Statistics Canada, Ottawa, ON, K1A0T6, Canada.
Econ Hum Biol. 2019 Dec;35:193-206. doi: 10.1016/j.ehb.2019.06.001. Epub 2019 Aug 13.
Extending working lives is considered a viable solution to fiscal and macroeconomic challenges related to population ageing. Opportunities for sustained employment, however, are not experienced equally among older population, particularly among those with a health problem. This study aims to examine the longer-term effect of health on employment trajectories in later part of working life using a unique survey-administrative linked dataset for Canada. Specifically, we apply competing-risks models to analyze whether different aspects of health conditions at baseline predict subsequent exit routes, including nonemployment and early retirement. The nonparametric findings of the paper show that only about 33% of workers aged 50-62 with a health problem at baseline remained employed at age 64, compared to 55% of healthy workers. Exiting into nonemployment seemed more common among leavers with activity limitations, while early retirement was more likely among healthy leavers. These results are robust even when individuals' preferences for work and financial factors were controlled for. Moreover, we identify differential impacts of specific chronic diseases on early work exit. Not all symptoms affect employment transitions to a similar extent. Older workers who reported the comorbidity of mental and musculoskeletal disorders faced an increased risk of nonemployment, while the presence of diabetes and cardiovascular problems at baseline were more predictive of early retirement.
延长工作寿命被认为是解决人口老龄化带来的财政和宏观经济挑战的可行方案。然而,持续就业的机会并非在所有老年人群体中均等存在,尤其是在那些存在健康问题的人群中。本研究旨在使用加拿大独特的调查-行政关联数据集,考察健康状况对工作寿命后期就业轨迹的长期影响。具体而言,我们应用竞争风险模型来分析基线时不同健康状况方面是否预测随后的退出途径,包括非就业和提前退休。本研究的非参数结果表明,与健康工人相比,只有约 33%的 50-62 岁基线存在健康问题的工人在 64 岁时仍保持就业。活动受限的离职者更容易退出非就业,而健康离职者更有可能提前退休。即使控制了个人对工作和财务因素的偏好,这些结果仍然具有稳健性。此外,我们还确定了特定慢性病对早期工作退出的不同影响。并非所有症状对就业转型的影响程度都相同。报告存在精神和肌肉骨骼疾病合并症的老年工人面临非就业的风险增加,而基线时存在糖尿病和心血管问题则更能预测提前退休。