Health shocks adversely impact participation in the labour force in a working age population: a longitudinal analysis

Abstract Background : It is well understood that health affects labour force participation (LFP). However, much of the published research has been on older (retiring age) populations and using subjective health measures. This paper aims to assess the impact of an objective measure of ‘health shock’...

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Main Authors: Kristie N. Carter, Fiona Imlach Gunasekara, Tony Blakely, Ken Richardson
Format: Article
Language:English
Published: Elsevier 2013-06-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.12068
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author Kristie N. Carter
Fiona Imlach Gunasekara
Tony Blakely
Ken Richardson
author_facet Kristie N. Carter
Fiona Imlach Gunasekara
Tony Blakely
Ken Richardson
author_sort Kristie N. Carter
collection DOAJ
description Abstract Background : It is well understood that health affects labour force participation (LFP). However, much of the published research has been on older (retiring age) populations and using subjective health measures. This paper aims to assess the impact of an objective measure of ‘health shock’ (cancer registration or hospitalisation) on LFP in a working age population using longitudinal panel study data and fixed effect regression analyses. Methods : Seven waves of data from 2002–09 from the longitudinal Survey of Family, Income and Employment (SoFIE) were used, including working aged individuals who consented to have their survey information linked to health records (n=6,780). Fixed effect conditional logistic regression was used to model the impact of health shocks (hospitalisation or cancer registration) in the previous year on labour force participation at date of annual interview. Models were stratified by gender, age group (25–39 years, 40–54 years) and gender by age group. Results : A health shock was associated with a significantly increased risk of subsequent non‐participation in the labour force (odds ratio 1.54, 95%CI 1.30–1.82). Although interactions of age, sex and age by sex with health shock were not statistically significant, the association was largest in younger men and women. Conclusion : Using an objective measure of health, we have shown that a health shock adversely affects subsequent labour force participation. There are a number of policy and practice implications relating to support for working age people who have hospitalisations.
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spelling doaj.art-08542020e36d40d1b3da1cbda5646aa02023-09-02T12:03:26ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052013-06-0137325726310.1111/1753-6405.12068Health shocks adversely impact participation in the labour force in a working age population: a longitudinal analysisKristie N. Carter0Fiona Imlach Gunasekara1Tony Blakely2Ken Richardson3Health Inequalities Research Programme, School of Medicine and Health Sciences, University of Otago, New ZealandHealth Inequalities Research Programme, School of Medicine and Health Sciences, University of Otago, New ZealandHealth Inequalities Research Programme, School of Medicine and Health Sciences, University of Otago, New ZealandHealth Inequalities Research Programme, School of Medicine and Health Sciences, University of Otago, New ZealandAbstract Background : It is well understood that health affects labour force participation (LFP). However, much of the published research has been on older (retiring age) populations and using subjective health measures. This paper aims to assess the impact of an objective measure of ‘health shock’ (cancer registration or hospitalisation) on LFP in a working age population using longitudinal panel study data and fixed effect regression analyses. Methods : Seven waves of data from 2002–09 from the longitudinal Survey of Family, Income and Employment (SoFIE) were used, including working aged individuals who consented to have their survey information linked to health records (n=6,780). Fixed effect conditional logistic regression was used to model the impact of health shocks (hospitalisation or cancer registration) in the previous year on labour force participation at date of annual interview. Models were stratified by gender, age group (25–39 years, 40–54 years) and gender by age group. Results : A health shock was associated with a significantly increased risk of subsequent non‐participation in the labour force (odds ratio 1.54, 95%CI 1.30–1.82). Although interactions of age, sex and age by sex with health shock were not statistically significant, the association was largest in younger men and women. Conclusion : Using an objective measure of health, we have shown that a health shock adversely affects subsequent labour force participation. There are a number of policy and practice implications relating to support for working age people who have hospitalisations.https://doi.org/10.1111/1753-6405.12068healthhospitalisationlabour market activitylongitudinal
spellingShingle Kristie N. Carter
Fiona Imlach Gunasekara
Tony Blakely
Ken Richardson
Health shocks adversely impact participation in the labour force in a working age population: a longitudinal analysis
Australian and New Zealand Journal of Public Health
health
hospitalisation
labour market activity
longitudinal
title Health shocks adversely impact participation in the labour force in a working age population: a longitudinal analysis
title_full Health shocks adversely impact participation in the labour force in a working age population: a longitudinal analysis
title_fullStr Health shocks adversely impact participation in the labour force in a working age population: a longitudinal analysis
title_full_unstemmed Health shocks adversely impact participation in the labour force in a working age population: a longitudinal analysis
title_short Health shocks adversely impact participation in the labour force in a working age population: a longitudinal analysis
title_sort health shocks adversely impact participation in the labour force in a working age population a longitudinal analysis
topic health
hospitalisation
labour market activity
longitudinal
url https://doi.org/10.1111/1753-6405.12068
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AT fionaimlachgunasekara healthshocksadverselyimpactparticipationinthelabourforceinaworkingagepopulationalongitudinalanalysis
AT tonyblakely healthshocksadverselyimpactparticipationinthelabourforceinaworkingagepopulationalongitudinalanalysis
AT kenrichardson healthshocksadverselyimpactparticipationinthelabourforceinaworkingagepopulationalongitudinalanalysis