Polanco Boris, Oña Ana, Sabariego Carla, Pacheco Barzallo Diana
Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
Swiss Paraplegic Research, Nottwil, Switzerland.
SSM Popul Health. 2024 Apr 4;26:101666. doi: 10.1016/j.ssmph.2024.101666. eCollection 2024 Jun.
To estimate the effect of having a chronic disease on the weekly working hours and the associated monetary losses.
Longitudinal data Survey of Health, Aging and Retirement (SHARE) in Europe. We analyzed 7 waves from 9 countries in Europe. A total of 80.672 observations.
Participants who have their regular domicile in the respective SHARE country were interviewed face-to-face.
Data from individuals aged between 50 and 65 years old in European countries were collected over seven years. A person was excluded from the survey if incarcerated, hospitalized or out of the country during the entire survey period, unable to speak the country's language(s) or moved to an unknown address.
Not applicable.
We applied a difference-in-differences with multiple time periods approach to estimate the effect of having a chronic condition on the number of working hours per week. We monetized the estimated productivity losses using the legal minimum wage in each country.
Persons with a chronic condition consistently reduced their weekly working hours compared to their healthy counterparts in the same country. This effect was more pronounced for men (6,78 hours per week or 352 hours per year) than women (3,97 hours per week or 206 hours per year). Persons with stroke, vascular, and lung disease showed the highest impact. On average, the reduced working hours represent about USD 12,80 billion annually in productivity losses in our sample.
Having a chronic condition leads to people decreasing their working hours, which has significant economic losses. More severe health conditions showed the highest effects. This trend is observed in all the analyzed countries, highlighting the relevance of health and social systems to go beyond mortality and morbidity and the need to incorporate functioning in their target goals.
评估患慢性病对每周工作时长及相关金钱损失的影响。
欧洲健康、老龄化与退休调查（SHARE）的纵向数据。我们分析了来自欧洲9个国家的7轮数据。共有80672条观测数据。
对常住于各自SHARE国家的参与者进行面对面访谈。
收集了欧洲国家50至65岁个体长达7年的数据。若某人在整个调查期间被监禁、住院、出国、无法说该国语言或搬至未知地址，则被排除在调查之外。
不适用。
我们采用多时间段的双重差分法来评估患慢性病对每周工作时长的影响。我们使用各国法定最低工资将估计的生产力损失货币化。
与同一国家的健康同龄人相比，患慢性病的人每周工作时长持续减少。这种影响在男性中（每周6.78小时或每年352小时）比在女性中（每周3.97小时或每年206小时）更为明显。患有中风、血管疾病和肺部疾病的人受影响最大。在我们的样本中，平均而言，工作时长减少每年造成的生产力损失约为128亿美元。
患慢性病会导致人们减少工作时长，造成重大经济损失。更严重的健康状况影响最大。在所有分析的国家都观察到了这种趋势，凸显了健康和社会系统超越死亡率和发病率的重要性，以及在其目标中纳入功能状况的必要性。
