GAINS - University of Le Mans, Avenue Olivier Messiaen, 72085, Le Mans, France.
GATE - University of Lyon II, 93 Chemin des Mouilles, 69130, Écully, France.
Eur J Health Econ. 2019 Aug;20(6):879-889. doi: 10.1007/s10198-019-01050-5. Epub 2019 Apr 8.
This article investigates the impact of unemployment on self-perceived health using the French Longitudinal Labour Force Survey over the period 2013-2016. We apply a difference-in-difference propensity score matching approach to identify the health effect of unemployment. By combining both methods, we minimise selection bias and remove unobserved individual fixed effects that are time-invariant as well as common period effects. In the French context, characterised by high and persistent unemployment and relatively long unemployment spells, we show that the experience of unemployment has no significant effect on self-perceived health. Moreover, we find no heterogenous effect by carrying out separate analyses by age, gender, marital status, education, occupation, employment contract, local unemployment rate, or past labour market history. Robustness checks, performed by testing alternative types of matching technology, different definitions of the unemployment experience, and other measures of health confirm our findings. Health selection and confounding factors appear to be important determinants of the cross-sectional association between unemployment and poor health.
本文使用法国纵向劳动力调查(2013-2016 年)的数据,研究了失业对自我感知健康的影响。我们采用差分倾向得分匹配方法来识别失业对健康的影响。通过结合这两种方法,我们最大限度地减少了选择偏差,并消除了不可观测的个体固定效应,这些效应既不受时间影响,也不受共同时期效应的影响。在法国,失业率高且持续,失业期相对较长的背景下,我们发现失业经历对自我感知健康没有显著影响。此外,我们通过按年龄、性别、婚姻状况、教育程度、职业、雇佣合同、当地失业率或过去的劳动力市场历史进行单独分析,没有发现异质效应。通过测试替代类型的匹配技术、失业经历的不同定义以及其他健康衡量标准进行的稳健性检验证实了我们的发现。健康选择和混杂因素似乎是失业与健康状况不佳之间横断面关联的重要决定因素。