Determinants and impact of role-related time use allocation on self-reported health among married men and women: a cross-national comparative study
Abstract Background Research on the effects of marriage on health has largely maintained that there is a distinctly gender-specific gradient in health, with men deriving far greater benefits than women. One reason provided for these differences is the disproportionate amount of time spent by women on housework activities and childcare. However, this hypothesis has yet to be explicitly tested for these role-related time use activities. This study provides empirical evidence on the associations between role-related time use activities (i.e. housework, childcare and paid work) and self-reported health among married men and women. Methods Data from the Multinational Time Use Study (MTUS) on 32,881 men and 26,915 women from Germany, Italy, Spain, UK and the US were analyzed. Seemingly unrelated regression (SUR) models and multivariable logistic regression were used to estimate the association between role-related time use activities and self-reported health among married men and women. Results The findings showed that education, occupation and number of children were the most consistent predictors of time allocation among married men and women. Significant gender differences were also found in time allocation, with women sacrificing paid working time or reducing time devoted to housework for childcare. Men, in contrast, were less likely to reduce paid working hours to increase time allocation to childcare, but instead reduced time allocation to housework. Allocating more time to paid work and childcare was associated with good health, whereas time spent in housework was associated with poor health, especially among women. Conclusions Time allocations to role-related activities have differential associations on health and these effects varies by gender and across countries. To reduce the gender health gap among married men and women, public policies need to take into account social and gender roles.