Dinh Huong, Strazdins Lyndall, Doan Tinh, Do Thuy, Yazidjoglou Amelia, Banwell Cathy
Australian Treasury, Canberra, Australia.
Research School of Population Health, the Australian National University, Canberra, Australia.
Arch Public Health. 2022 Mar 31;80(1):104. doi: 10.1186/s13690-022-00852-z.
Australians born in 2012 can expect to live about 33 years longer than those born 100 years earlier. However, only seven of these additional years are spent in the workforce. Longer life expectancy has driven policies to extend working life and increase retirement age; the current Australian policy, which has increased the eligibility for the pension from 65 to 67 by 2023, assumes that an improvement in longevity corresponds with an improvement in healthy life expectancy. However, there is mixed evidence of health trends in Australia over the past two decades. Although some health outcomes are improving among older age groups, many are either stable or deteriorating. This raises a question of how health trends intersect with policy for older Australians aged from 50 to 70. This paper considers the interplay between older workers' health and workforce participation rates over the past 15 years when extended workforce participation has been actively encouraged.
We compared health and economic outcomes of the older people in following years with the base year (start of the study period), adjusting for some key socio-economic characteristics such as age, sex, ethnicity, education and equivalized household income by applying the Random effects estimator with maximum likelihood estimation technique.
We find that regardless of increasing longevity, the health of older adults aged between 50 and 70 has slightly deteriorated. In addition, health gaps between those who were working into their older age and those who were not have widened over the 15-year period. Finally, we find that widening health gaps linked to workforce participation are also accompanied by rising economic inequality in incomes, financial assets and superannuation. With the exception of a small group of healthy and very wealthy retirees, the majority of the older Australians who were not working had low incomes, assets, superannuation, and poor health.
The widening economic and health gap within older population over time indicates a clear and urgent need to add policy actions on income and health, to those that seek to increase workforce participation among older adults.
2012年出生的澳大利亚人预计比100年前出生的人多活约33年。然而,这额外的33年中只有7年用于工作。预期寿命的延长推动了延长工作寿命和提高退休年龄的政策;澳大利亚目前的政策是到2023年将养老金领取资格从65岁提高到67岁,该政策假定寿命的延长与健康预期寿命的提高相对应。然而,过去二十年澳大利亚健康趋势的证据参差不齐。尽管老年人群体的一些健康指标正在改善,但许多指标要么保持稳定,要么在恶化。这就引出了一个问题,即健康趋势与50至70岁澳大利亚老年人的政策是如何相互影响的。本文探讨了在过去15年积极鼓励延长劳动力参与的情况下,老年工人的健康状况与劳动力参与率之间的相互作用。
我们将后续年份老年人的健康和经济状况与基年(研究期开始时)进行比较,并通过应用具有最大似然估计技术的随机效应估计器,对年龄、性别、种族、教育程度和家庭等效收入等一些关键社会经济特征进行调整。
我们发现,尽管寿命在增加,但50至70岁老年人的健康状况略有恶化。此外,在这15年期间,继续工作的老年人与不工作的老年人之间的健康差距有所扩大。最后,我们发现与劳动力参与相关的健康差距扩大也伴随着收入、金融资产和养老金方面经济不平等的加剧。除了一小部分健康且非常富有的退休人员外,大多数不工作的澳大利亚老年人收入低、资产少、养老金少且健康状况差。
随着时间推移,老年人口中经济和健康差距不断扩大,这表明迫切需要在旨在提高老年人劳动力参与率的政策行动基础上,增加有关收入和健康的政策行动。