DOI: 10.1093/joccuh/uiag046 ISSN: 1348-9585

Employment Quality and Workers’ Health and Well-Being in China: Longitudinal Evidence from the China Family Panel Studies

Qin Wenshuai, Huang Hao, Li Rui, Nurov Ziyodulla

Abstract

Objectives

This study examined the relationship between employment quality and workers’ health and well-being in China.

Methods

Data were drawn from the 2018, 2020, and 2022 waves of the China Family Panel Studies. We constructed an individual-level panel sample and measured employment quality using four dimensions: reward, job satisfaction, working-time quality, and social security. Individual fixed-effects models were used as the main estimation approach. Robustness checks were conducted using a balanced panel sample and an alternative employment quality index excluding the job satisfaction dimension.

Results

Higher employment quality was positively associated with better self-rated health, mental health, happiness, and confidence in the future. Among the four dimensions, job satisfaction showed the most consistent positive associations with all four outcomes, whereas reward and working-time quality were mainly associated with mental health. Social security did not show statistically significant associations in the fixed-effects models. In the robustness check excluding job satisfaction, the coefficients of the alternative employment quality index remained positive but became smaller and less statistically significant; only the association with mental health remained statistically significant.

Conclusions

Workers’ health and well-being were related not only to employment status or income, but also to broader aspects of employment quality, including subjective work experience, working-time arrangements, and institutional protection. Employment quality and its different dimensions should receive greater attention in occupational health promotion and the evaluation of high-quality employment.

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