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Peer-reviewedCC BYFrontiers in nutrition

Integrating nutrition and lifestyle: associations between employment type and health behaviors

  1. 1School of Business Administration, Xinjiang University of Science and Technology , ,
  2. 2Rattana Bundit University , ,
  3. 3INTI International University , ,

Abstract

Introduction: Health and well-being are associated with socioeconomic conditions, nutrition, and lifestyle behaviors. Although self-employment has become increasingly prevalent in developing economies, its implications for health remain unclear, particularly through nutrition- and lifestyle-related pathways. This study examines the associations between employment arrangements and self-rated health, dietary diversity, and lifestyle behaviors in Thailand, with particular attention to dietary behaviors.

Methods: Data were drawn from the Thailand Health and Welfare Survey. Ordered probit models and an instrumental variable approach were employed to examine the associations between self-employment and self-rated health, dietary diversity, physical activity, smoking, and alcohol consumption. Heterogeneity across types of self-employment was also assessed by distinguishing employer self-employed individuals from solo self-employed workers.

Results: Self-employment was associated with lower self-rated health and lower dietary diversity, indicating less varied diets. Self-employed individuals also exhibited less favorable lifestyle behaviors, including lower physical activity and higher probabilities of smoking and alcohol consumption. These associations varied by type of self-employment. Employer self-employed individuals tended to maintain healthier behaviors and better health outcomes, whereas solo self-employed workers were more vulnerable to lower dietary diversity and adverse health conditions.

Discussion: The findings indicate that employment type is an important structural factor associated with nutrition, lifestyle behaviors, and health inequalities. Policies aimed at improving population health should integrate labor-market interventions with nutrition- and lifestyle-oriented strategies, with particular attention to vulnerable groups of solo self-employed workers.

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BibTeX
@article{yao2026integrating,
  title = {{Integrating nutrition and lifestyle: associations between employment type and health behaviors}},
  author = {Kai Yao and Wei Chen and Chenxi Bao and Yujie Shi},
  journal = {Frontiers in nutrition},
  year = {2026},
  month = oct,
  doi = {10.3389/fnut.2026.1889959},
  url = {https://europepmc.org/article/PMC/PMC13719413},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Integrating nutrition and lifestyle: associations between employment type and health behaviors
AU  - Kai Yao
AU  - Wei Chen
AU  - Chenxi Bao
AU  - Yujie Shi
PY  - 2026
DA  - 2026/10/16
JO  - Frontiers in nutrition
DO  - 10.3389/fnut.2026.1889959
UR  - https://europepmc.org/article/PMC/PMC13719413
AB  - Introduction: Health and well-being are associated with socioeconomic conditions, nutrition, and lifestyle behaviors. Although self-employment has become increasingly prevalent in developing economies, its implications for health remain unclear, particularly through nutrition- and lifestyle-related pathways. This study examines the associations between employment arrangements and self-rated health, dietary diversity, and lifestyle behaviors in Thailand, with particular attention to dietary behaviors.  Methods: Data were drawn from the Thailand Health and Welfare Survey. Ordered probit models and an instrumental variable approach were employed to examine the associations between self-employment and self-rated health, dietary diversity, physical activity, smoking, and alcohol consumption. Heterogeneity across types of self-employment was also assessed by distinguishing employer self-employed individuals from solo self-employed workers.  Results: Self-employment was associated with lower self-rated health and lower dietary diversity, indicating less varied diets. Self-employed individuals also exhibited less favorable lifestyle behaviors, including lower physical activity and higher probabilities of smoking and alcohol consumption. These associations varied by type of self-employment. Employer self-employed individuals tended to maintain healthier behaviors and better health outcomes, whereas solo self-employed workers were more vulnerable to lower dietary diversity and adverse health conditions.  Discussion: The findings indicate that employment type is an important structural factor associated with nutrition, lifestyle behaviors, and health inequalities. Policies aimed at improving population health should integrate labor-market interventions with nutrition- and lifestyle-oriented strategies, with particular attention to vulnerable groups of solo self-employed workers.
SN  - 2296-861X
ER  -