Recessions, Older Workers, and Longevity: How Long are Recessions Good for Your Health?

IF 0.4 Q3 LAW Connecticut Insurance Law Journal Pub Date : 2012-09-01 DOI:10.1257/POL.6.3.92
Courtney C. Coile, P. Levine, Robin McKnight
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引用次数: 84

Abstract

This paper examines the impact of exposure to higher unemployment rates in the pre-retirement years on subsequent mortality. Although past research has found that recessions reduce contemporaneous mortality, these short-term effects may reverse over time, particularly for older workers. If workers experience an economic downturn in their late 50s, they may face several years of reduced employment and earnings before "retiring" when they reach Social Security eligibility at age 62. They also may experience lost health insurance, and therefore higher financial barriers to health care, through age 65, when Medicare becomes available. All of these experiences could contribute to weaker long-term health outcomes. To examine these hypotheses, we use Vital Statistics mortality data between 1969 and 2008 to generate age-specific cohort survival probabilities at older ages. We then link these survival probabilities to labor market conditions at earlier ages. We also use data from the 1980-2010 March Current Population Surveys and the 1991-2010 Behavioral Risk Factor Surveillance System surveys to explore potential mechanisms for this health effect. Our results indicate that experiencing a recession in one's late 50s leads to a reduction in longevity. We also find that this exposure leads to several years of reduced employment, health insurance coverage, and health care utilization which may contribute to the lower long-term likelihood of survival.
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经济衰退、老龄工人和寿命:经济衰退持续多久对你的健康有益?
本文考察了在退休前几年暴露于较高失业率对随后死亡率的影响。尽管过去的研究发现,经济衰退降低了同期死亡率,但随着时间的推移,这些短期影响可能会逆转,尤其是对年龄较大的员工。如果工人在50多岁时经历经济衰退,他们可能会面临几年的就业和收入减少,然后在62岁达到社会保障资格时“退休”。他们也可能会失去医疗保险,因此在65岁之前,当医疗保险可用时,医疗保健的经济障碍会更高。所有这些经历都可能导致较弱的长期健康结果。为了检验这些假设,我们使用了1969年至2008年的生命统计死亡率数据来生成年龄特定的老年队列生存概率。然后,我们将这些生存概率与早期的劳动力市场状况联系起来。我们还使用1980-2010年3月当前人口调查和1991-2010年行为风险因素监测系统调查的数据来探索这种健康影响的潜在机制。我们的研究结果表明,在50多岁时经历经济衰退会导致寿命缩短。我们还发现,这种暴露会导致数年的就业、医疗保险覆盖面和医疗保健利用率下降,这可能会导致长期生存的可能性降低。
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