title: Work-Family Conflict and Self-Rated Health: the Role of Gender and Educational Level. Baseline Data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
abstract: This study examined gender differences in the association between work-family conflict and self-rated health and evaluated the effect of educational attainment.
  
  
  
  We used baseline data from ELSA-Brasil, a cohort study of civil servants from six Brazilian state capitals. Our samples included 12,017 active workers aged 34-72 years. Work-family conflict was measured by four indicators measuring effects of work on family, effects of family in work and lack of time for leisure and personal care.
  
  
  
  Women experienced more frequent work-family conflict, but in both genders, increased work-family conflict directly correlated with poorer self-rated health. Women's educational level interacted with three work-family conflict indicators. For time-based effects of work on family, highly educated women had higher odds of suboptimal self-rated health (OR = 1.54; 95 % CI = 1.19-1.99) than less educated women (OR = 1.14; 95 % CI = 0.92-1.42). For strain-based effects of work on family, women with higher and lower education levels had OR = 1.91 (95 % CI 1.48-2.47) and OR = 1.40 (95 % CI 1.12-1.75), respectively. For lack of time for leisure and personal care, women with higher and lower education levels had OR = 2.60 (95 % CI = 1.95-3.47) and OR = 1.11 (95 % CI = 0.90-1.38), respectively.
  
  
  
  Women's education level affects the relationship between work-family conflict and self-rated health. The results may contribute to prevention activities.
authors.affiliation: Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, 21040-360, Brazil. rohgriep@gmail.com.|Centre for Health Equity Studies, Stockholm University and Karolinska Institutet, Stockholm, Sweden. rohgriep@gmail.com.
authors.forename: Rosane Härter
authors.identifier: 0000-0002-6250-2036
authors.initials: RH
authors.lastname: Griep
authors.affiliation: Centre for Health Equity Studies, Stockholm University and Karolinska Institutet, Stockholm, Sweden.
authors.forename: Susanna
authors.initials: S
authors.lastname: Toivanen
authors.affiliation: Department of Geography, Portsmouth University, Portsmouth, UK.
authors.forename: Cornelia
authors.initials: C
authors.lastname: van Diepen
authors.affiliation: National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Joanna M N
authors.initials: JMN
authors.lastname: Guimarães
authors.affiliation: Postgraduate Program in Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais, Minas Gerais, Brazil.
authors.forename: Lidyane V
authors.initials: LV
authors.lastname: Camelo
authors.affiliation: National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Leidjaira Lopes
authors.initials: LL
authors.lastname: Juvanhol
authors.affiliation: Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil.
authors.forename: Estela M
authors.initials: EM
authors.lastname: Aquino
authors.affiliation: National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Dóra
authors.initials: D
authors.lastname: Chor
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil; D054541:Family Conflict; D005260:Female; D006801:Humans; D007899:Leisure Activities; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged
keywords: ELSA-Brasil cohort study; Educational level; Gender; Self-rated health; Work and family conflict