Using three waves of data for 320 men living in the rural Midwest, this study tested a model which proposed independent effects of work conditions and marital experiences on change in physical health through health behaviors. The findings support the hypothesized model. Both control over work and positive marital interactions reduced the probability of a risky lifestyle in terms of health related behaviors after controlling for family economic status. Risky lifestyle, in turn, was related to poorer self and spouse reported health after controlling for previous health status and family income. The findings underscore the importance of specific work and marital processes for men's physical health.