largest reduction to the education disparity (51%), followed by equity in responsibility for unpaid family work (25%), family-to-work facilitation (22%), and decision latitude in paid work (21%). When entered simultaneously into the final model, the association between education and psychological distress was reduced by 70% and became statistically non-significant [b = − 0.68 (SE = 0.47) p = 0.10].

Conclusions

In addition to the more established mechanisms of material conditions and decision latitude to explain mental health disparities, inequity in responsibility for unpaid family work may also play a role.

Keywords

Women’s health Unpaid family work Work stress Mental health 

Notes

Acknowledgements

This was supported by the Canadian Institutes of Health Research (funding reference number: 79338). The authors would like to thank Dr. Prosanta Mondal for his statistical advice during manuscript revision.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the University of Saskatchewan Behavioral Review Board (Beh# 06-230) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

420_2018_1310_MOESM1_ESM.docx (58 kb)
Supplementary material 1 (DOCX 57 KB)

References

  1. Arcas MM, Novoa AM, Artazcoz L (2013) Gender inequalities in the association between demands of family and domestic life and health in Spanish workers. Eur J Public Health 5:883–888CrossRefGoogle Scholar
  2. Avison WR, Ali J, Walters D (2007) Family structure, stress, and psychological distress: a demonstration of the impact of differential exposure. J Health Soc Beh 48:301–317CrossRefGoogle Scholar
  3. Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Per Soc Psychol 51:1173–1182CrossRefGoogle Scholar
  4. Borrell C, Muntaner C, Benach J et al (2004) Social class and self-reported health status among men and women: what is the role of work organisation, household material standards and household labour? Soc Sci Med 58:1869–1887CrossRefGoogle Scholar
  5. Chandola T, Kuper H, Singh-Manoux A et al (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. Soc Sci Med 58:1501–1509CrossRefGoogle Scholar
  6. Chazelle E, Lemogne C, Morgan K et al (2011) Explanations of educational differences in major depression and generalised anxiety disorder in the Irish population. J Affective Dis 134:304–314CrossRefGoogle Scholar
  7. Claffey S, Mickelson K (2009) Division of household labor and distress: the role of perceived fairness for employed mothers. Sex Roles 60:819–831CrossRefGoogle Scholar
  8. Cooklin AR, Dinh H, Strazdins L et al (2016) Change and stability in work–family conflict and mothers’ and fathers’ mental health: longitudinal evidence from an Australian cohort. Soc Sci Med 155:24–34CrossRefGoogle Scholar
  9. Crocker L, Algina J (1986) Introduction to classical and modern test theory. College Publishing, New YorkGoogle Scholar
  10. DeVillis R (2003) Scale development: theory and applications. Sage, Newbury ParkGoogle Scholar
  11. du Prel JB, Iskenius M, Peter R (2014) Are effort–reward imbalance and social isolation mediating the association between education and depressiveness? Baseline findings from the lidA-study. Int J Public Health 59:945–955CrossRefGoogle Scholar
  12. Furukawa TA, Kessler RC, Slade T et al (2003) The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychol Med 33:357–362CrossRefGoogle Scholar
  13. Glymour M, Avendano M, Kawachi I (2014) Socioeconomic status and health. In: Berkman L, Kawachi I, Glymour M (eds) Social epidemiology, 2nd edn. Oxford University Press, New York, pp 17–62Google Scholar
  14. Greenhaus J, Allen T, Spector P (2006) Health consequences of work–family conflict: the dark side of the work–family interface. In: Perrewé P, Ganster D (eds) Employee health, coping and methodologies. Emerald Group Publishing Limited, Greenwich, pp 61–98CrossRefGoogle Scholar
  15. Griffin JM, Fuhrer R, Stansfeld SA et al (2002) The importance of low control at work and home on depression and anxiety: do these effects vary by gender and social class? Soc Sci Med 54:783–798CrossRefGoogle Scholar
  16. Harryson L, Novo M, Hammarstrom A (2012) Is gender inequality in the domestic sphere associated with psychological distress among women and men? Results from the Northern Swedish Cohort. J Epidemiol Community Health 66:271–276CrossRefGoogle Scholar
  17. Harvey SB, Modini M, Joyce S et al (2017) Can work make you mentally ill? A systematic meta-review of work-related risk factors for common mental health problems. Occup Environ Med 74:301–310CrossRefGoogle Scholar
  18. Kan M, Sullivan O, Gershuny J (2011) Gender convergence in domestic work: discerning the effects of interactional and institutional barriers from large-scale data. Sociol 45:234–251CrossRefGoogle Scholar
  19. Karasek R, Brisson C, Kawakami N et al (1998) The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 3:322–355CrossRefGoogle Scholar
  20. Kessler RC, Andrews G, Colpe LJ et al (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32:959–976CrossRefGoogle Scholar
  21. Kessler RC, Green JG, Gruber MJ et al (2010) Screening for serious mental illness in the general population with the K6 screening scale, results from the WHO World Mental Health (WMH) survey initiative. Int J Methods Psychiatr Res 19(S1):4–22CrossRefGoogle Scholar
  22. Khawaja M, Habib R (2007) Husbands’ involvement in housework and women’s psychosocial health: findings from a population-based study in Lebanon. Am J Public Health 97:860–866CrossRefGoogle Scholar
  23. Kushnir T, Melamed S (2006) Domestic stress and well-being of employed women: interplay between demands and decision control at home. Sex Roles 54:687–694CrossRefGoogle Scholar
  24. Lennon MC (1994) Women, work, and well-being: the importance of work conditions. J Health Soc Behav 35:235–247CrossRefGoogle Scholar
  25. Lennon MC (1998) Domestic arrangements and depressive symptoms: an examination of housework conditions. In: Dohrenwend BP (ed) Adversity, stress, and psychopathology. Oxford University Press, New York, pp 409–21Google Scholar
  26. Lorant V, Deliege D, Eaton W et al (2003) Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol 157:98–112CrossRefGoogle Scholar
  27. Lynch JW, Kaplan GA, Cohen RD et al (1996) Do cardiovascular risk factors explain the relation between socioeconomic status, risk of all-cause mortality, cardiovascular mortality, and acute myocardial infarction? Am J Epidemiol 144:934–942CrossRefGoogle Scholar
  28. Marshall K (2006) Converging gender roles. Perspect Labour Income 18:5–17Google Scholar
  29. Matthews S, Power C (2002) Socio-economic gradients in psychological distress: a focus on women, social roles and work-home characteristics. Soc Sci Med 54:799–810CrossRefGoogle Scholar
  30. Matthews RA, Kath LM, Barnes-Farrell JL (2010) A short, valid, predictive measure of work–family conflict: item selection and scale validation. J Occup Health Psychol 15:75–90CrossRefGoogle Scholar
  31. McNall LA, Nicklin JM, Masuda AD (2010) A meta-analytic review of the consequences associated with work–family enrichment. J Business Psychol 25:381–396CrossRefGoogle Scholar
  32. Mirowsky J, Ross C (2003) Education, social status and health. Aldine De Gruyter, New YorkGoogle Scholar
  33. Moyser M (2017) Women and paid work. Women in Canada: a gender-based statistical report. Statistics Canada, Ottawa. Catalogue no. 89503XGoogle Scholar
  34. Muntaner C, Eaton WW, Miech R et al (2004) Socioeconomic position and major mental disorders. Epidemiol Rev 26:53–62CrossRefGoogle Scholar
  35. Murcia M, Chastang JF, Niedhammer I (2015) Educational inequalities in major depressive and generalized anxiety disorders: results from the French national SIP study. Soc Psychiatry Psychiatric Epidemiol 50:919–928CrossRefGoogle Scholar
  36. Niedhammer I, Lesuffleur T, Coutrot T et al (2016) Contribution of working conditions to occupational inequalities in depressive symptoms: results from the national French SUMER survey. Int Arch Occup Environ Health 89:1025–1037CrossRefGoogle Scholar
  37. Podsakoff PM, MacKenzie SB, Lee JY et al (2003) Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Applied Psychol 88:879–903CrossRefGoogle Scholar
  38. Polachek AJ, Wallace JE (2015) Unfair to me or unfair to my spouse: men’s and women’s perceptions of domestic equity and how they relate to mental and physical health. Marriage Fam Rev 51:205–228CrossRefGoogle Scholar
  39. Qiu H, Bures R, Shehan CL (2012) The inconsistent mediating effects of psychosocial work characteristics on the education-health relationship. Soc Sci Med 75:1539–1546CrossRefGoogle Scholar
  40. Regidor E, Pascual C, de la Fuente L et al (2010) Socio-economic position, family demands and reported health in working men and women. Eur J Public Health 21:109–115CrossRefGoogle Scholar
  41. Rothman KJ, Gallacher JE, Hatch EE (2013) Why representativeness should be avoided. Int J Epidemiol 42:1012–1014CrossRefGoogle Scholar
  42. Savitz DA (2003) Interpreting epidemiologic evidence: strategy for study design and analysis. Oxford University Press, OxfordCrossRefGoogle Scholar
  43. Sayer LC (2010) Trends in housework. In: Treas J, Drobnic S (eds) Dividing the domestic: men, women, and household work in cross-national perspective. Stanford University Press, Palo Alto, pp 19–38CrossRefGoogle Scholar
  44. Schieman S, Koltai J (2017) Discovering pockets of complexity: socioeconomic status, stress exposure, and the nuances of the health gradient. Soc Sci Res 63:1–8CrossRefGoogle Scholar
  45. Schieman S, Whitestone YK, Van Gundy K (2006) The nature of work and the stress of higher status. J Health Soc Beh 47:242–257CrossRefGoogle Scholar
  46. Schutte S, Chastang JF, Parent-Thirion A et al (2015) Psychosocial work exposures among European employees: explanations for occupational inequalities in mental health. J Public Health 37:373–388CrossRefGoogle Scholar
  47. Siegrist J, Marmot M (2004) Health inequalities and the psychosocial environment—two scientific challenges. Soc Sci Med 58:1463–1473CrossRefGoogle Scholar
  48. Siegrist J, Starke D, Chandola T et al (2004) The measurement of effort–reward imbalance at work: European comparisons. Soc Sci Med 58:1483–1499CrossRefGoogle Scholar
  49. Solar O, Irwin A (2010) A conceptual framework for action on the social determinants of health. World Health Organization, GenevaGoogle Scholar
  50. Sperlich S, Geyer S (2015) The mediating effect of effort-reward imbalance in household and family work on the relationship between education and women’s health. Soc Sci Med 131:58–65CrossRefGoogle Scholar
  51. Sperlich S, Peter R, Geyer S (2012) Applying the effort-reward imbalance model to household and family work: a population-based study of German mothers. BMC Public Health 12:12CrossRefGoogle Scholar
  52. Sperlich S, Arnhold-Kerri S, Siegrist J et al (2013) The mismatch between high effort and low reward in household and family work predicts impaired health among mothers. Eur J Public Health 23:893–898CrossRefGoogle Scholar
  53. Staland Nyman C, Alexanderson K, Hensing G (2008) Associations between strain in domestic work and self-rated health: a study of employed women in Sweden. Scand J Public Health 36:21–27CrossRefGoogle Scholar
  54. Stansfeld SA, Head J, Fuhrer R et al (2003) Social inequalities in depressive symptoms and physical functioning in the Whitehall II study: exploring a common cause explanation. J Epidemiol Commun Health 57:361–367CrossRefGoogle Scholar
  55. Statistics Canada (2013) Canadian Internet use survey, 2012. The daily. http://www.statcan.gc.ca/daily-quotidien/131126/dq131126d-eng.htm. Accessed 30 June 2017
  56. Virtanen M, Koskinen S, Kivimaki M et al (2008) Contribution of non-work and work-related risk factors to the association between income and mental disorders in a working population: the Health 2000 Study. Occup Environ Med 65:171–178CrossRefGoogle Scholar
  57. Voydanoff P (2005) The differential salience of family and community demands and resources for family-to-work conflict and facilitation. J Fam Economic Issues 26:395–417CrossRefGoogle Scholar
  58. Walters V, Lenton R, French S et al (1996) Paid work, unpaid work and social support: a study of the health of male and female nurses. Soc Sci Med 43:1627–1636CrossRefGoogle Scholar
  59. Weich S, Lewis G (1998) Material standard of living, social class, and the prevalence of the common mental disorders in Great Britain. J Epidemiol Community Health 52:8–14CrossRefGoogle Scholar
  60. Zhou N, Buehler C (2016) Family, employment, and individual resource-based antecedents of maternal work–family enrichment from infancy through middle childhood. J Occup Health Psychol 21:309–321CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Community Health and Epidemiology, College of MedicineUniversity of SaskatchewanSaskatoonCanada
  2. 2.Department of Educational Psychology and Special Education, College of EducationUniversity of SaskatchewanSaskatoonCanada

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