abstract: 'In the growing literature on employment quality and health, poor quality

  of employment is generally associated with poor health. However, this

  association may not be uniform for men and women if unpaid caregiving

  labor is taken into consideration. How paid and unpaid labor is

  performed varies across societies because of differences in both state

  support for families and labor market penalties for women. Applying a

  gender lens to a welfare regime typology, we investigated the

  relationship between poor-quality employment and poor health for men and

  women. For each of five welfare regime types, we hypothesized if men or

  women would be more strongly affected by poor-quality employment based

  on the regime''s family support policies and labor practices. Our

  analysis of 18 countries using the 2015 European and American Working

  Conditions Surveys data largely supported our hypotheses. In countries

  that support traditional gender roles with high state expenditure and

  have labor markets that penalize women, the association between

  poor-quality employment and health was stronger for men. The association

  was stronger for women in countries that rely on women to provide unpaid

  caregiving without substantial state support. In countries with

  apparently gender-neutral expectations for both paid work and unpaid

  caregiving work, no difference was found between men and women in the

  association of poor-quality employment with poor health. We discuss the

  importance of institutional perspectives to understand work as a

  gendered experience that impacts health. We suggest more comprehensive

  welfare regime typologies that recognize women both as caregivers and

  workers. Expanding the scope of research on work and health to include

  this integrated view of life could make a stride toward gender health

  equity.'
affiliation: 'Fujishiro, K (Corresponding Author), NIOSH, Div Field Studies \& Engn,
  MS R-15,1090 Tusculum Ave, Cincinnati, OH 45226 USA.

  Fujishiro, Kaori, NIOSH, Div Field Studies \& Engn, MS R-15,1090 Tusculum Ave, Cincinnati,
  OH 45226 USA.

  Ahonen, Emily Q., Indiana Univ, Dept Social \& Behav Sci, Richard M Fairbanks Sch
  Publ Hlth, Indianapolis, IN 46204 USA.

  Winkler, Megan, Univ Minnesota, Sch Publ Hlth, Div Epidemiol \& Community Hlth,
  Minneapolis, MN USA.'
article-number: '114484'
author: Fujishiro, Kaori and Ahonen, Emily Q. and Winkler, Megan
author-email: kfujishiro@cdc.gov
author_list:
- family: Fujishiro
  given: Kaori
- family: Ahonen
  given: Emily Q.
- family: Winkler
  given: Megan
da: '2023-09-28'
doi: 10.1016/j.socscimed.2021.114484
earlyaccessdate: OCT 2021
eissn: 1873-5347
files: []
issn: 0277-9536
journal: SOCIAL SCIENCE \& MEDICINE
keywords: 'Occupational health; Employment quality; Welfare regime; Self-rated

  health; Unpaid labor; Structural sexism'
keywords-plus: 'OCCUPATIONAL-HEALTH; POPULATION HEALTH; JOB-SATISFACTION; INEQUALITIES;

  INDIVIDUALS; PERSPECTIVE; EUROPE; STATES'
language: English
month: DEC
number-of-cited-references: '55'
orcid-numbers: 'Fujishiro, Kaori/0000-0003-1743-625X

  Ahonen, Emily/0000-0002-0572-5276

  Winkler, Megan/0000-0001-8567-145X'
papis_id: d5048360f52a184ac0fc73bc74ed419e
ref: Fujishiro2021poorqualityemploymen
times-cited: '10'
title: 'Poor-quality employment and health: How a welfare regime typology with a gender
  lens Illuminates a different work-health relationship for men and women'
type: article
unique-id: WOS:000712629900026
usage-count-last-180-days: '5'
usage-count-since-2013: '12'
volume: '291'
web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,

  Biomedical'
year: '2021'