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PLOS ONE  2013 

Multiple Chronic Health Conditions and Their Link with Labour Force Participation and Economic Status

DOI: 10.1371/journal.pone.0079108

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Abstract:

Aims To assess the labour force participation and quantify the economic status of older Australian workers with multiple health conditions. Background Many older people suffer from multiple health conditions. While multiple morbidities have been highlighted as an important research topic, there has been limited research in this area to date, particularly on the economic status of those with multiple morbidities. Methods Cross sectional analysis of Health&WealthMOD, a microsimulation model of Australians aged 45 to 64 years. Results People with one chronic health condition had 0.59 times the odds of being employed compared to those with no condition (OR 0.59, 95% CI: 0.49, 0.71), and those with four or more conditions had 0.14 times the odds of being employed compared to those with no condition (OR 0.14, 95% CI: 0.11, 0.18). People with one condition received a weekly income 32% lower than those with no health condition, paid 49 % less tax, and received 37% more in government transfer payments; those with four or more conditions received a weekly income 94% lower, paid 97% less in tax and received over 2,000% more in government transfer payments per week than those with no condition. Conclusion While having a chronic health condition is associated with lower labour force participation and poorer economic status, having multiple conditions compounds the affect – with these people being far less likely to be employed and having drastically lower incomes.

References

[1]  Organisation for Economic Co-operation and Development (2008) Ageing societies. Factbook: Organisation for Economic Co-operation and Development. Paris: Organisation for Economic Co-operation and Development.
[2]  Organisation for Economic Co-operation and Development (2004) The labour force participation of older workers: the effects of pension and early retirement schemes. Paris: OECD Economics Department.
[3]  Productivity Commission (2005) Economic Implications of an Ageing Australia. Canberra: Australian Government.
[4]  Organisation for Economic Co-operation and Development Media Relations (2007) OECD (18 Dec 2007). says governments must help people with reduced work capacity get jobs. Paris: Organisation for Economic Co-operation and Development.
[5]  Organisation for Economic Co-operation and Development (2007) Labour Force Statistics. Paris: Organisation for Economic Co-operation and Development. pp. 1986-2006.
[6]  Organisation for Economic Co-operation and Development (2007) Sickness, disability and work: breaking the barriers. Paris: OECD Publishing.
[7]  Begg S, Vos T, Barker B, Stevenson C, Stanley L et al. (2007) The burden of disease and injury in Australia 2003. Canberra: Australian Institute of Health and Welfare.
[8]  Valdmanis V, Smith DW, Page MR (2001) Productivity and economic burden associated with diabetes. Am J Public Health 91: 129-130. PubMed: 11189805.
[9]  Dunlop DD, Manheim LM, Yelin EH, Song J, Chang RW (2003) The costs of arthritis. Arthritis Rheum 49: 101-113. PubMed: 12579600.
[10]  Leal J, Luengo-Fernández R, Gray A, Petersen S, Rayner M (2006) Economic burden of cardiovascular diseases in the enlarged European Union. Eur Heart J 27: 1610-1619. PubMed: 16495286.
[11]  Schofield DJ, Shrestha RN, Passey ME, Earnest A, Fletcher SL (2008) Chronic disease and labour force participation among older Australians. Med J Aust 189: 447-450. PubMed: 18928439.
[12]  Walker AE (2007) Multiple chronic diseases and quality of life: patterns emerging from a large national sample, Australia. Chronic Illn 3: 202-218. PubMed: 18083677.
[13]  Baumeister H, Balke K, H?rter M (2005) Psychiatric and somatic comorbidities are negatively associated with quality of life in physically ill patients. J Clin Epidemiol 58: 1090-1100. PubMed: 16223651.
[14]  Gijsen R, Hoeymans N, Schellevis FG, Ruwaard D, Satariano WA et al. (2001) Causes and consequences of comorbidity: A review. J Clin Epidemiol 54: 661-674. PubMed: 11438406.
[15]  Fortin M, Hudon C, Bayliss EA, van der Akker M (2007) Multimorbidities many challenges: Time to focus on the needs of this vulnerable and growing population. BMJ 334: 1016-1017. PubMed: 17510108.
[16]  Schofield DJ, Shrestha RN, Percival R, Callander EJ, Kelly SJ et al. (. (2011)) Early retirement and the financial assets of individuals with back problems. Eur Spine J. PubMed: 21132556.
[17]  Schofield D, Percival R, Passey M, Shrestha R, Callander E et al. (2010) The financial vulnerability of individuals with diabetes. Br J Diabetes Vasc Dis 10: 300-304.
[18]  Schofield D, Shrestha R, Percival R, Kelly S, Passey M et al. (2010) Modelling the cost of ill health in Health&WealthMOD (Version II): lost labour force participation, income and taxation, and the impact of disease prevention. International J of Microsimulation ( In press).
[19]  Schofield D, Kelly S, Shrestha R, Callander E, Passey M et al. ( In press) Long term financial impacts of CVD: Living standards in retirement. Int J Cardiol.
[20]  Schofield DJ, Shrestha RN, Percival R, Kelly SJ, Passey ME et al. (2011) Quantifying the effect of early retirement on the wealth of individuals with depression or other mental illness. Br J Psychiatry 198: 123-128. PubMed: 21282782.
[21]  Schofield D, Passey M, Percival R, Shrestha R, Callander E et al. (2010) Retiring early with cardiovascular disease – impact on individual’s financial assets. Int J Cardiol 146: 125-126. PubMed: 20965596.
[22]  Schofield D, Kelly S, Shrestha R, Callander E, Passey M et al. ( In press) How depression and other mental illness can affect future living standards of those out of the labour force. Aging Ment Health 15: 654-662.
[23]  Schofield DJ, Callander EJ, Shrestha RN, Percival R, Kelly SJ et al. (. (2012)) Labour force participation and the influence of having CVD on income poverty of older workers. Int J Cardiol. PubMed: 21492949.
[24]  Australian Bureau of Statistics (2004) Survey of Disability, Ageing and Carers, 2003. Canberra: ABS.
[25]  Lambert S, Percival R, Schofield D, Paul S (1994) An Introduction to STINMOD: A Static Microsimulation Model. Canberra: NATSEM. STINMOD. Tech Pap No. 1 STINMOD Technical Paper No. 1.
[26]  Percival R, Abello A, Vu QN (2007) STINMOD (Static Income Model). In: A. GuptaA. Harding. Modelling Our Future: Population ageing, health and aged care. Amsterdam: Elsevier B.V.
[27]  R?ssler S (2002 ) Statistical matching: A frequentist theory, practical applications, and alternative Bayesian approaches. New York Springer-Verlag New York, Inc.
[28]  Schofield D, Shrestha R, Callander E, Percival R, Kelly S et al. (2011) Modelling the cost of ill health in Health&WealthMOD (Version II): lost labour force participation, income and taxation, and the impact of disease prevention. International J of Microsimulation 4: 32-36.
[29]  Rijken M, van Kerkhof M, Dekker J, Schellevis FG (2005) Comorbidity of chronic diseases. Qual Life Res 14: 45-55. PubMed: 15789940.
[30]  Kriegsman DMW, Deeg DJH, Stalman WAB (2004) Comorbidity of somatic chronic diseases and decline in physical functioning: the Longitudinal Aging Study Amsterdam. J Clin Epidemiol 57: 55-65. PubMed: 15019011.
[31]  Bayliss EA, Bayliss MS, Ware JE Jr, Steiner JF (2004) Predicting declines in physical function in persons with multiple chronic medical conditions: What we can learn from the medical problems list. Health Qual Life Outcomes 2.
[32]  Waghorn G, Lloyd C, Abraham B, Silvester D, Chant D (2008) Comorbid physical health conditions hinder employment among people with psychiatric disabilities. Psychiatr Rehabil itation J 31: 243-246. PubMed: 18194953.
[33]  Iverson L, Lewis KL, Caputi P, Knospe S (2010) The cumulative impact and associated costs of multiple health conditions on employee productivity. J Occup Environ Med 52: 1206-1211. PubMed: 21124241.
[34]  Fischer JAV, Sousa-Poza A (2009) Does job satisfaction improve the health of workers? New evidence using panel data and objective measures of health. Health Econ 18: 71-89. PubMed: 18311856.
[35]  Apouey B, Clark AE (2009) Winning big but feeling no better? The effect of lottery prizes on physical and mental health. Paris: Paris School of Economics (Ecole normale supérieure).
[36]  Frijters P, Ulker A (2008) Robustness in health research: do differences in health measures, techniques, and time frame matter? J Health Econ 27: 1626-1644. PubMed: 18639357.
[37]  Halliday TJ (2007) Income volatility and health. IZA Discussion Paper no. 3234. Bonn: Institute of the Study of labor.
[38]  Contoyannis P, Jones AM, Rice N (2004) The dynamics of health in the British Household Panel Survey. J Appl Econ 19: 473-503.
[39]  Frijters P, Haisken-DeNew JP, Shields MA (2005) The causal effect of income on health: evidence from German reunification. J Health Econ 24: 997-1017. PubMed: 16129130.
[40]  Halliday TJ (2012) Earnings Growth and Movements in Self-Reported Health. Bonn: Institute for the Study of Labor.
[41]  Jones AM, Wildman J (2008) Health, income and relative deprivation: evidence from the BHPS. J Health Econ 27: 308-324. PubMed: 18207266.
[42]  Gunasekara FI, Carter KN, Liu I, Richardson K, Blakely T (2012) The relationship between income and health using longitudinal data from New Zealand. J Epidemiol Community Health 66: 1-8. doi:10.1136/jech-2012-201753.002. PubMed: 21875869.
[43]  Buddelmeyer H, Cai L (2009) Interrelated Dynamics of Health and Poverty in Australia. Bonn, Germany: Institute for the Study of Labour.
[44]  Lorgelly PK, Lindley J (2008) What is the relationship between income inequality and health? Evidence from the BHPS. Health Econ 17: 249-265. doi:10.1002/hec.1254. PubMed: 17551910.
[45]  McDonough P, Berglund P (2003) Histories of poverty and self-rated health trajectories. J Health Soc Behav 44: 198-214. doi:10.2307/1519808. PubMed: 12866390.
[46]  Schofield DJ, Shrestha RN, Percival R, Passey ME, Callander EJ et al. (2011) The personal and national costs of mental health conditions: impacts on income, taxes, government support payments due to lost labour force participation. BMC Psychiatry 11: 72-. PubMed: 21526993.
[47]  Schofield DJ, Shrestha RN, Percival R, Passey ME, Kelly SJ et al. (2011) Economic Impacts of Illness in Older Workers: Quantifying the impact of illness on income, tax revenue and government spending. BMC Public Health 11: 418-. PubMed: 21627844.
[48]  Covinsky KE, Goldman L, Cook EF, Oye R, Desbiens N et al. (1994) The impact of serious illness on patients' families. J Am Med Assoc 272: 1839-1844. doi:10.1001/jama.1994.03520230049037.
[49]  Swoboda SM, Lipsett PA (2002) Impact of a prolonged surgical critical illness on patients' families. Am J Crit Care 11: 459-466. PubMed: 12233971.
[50]  Roberts J, Rice N, Jones AM (2008) Early retirement and inequality in Britain and Germany: How important is health. Sheffield: University of Sheffield.
[51]  Bartley M, Ferrie J, Montgomery SM (1999) Health and labour market disadvantage: unemployment, non-employment, and job insecuity. In: M. MarmontRG Wilkinson. Social Determinants of Health. Oxford: Oxford University Press.
[52]  Centrelink (2011) Disability Support Pension. Canberra: Australian. Government.
[53]  Department for Work and Pensions (2011) Employment and Support Allowance. London: Department for Work and Pensions.
[54]  Social Security Online (2011) upplemental Security Income; Page H ome Washington. Available: USA.gov.
[55]  Saunders P (2005). Disability, living standards and welfare dependency in Australia, SPRC Discussion Paper No. 145 Sydney: Social Policy Research Centre, University of New South Wales.
[56]  Kelly S (2009) Don’t stop thinking about tomorrow - The changing face of retirement - the past, the present and the future, AMP.NATSEM Income and Wealth Report, Issue 24. Sydney: AMP.
[57]  Commonwealth of Australia (2007) Intergenerational Report 2007-08 Canberra: Department of the Treasury.
[58]  Commonwealth of Australia (2010) Australia to 2050: future challenges (Intergenerational Report 2010). Canberra: Australian Treasury.
[59]  Organisation for Economic Co-operation and Development (OECD) (2006) Live longer, work longer: a synthesis report. Paris: Organisation for Economic Co-operation and Development.

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