Work-family conflict, lack of time for personal care and leisure, and job strain in migraine: Results of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

Am J Ind Med. 2016 Nov;59(11):987-1000. doi: 10.1002/ajim.22620. Epub 2016 Jul 4.


Background: Work-family conflict and time scarcity may affect health. We investigated the association between these issues and migraine, taking into account job strain.

Methods: Baseline data from ELSA-Brasil (6,183 women; 5,664 men) included four indicators of work-family conflict: time- and strain-based interference of work with family (TB-WFC, SB-WFC), interference of family with work (FWC) and lack of time for personal care and leisure (LOT). Migraine was classified according to International Headache Society criteria.

Results: Among women, definite migraine was associated with SB-WFC (odds ratio [OR] = 1.28; 95% confidence interval [CI] 1.06-1.55), FWC (OR = 1.32; 1.00-1.75), and LOT (OR = 1.30; 1.08-1.58). Probable migraine was associated with SB-WFC (OR = 1.17; 1.00-1.36). High psychological job demands and low social support interacted with LOT in association with definite migraine. Among men, probable migraine was associated with LOT (OR = 1.34; 1.09-1.64), and there were interactions between job strain and WFC for probable migraine.

Conclusions: Balancing the demands of professional and domestic spheres could be highly relevant in the management of migraines. Am. J. Ind. Med. 59:987-1000, 2016. © 2016 Wiley Periodicals, Inc.

Keywords: ELSA-Brasil cohort study; gender; job strain; migraine; time scarcity; work-family conflict.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brazil
  • Family / psychology
  • Female
  • Humans
  • Leisure Activities / psychology*
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Migraine Disorders / psychology*
  • Occupational Diseases / psychology*
  • Occupational Stress / psychology*
  • Self Care / psychology
  • Social Support
  • Work-Life Balance*
  • Workload / psychology