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The impact of diabetes on labour market outcomes in Mexico: A panel data and biomarker analysis

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  • Seuring, Till
  • Serneels, Pieter
  • Suhrcke, Marc

Abstract

Recent evidence for Mexico suggests important differences in health status between people with diagnosed and undiagnosed diabetes. However, there is at best scarce evidence on the economic consequences of diabetes, especially in contexts where the condition often remains undiagnosed, as is typically the case in low- and middle income countries. Using Mexican longitudinal and biomarker data we estimated the relationship between diabetes, as well as its time since diagnosis, and employment probabilities, wages and working hours. We further explored how these relationships differ for those with diagnosed and undiagnosed diabetes. For the longitudinal analyses, nationally representative data from 11995 men and 13858 women 15–64 years old were taken from three waves (2002, 2005, 2009) of the Mexican Family Life Survey. We estimated a fixed effects model to account for unmeasured time-invariant confounders of diabetes. We found a reduction in the probability of being employed of 7.7 and 6.3 percentage points for men and women, respectively, but no significant relationship with hours worked or wages. Employment probabilities fell gradually with each year since diagnosis for men but not for women. Using cross-sectional biomarker data, our results indicate that 68% of those exhibiting glycated hemoglobin (HbA1c) levels above the clinical diabetes threshold did not self-report a diagnosis, hence were undiagnosed. Nevertheless, regression analysis revealed that there was no association of diabetes with labour outcomes for undiagnosed women or men. This suggests that results based on self-reported diabetes cannot be extended to the (rather large) part of the population with undiagnosed diabetes, likely because of a selection of people in worse health and with a longer diabetes duration into the diagnosed population. Earlier diagnosis and improved treatment of diabetes therefore may prevent adverse health effects and related economic hardship.

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  • Seuring, Till & Serneels, Pieter & Suhrcke, Marc, 2019. "The impact of diabetes on labour market outcomes in Mexico: A panel data and biomarker analysis," Social Science & Medicine, Elsevier, vol. 233(C), pages 252-261.
    • Handle: RePEc:eee:socmed:v:233:y:2019:i:c:p:252-261
    DOI: 10.1016/j.socscimed.2019.05.051
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    1. Thesis Thursday: Till Seuring
      by Chris Sampson in The Academic Health Economists' Blog on 2017-07-20 11:00:57

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    2. Kumara, Ajantha Sisira & Samaratunge, Ramanie, 2018. "The effects of chronic non-communicable diseases on labour force outcomes: Quasi experimental evidence from Sri Lanka," Economics & Human Biology, Elsevier, vol. 31(C), pages 40-53.
    3. Steven F. Koch & Evelyn Thsehla, 2022. "The impact of diabetes on labour market outcomes," Development Southern Africa, Taylor & Francis Journals, vol. 39(3), pages 424-456, May.
    4. Gaggero, Alessio, 2020. "The effect of type 2 diabetes diagnosis in the elderly," Economics & Human Biology, Elsevier, vol. 37(C).
    5. Paolo Nicola Barbieri & Hieu Nguyen, 2022. "Diabetes and Young Adults’ Labor Supply: Evidence from a Novel Instrumental Variable Strategy," Journal of Labor Research, Springer, vol. 43(1), pages 1-23, March.
    6. Rong Fu & Haruko Noguchi & Shuhei Kaneko & Akira Kawamura & Cheolmin Kang & Hideto Takahashi & Nanako Tamiya, 2019. "How do cardiovascular diseases harm labor force participation? Evidence of nationally representative survey data from Japan, a super-aged society," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-16, July.

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    More about this item

    Keywords

    Mexico; Diabetes; Biomarker; Wages; Fixed effects; Employment; Working hours;
    All these keywords.

    JEL classification:

    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • D83 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Search; Learning; Information and Knowledge; Communication; Belief; Unawareness

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