Gendered associations between household labour force participation and mental health using 17 waves of Australian cohort data.

Abstract

There is some evidence that employed women report more time pressure and work-life penalties than employed men and other women; however little isknown aboutwhether this exerts a mental health effect. This analysis examined associations between household labour force arrangements (household-employment configuration) and the mental health of men and women. Seventeen waves of data from the Household Income and Labour Dynamics Survey (2001-2017) were used. Mental health was measured using the Mental Health Inventory (MHI-5). A six-category measure of household-employment configuration was derived: dual full-time employed, male-breadwinner, female-breadwinner, shared part-time employment (both part-time), male full-time/female part-time (modified male-breadwinner, MMBW), and female full-time/male part-time. Using fixed-effects regression methods, we examined the within-person effects of household-employment configuration on mental health after controlling for time-varying confounders. For men, being in the female-breadwinner configuration was associated with poorer mental health compared to being in the MMBW configuration (β-1.98, 95% CI -3.36, -0.61). The mental health of women was poorer when in the male-breadwinner configuration, compared to when in the MMBW arrangement (β-0.89, 95% CI -1.56, -0.22). These results suggest that the mental health of both men and women is poorer when not in the labour force, either as a man in the female-breadwinner arrangement, or as a woman in the male-breadwinner arrangement. These results are particularly noteworthy for women, because they pertain to a sizeable proportion of the population who are not in paid work, and highlight the need for policy reform to support women's labour force participation.