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Health dynamics and reporting bias at retirement: An analysis using high-frequency data

Author

Listed:
  • Wen, Jiayi
  • Ye, Zixi
  • Zhang, Xuan

Abstract

We introduce a novel approach to identify state-dependent reporting bias in subjective health measures. The central idea is that health operates as a stock, making abrupt shifts in self-reported health (SRH) following retirement more likely to reflect reporting bias than actual changes. To capture such shifts, our analysis integrates three key elements: (1) differentiating stock and flow outcomes based on classical health theory; (2) leveraging an identification strategy inspired by regression discontinuity design; and (3) exploiting a unique high-frequency dataset on monthly health and retirement. Traditional estimates find a decline in SRH after retirement over longer periods; however, this decline steadily diminishes as the observation window narrows, showing no evidence of state-dependent reporting bias. Our analysis of short-term health dynamics also emphasizes distinguishing stock and flow health outcomes in policy evaluations.

Suggested Citation

  • Wen, Jiayi & Ye, Zixi & Zhang, Xuan, 2026. "Health dynamics and reporting bias at retirement: An analysis using high-frequency data," Journal of Health Economics, Elsevier, vol. 108(C).
  • Handle: RePEc:eee:jhecon:v:108:y:2026:i:c:s0167629626000494
    DOI: 10.1016/j.jhealeco.2026.103151
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    Keywords

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    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I10 - Health, Education, and Welfare - - Health - - - General
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • J26 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Retirement; Retirement Policies

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