Poverty, work intensity, and disability: evidence from European countries.

IF 3.1 3区 医学 Q1 ECONOMICS European Journal of Health Economics Pub Date : 2024-12-01 Epub Date: 2024-03-26 DOI:10.1007/s10198-024-01679-x
Chiara Mussida, Dario Sciulli
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Abstract

We use 2015-2018 European Union Statistics on Income and Living Conditions longitudinal data for four European countries (the UK, Germany, France, and Italy) and a dynamic trivariate panel data model to analyze the complex relationship between poverty, work intensity, and disability. We find evidence of genuine state dependence in the three processes and feedback effects from past poverty to work intensity in all countries and from past poverty to disability in the UK, Germany, and Italy. Disability is detrimental to poverty, despite the mitigating role played by disability cash benefits. The magnitude of this effect seems to be associated with the average expenditure on social protection benefits and its distribution across functions. We stress the importance of accounting for the extra costs of disability and the key role work intensity plays in the disability-poverty connection. Finally, adopting a joint estimation strategy appears crucial to consistently estimating the relationship between the three processes.

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贫困、工作强度和残疾:欧洲国家的证据。
我们利用 2015-2018 年欧盟收入和生活条件统计中四个欧洲国家(英国、德国、法国和意大利)的纵向数据和动态三变量面板数据模型,分析了贫困、工作强度和残疾之间的复杂关系。我们发现有证据表明,在这三个过程中存在真正的状态依赖性,并且在所有国家都存在从过去的贫困到工作强度的反馈效应,而在英国、德国和意大利,则存在从过去的贫困到残疾的反馈效应。尽管残疾现金福利起到了缓解作用,但残疾对贫困是有害的。这种影响的程度似乎与社会保护福利的平均支出及其在不同职能部门的分布有关。我们强调了考虑残疾额外成本的重要性,以及工作强度在残疾与贫困关系中的关键作用。最后,采用联合估算策略似乎对持续估算三个过程之间的关系至关重要。
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来源期刊
CiteScore
6.10
自引率
2.30%
发文量
131
期刊介绍: The European Journal of Health Economics is a journal of Health Economics and associated disciplines. The growing demand for health economics and the introduction of new guidelines in various European countries were the motivation to generate a highly scientific and at the same time practice oriented journal considering the requirements of various health care systems in Europe. The international scientific board of opinion leaders guarantees high-quality, peer-reviewed publications as well as articles for pragmatic approaches in the field of health economics. We intend to cover all aspects of health economics: • Basics of health economic approaches and methods • Pharmacoeconomics • Health Care Systems • Pricing and Reimbursement Systems • Quality-of-Life-Studies The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfill the above-mentioned requirements. Officially cited as: Eur J Health Econ
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