title: Combining employment and family in Europe: the role of family policies in health.
abstract: OBJECTIVE
  The objectives of this study were: (i) to analyse the relationship between health status and paid working hours and household composition in the EU-27, and (ii) to examine whether patterns of association differ as a function of family policy typologies and gender.
  
  
  METHODS
  Cross-sectional study based on data from the 5th European Working Conditions Survey of 2010. The sample included married or cohabiting employees aged 25-64 years from the EU-27 (10,482 men and 8,882 women). The dependent variables were self-perceived health status and psychological well-being.
  
  
  RESULTS
  Irrespective of differences in family policy typologies between countries, working long hours was more common among men, and part-time work was more common among women. In Continental and Southern European countries, employment and family demands were associated with poor health status in both sexes, but more consistently among women. In Anglo-Saxon countries, the association was mainly limited to men. Finally, in Nordic and Eastern European countries, employment and family demands were largely unassociated with poor health outcomes in both sexes.
  
  
  CONCLUSIONS
  The combination of employment and family demands is largely unassociated with health status in countries with dual-earner family policy models, but is associated with poorer health outcomes in countries with market-oriented models, mainly among men. This association is more consistent among women in countries with traditional models, where males are the breadwinners and females are responsible for domestic and care work.
authors.affiliation: 1 Agència de Salut Pública de Barcelona, Spain2 CIBER en Epidemiología y Salud Pública (CIBERESP), Spain3 Universitat Pompeu Fabra, Barcelona, Spain4 Institute of Biomedical Research (IIB-Sant Pau), Barcelona, Spain lartazco@aspb.cat.
authors.forename: Lucía
authors.initials: L
authors.lastname: Artazcoz
authors.affiliation: 1 Agència de Salut Pública de Barcelona, Spain2 CIBER en Epidemiología y Salud Pública (CIBERESP), Spain4 Institute of Biomedical Research (IIB-Sant Pau), Barcelona, Spain.
authors.forename: Imma
authors.initials: I
authors.lastname: Cortès
authors.affiliation: 3 Universitat Pompeu Fabra, Barcelona, Spain5 Interface Demography-Department of Sociology-Vrije Universiteit-Brussels, Belgium.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Puig-Barrachina
authors.affiliation: 2 CIBER en Epidemiología y Salud Pública (CIBERESP), Spain3 Universitat Pompeu Fabra, Barcelona, Spain.
authors.forename: Fernando G
authors.initials: FG
authors.lastname: Benavides
authors.affiliation: 2 CIBER en Epidemiología y Salud Pública (CIBERESP), Spain6 Centre for Public Health Research (Health Inequalities Area), Valencia, Spain7 Nursing Department, University of Valencia, Valencian School for Health Studies, Regional Ministry of Health, Generalitat Valenciana, Valencia, Spain.
authors.forename: Vicenta
authors.initials: V
authors.lastname: Escribà-Agüir
authors.affiliation: 1 Agència de Salut Pública de Barcelona, Spain2 CIBER en Epidemiología y Salud Pública (CIBERESP), Spain3 Universitat Pompeu Fabra, Barcelona, Spain4 Institute of Biomedical Research (IIB-Sant Pau), Barcelona, Spain.
authors.forename: Carme
authors.initials: C
authors.lastname: Borrell
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D004651:Employment; D005060:Europe; D005190:Family; D005260:Female; D006291:Health Policy; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D012737:Sex Factors