Department of Economics, Econometrics and Finance, Faculty of Economics and Business, Zernike Campus, University of Groningen, Duisenberg Building, Nettelbosje 2, 9747AE, Groningen, The Netherlands.
Department of Epidemiology, Faculty of Medical Sciences, University Medical Centrum of Groningen, Hanzeplein 1, 9713GZ, Groningen, The Netherlands.
Eur J Health Econ. 2018 Jun;19(5):719-734. doi: 10.1007/s10198-017-0911-9. Epub 2017 Jun 27.
To assess the impact of diabetes and diabetes-related complications on two measures of productivity for people in the labour force and out of it, namely "being afraid health limits ability to work before retirement" and "volunteering".
Logistic regressions were run to test the impact of diabetes and its complications on the probability of being afraid health limits work and being a formal volunteer. The longitudinal sample for the former outcome includes 53,631 observations, clustered in 34,393 individuals, aged 50-65 years old whereas the latter consists of 45,384 observations, grouped in 29,104 individuals aged 65 and above across twelve European countries taken from the Survey of Health, Ageing and Retirement in Europe, from 2006 to 2013.
Diabetes increased the probability of being afraid health limited work by nearly 11% points, adjusted by clinical complications, and reduced the likelihood of being a formal volunteer by 2.7% points, additionally adjusted by mobility problems. We also found that both the probability of being afraid health limits work and the probability of being a formal volunteer increased during and after the crisis. Moreover, having diabetes had a larger effect on being afraid health limits work during the year 2010, possibly related to the financial crisis.
Our findings show that diabetes significantly affects the perception of people regarding the effects of their condition on work, increasing the fear that health limits their ability to work, especially during the crisis year 2010, as well as the participation in volunteering work among retired people.
评估糖尿病及其相关并发症对劳动力人群和非劳动力人群两种生产力衡量指标的影响，即“担心健康会限制退休前的工作能力”和“志愿服务”。
使用逻辑回归检验糖尿病及其并发症对担心健康会限制工作和成为正式志愿者的可能性的影响。前者的纵向样本包括 53631 个观测值，聚类在 34393 名年龄在 50-65 岁的个体中，而后者则由来自欧洲 12 个国家的 Survey of Health，Ageing and Retirement in Europe（2006-2013 年）的 45384 个观测值，聚类在 29104 名年龄在 65 岁及以上的个体中。
调整临床并发症后，糖尿病使担心健康限制工作的可能性增加了近 11 个百分点，调整行动不便问题后，使成为正式志愿者的可能性降低了 2.7 个百分点。我们还发现，无论是担心健康限制工作的可能性，还是成为正式志愿者的可能性，在危机期间和之后都有所增加。此外，在 2010 年，患有糖尿病对担心健康限制工作的可能性影响更大，这可能与金融危机有关。
我们的研究结果表明，糖尿病显著影响了人们对自身疾病对工作影响的看法，增加了人们对健康限制工作能力的担忧，尤其是在危机年份 2010 年，以及退休人员参与志愿服务工作的可能性。
