title: Gender inequalities in the association between demands of family and domestic life and health in Spanish workers.
abstract: BACKGROUND
  The aim of this study is to analyse gender inequalities in the relationship between family demands and health in working and cohabiting population.
  
  
  METHODS
  A total of 9108 men and women aged 25 to 64 years who were employed and cohabiting were selected from the 2006 National Health Survey of Spain. Outcome variables were self-perceived health status, mental health, daily sleeping hours and leisure time sedentarism. Explanatory variables were household size, living with children <15 years, living with adults between 65 and 74 years, living with adults >74 years and having a hired person for housework. Multivariate logistic regression models were fitted, stratified by gender and social class and adjusted for age.
  
  
  RESULTS
  Household size was related to poor self-perceived health status, poor mental health and leisure time sedentarism in both men and women manual workers. Moreover, it was also related to sleeping 6 h or less a day amog manual worker women. Having a hired person for housework was protective for self-perceived health status in both men and women.
  
  
  CONCLUSIONS
  Family demands are mainly related to manual workers' health, among both men and women. Whereas the association between family demands and poor health status among women could be explained by their greater housework and caregiver demands compared with men, among men, given their role as the main breadwinner in the home, it could be due to financial problems. The relationship between family demands and health should be studied in a combined framework of gender and social class.
authors.affiliation: 1 Unitat Docent de Medicina Preventiva i Salut Pública Parc de Salut Mar-UPF-ASPB, Barcelona, Spain.
authors.forename: M Marta
authors.initials: MM
authors.lastname: Arcas
authors.forename: Ana M
authors.initials: AM
authors.lastname: Novoa
authors.forename: Lucía
authors.initials: L
authors.lastname: Artazcoz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D002648:Child; D002668:Child Rearing; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005260:Female; D006304:Health Status; D006796:Household Work; D006801:Humans; D007899:Leisure Activities; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D012737:Sex Factors; D012890:Sleep; D012923:Social Class; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D014931:Women, Working / Q000523:psychology*