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Impact of First Occupation on Health at Older Ages

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  • Jody L. Sindelar
  • Jason Fletcher
  • Tracy Falba
  • Patricia Keenan
  • William T. Gallo

Abstract

Occupation is discussed as a social determinant of health. Occupation has received little attention in this light in the economics literature. We examine occupation in a life-course framework and use measures of first-occupation, initial health, and mother’s education. We contend that first occupation is a choice made relatively early in life that affects health outcomes at later ages. We examine first-occupation for two reasons: 1) there is growing evidence that early determinants affect later health and occupation has received little attention in this regard and 2) first occupation is predetermined in analysis of later health, which helps to address the issue of potential simultaneity. Using data from the Panel Study of Income Dynamics (PSID) we estimate the impact of initial occupation on two measures of health later in life: respondent-reported fair/poor health and ever suffering a heart attack. The PSID offers the opportunity to examine a lifecycle perspective as we can examine the impact of early occupation on later health while controlling for several predetermined conditions such as mother’s education and health in youth. Estimates suggest that first-occupation has a durable impact on later health, ceteris paribus, but that the impact varies by health measure and the set of control variables in regression specifications. Early choice of occupation could be a critical factor in successful aging and this information may pave the way to developing more effective workplace and public policies to improve health in older ages.

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Bibliographic Info

Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 13715.

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Date of creation: Dec 2007
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Publication status: published as J Gerontol B Psychol Sci Soc Sci. 2009 Jan;64(1):118-24. doi: 10.1093/geronb/gbn006. Epub 2009 Feb 4. The impact of occupation on self-rated health: cross-sectional and longitudinal evidence from the health and retirement survey. Gueorguieva R, Sindelar JL, Falba TA, Fletcher JM, Keenan P, Wu R, Gallo WT. Source Yale School of Public Health, New Haven, CT 06520-8034, USA. ralitza.gueorguieva@yale.edu
Handle: RePEc:nbr:nberwo:13715

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Cited by:
  1. Jason M. Fletcher & Jody L. Sindelar, 2009. "Estimating Causal Effects of Early Occupational Choice on Later Health: Evidence Using the PSID," NBER Working Papers 15256, National Bureau of Economic Research, Inc.
  2. Jason Fletcher, 2012. "The Effects of First Occupation on Long Term Health Status: Evidence from the Wisconsin Longitudinal Study," Journal of Labor Research, Springer, Springer, vol. 33(1), pages 49-75, March.
  3. Inas Rashad Kelly & Dhaval M. Dave & Jody L. Sindelar & William T. Gallo, 2011. "The Impact of Early Occupational Choice On Health Behaviors," NBER Working Papers 16803, National Bureau of Economic Research, Inc.
  4. Olga Lazareva, 2009. "Health Effects of Occupational Change," Working Papers, Center for Economic and Financial Research (CEFIR) w0129, Center for Economic and Financial Research (CEFIR).

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