Publication type
Journal Article
Authors
Publication date
April 27, 2026
Summary:
Chronic illness is associated with lower quality of life, yet it remains unclear whether this association differs by employment arrangements, particularly gig work. Using longitudinal data (2019–2024) from a nationally representative sample of 22,712 British workers, we examined how regular and gig employment moderate the association between chronic illness and psychological distress (GHQ-12; range: 0–12). Random-effects models indicate that individuals with chronic illness report 1.44 points higher psychological distress than those without such conditions (p < 0.001). This association is weaker among individuals in regular employment and low-dependence gig work, who report 0.64 and 0.56 points lower psychological distress, respectively, than those who are unemployed (p < 0.001). Although women with chronic illness experience greater psychological distress overall, among men with chronic illness, high-dependence gig work is associated with a 1.60-point increase in psychological distress relative to regular employment (p = 0.004), whereas no such pattern is observed among women. Taken together, the moderating role of gig work in health-related quality of life varies with workers’ dependence on gig work. Reducing the mental health burden of chronic illness may require access not only to employment, but also to high-quality jobs.
Published in
SSM - Population Health
DOI
https://doi.org/10.1016/j.ssmph.2026.101927
ISSN
23528273
Subjects
Notes
Online Early
Open Access
Under a Creative Commons license
© 2026 The Authors. Published by Elsevier Ltd.
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