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Resumo

Employees with greater control over their own activities have better health. People who are employed give up some control over their own activities for pay, yet employment is associated with better health. Perhaps paid jobs provide resources for productive self-expression that make up for the loss of autonomy. We find that paid employment is associated with lower autonomy but greater creativity of one's work or other main daily activities. Both have positive associations with health. Creativity's association is larger, more statistically significant, and found in follow-up models as well as cross-sectional ones. The health advantage of being at the 60th versus the 40th percentile of creative work is equivalent to that of being 6.7 years younger or having two more years of education or 15 times greater household income. Education reduces the amount of autonomy lost in employment. Managerial authority and occupational attributes influence autonomy and creativity but otherwise have little or no association with health.

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