Saliba B, Paraponaris A, Ventelou B
Institut national de la santé et de la recherche médicale, UMR 379, Marseille, France.
Rev Epidemiol Sante Publique. 2007 Aug;55(4):253-63. doi: 10.1016/j.respe.2007.04.004.
This paper is aimed at investigating the extents to which illness modifies labour supply and employment conditions of people with chronic diseases (defined as severe diseases giving rise to 100% coverage of health expenditures by the Sickness Fund).
It is based on the data of 35073 individuals interviewed in the 2002-2003 French Decennial Health Survey, reporting their health, health care consumption and socioeconomic characteristics, and collected by the French National Institute of Statistics and Economic Studies. Models have been estimated with logistic strategies.
Participation in labour market appears, all other things being equal, to be less important for people with chronic diseases. Chronic diseases are more deleterious for blue collar than for white collars workers. The probability to have a part-time job is raised by 60% for people with chronic diseases (100% for men, 50% for women). Suffering from chronic diseases raises the probability to have a desired part-time job rather than a full-time job by 80% (170% for men, 60% for women) and the probability to have an undesired part-time job rather than a full-time job by 50% (30% for men, 50% for women). For the elderly (50-65 years), chronic diseases multiply by three the probability to be out-of-work (and not retired), by two the probability to be retired and by 1.5 the probability to be unemployed compared to being employed.
The consequences of chronic diseases on the workplace are not negligible, creating new social inequalities that the French social protection system does not seem to be able to completely cover.
本文旨在调查疾病对慢性病患者劳动力供给和就业条件的影响程度（慢性病定义为严重疾病，疾病基金提供100%的医疗费用覆盖）。
基于2002 - 2003年法国十年期健康调查中采访的35073个人的数据，这些数据报告了他们的健康状况、医疗消费和社会经济特征，由法国国家统计和经济研究所收集。采用逻辑回归策略估计模型。
在其他条件相同的情况下，慢性病患者参与劳动力市场的程度似乎较低。慢性病对蓝领工人的危害比对白领工人更大。慢性病患者从事兼职工作的概率提高了60%（男性为100%，女性为50%）。患有慢性病使从事理想兼职工作而非全职工作的概率提高了80%（男性为170%，女性为60%），使从事非理想兼职工作而非全职工作的概率提高了50%（男性为30%，女性为50%）。对于老年人（50 - 65岁），与就业相比，慢性病使失业（而非退休）的概率增加了两倍，退休的概率增加了一倍，失业的概率增加了1.5倍。
慢性病对工作场所的影响不可忽视，造成了新的社会不平等，而法国社会保护体系似乎无法完全覆盖这些不平等。
