Work-family conflict and self-rated health trajectories among ELSA-Brasil workers: the moderating role of education.
Camila Arantes Ferreira Brecht D'Oliveira, Daniela Paula, Aline Silva-Costa, Susanna Toivanen, Luana Giatti, Odaleia Barbosa de Aguiar, Maria de Jesus Mendes da Fonseca, Rosane Harter Griep
Author Information
Camila Arantes Ferreira Brecht D'Oliveira: Health and Environmental Surveillance Secretariat, Ministry of Health, Brasília, DF, Brazil. ORCID
Daniela Paula: National School of Statistical Sciences, Instituto Brasileiro de Geografia e Estatística, Rio de Janeiro, RJ, Brazil. ORCID
Aline Silva-Costa: Department of Epidemiology and Biostatistics, Universidade Federal Fluminense, Niterói, RJ, Brazil. ORCID
Susanna Toivanen: School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden. ORCID
Luana Giatti: Brazilian Hospital Services Company, Hospital das Clínicas, School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. ORCID
Odaleia Barbosa de Aguiar: Instituto de Nutrição, UERJ, Rio de Janeiro, RJ, Brazil. ORCID
Maria de Jesus Mendes da Fonseca: Department of Epidemiology and Quantitative Methods in Health, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, RJ, Brazil. ORCID
Rosane Harter Griep: Environmental and Health Education Laboratory, Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, RJ, Brazil. ORCID
Introduction: Studies on the association between work-family conflict and self-reported health are mostly cross-sectional; few studies have investigated the effect of education on this association. Objectives: To investigate association between work-family conflict, family-work conflict, lack of time for self-care and leisure due to family and work demands, and self-rated health trajectories, examining sex differences and the modifying effect of education on these associations. Methods: Data from active workers (women = 4,283; men = 3,851) from the three waves and annual follow-up (2008-2020) of the Longitudinal Study of Adult Health were analyzed using multinomial logistic models. Results: Work-family conflict, family-work conflict, and lack of time were associated with worse self-rated health trajectories in both sexes. However, among women who reported a lack of time for self-care and leisure, education was a modifying factor. The odds of a fair or poor self-reported health trajectory were higher among women with a high education level who reported a lack of time "sometimes" or "often" than in women with a low education level. Conclusions: Work-family conflict dimensions were associated with worse self-reported health trajectories among both women and men. Education only modified this effect among women.
