Bringing home the benefits: do pro-family employee benefits mitigate the risk of depression from competing workplace and domestic labor roles?

• Published in: American journal of epidemiology 2024-10, Vol.193 (10), p.1362-1371
• Main Authors: Platt, Jonathan M, Bates, Lisa, Jager, Justin, McLaughlin, Katie A, Keyes, Katherine M
• Format: Article
• Language: English
• Subjects: Adult; Depression - epidemiology; Depression - prevention & control; Employment - statistics & numerical data; Female; Household Work; Humans; Longitudinal Studies; Middle Aged; Original Contribution; United States - epidemiology; Women, Working - psychology; Women, Working - statistics & numerical data; Workplace - psychology; Young Adult
• ISSN: 0002-9262; 1476-6256; 1476-6256
• DOI: 10.1093/aje/kwae055

Despite significant historical progress toward sex/gender parity in employment status in the United States, women remain more likely to provide domestic labor, creating role competition which may increase depression symptoms. Pro-family employee benefits may minimize the stress of competing roles. We tested whether depressive symptoms were higher among women with competing roles versus without competing roles and whether this effect was greater among women without (vs with) pro-family benefits. Data included employed women (n = 9884 person-years) surveyed across 4 waves (2010, 2015, 2017, and 2019) of the National Longitudinal Survey 1997. Depression symptoms were measured with the 5-item short version of the Mental Health Inventory (MHI-5). The effect of interaction between competing roles and pro-family employee benefits on depressive symptoms was also compared with that of non-family-related benefits, using marginal structural models to estimate longitudinal effects in the presence of time-varying confounding. MHI-5 scores were 0.56 points higher (95% CI, 0.15-0.97) among women in competing roles (vs not). Among women without pro-family benefits, competing roles increased MHI-5 scores by 6.10 points (95% CI, 1.14-11.1). In contrast, there was no association between competing roles and MHI-5 scores among women with access to these benefits (MHI-5 difference = 0.44; 95% CI, -0.2 to 1.0). Results were similar for non-family-related benefits. Dual workplace and domestic labor role competition increases women's depression symptoms, though broad availability of workplace benefits may attenuate that risk. This article is part of a Special Collection on Mental Health.