Durham Veterans Administration Medical Center, USA.
J Health Econ. 2013 Jan;32(1):240-52. doi: 10.1016/j.jhealeco.2012.10.006. Epub 2012 Oct 26.
Cross-sectional evidence in the United States finds that informal caregivers have less attachment to the labor force. The causal mechanism is unclear: do children who work less become informal caregivers, or are children who become caregivers working less? Using longitudinal data from the Health and Retirement Study, we identify the relationship between informal care and work in the United States, both on the intensive and extensive margins, and examine wage effects. We control for time-invariant individual heterogeneity; rule out or control for endogeneity; examine effects for men and women separately; and analyze heterogeneous effects by task and intensity. We find modest decreases-2.4 percentage points-in the likelihood of working for male caregivers providing personal care. Female chore caregivers, meanwhile, are more likely to be retired. For female care providers who remain working, we find evidence that they decrease work by 3-10hours per week and face a 3 percent lower wage than non-caregivers. We find little effect of caregiving on working men's hours or wages. These estimates suggest that the opportunity costs to informal care providers are important to consider when making policy recommendations about the design and funding of public long-term care programs.
美国的横断面证据表明,非正式护理人员对劳动力的依附程度较低。因果机制尚不清楚:是工作时间较少的孩子成为非正式护理人员,还是成为护理人员的孩子工作时间较少?我们利用来自健康与退休研究的纵向数据,从密集和广泛的维度上确定了美国非正式护理与工作之间的关系,并考察了工资效应。我们控制了不可变的个体异质性;排除或控制了内生性;分别对男性和女性进行了分析;并按任务和强度分析了异质效应。我们发现,提供个人护理的男性护理人员工作的可能性适度下降了 2.4 个百分点。而女性家务护理人员更有可能退休。对于仍在工作的女性护理人员,我们发现有证据表明,她们每周减少工作 3-10 小时,工资比非护理人员低 3%。我们几乎没有发现护理对男性工作时间或工资的影响。这些估计表明,在制定有关公共长期护理计划的设计和资金的政策建议时,需要考虑非正式护理提供者的机会成本。