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The mortality implications of a unionized career

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  • VanHeuvelen, Tom
  • Han, Xiaowen
  • VanHeuvelen, Jane

Abstract

An emerging literature has documented a wide range of protections and benefits that union membership provides for health and wellbeing. However, this literature primarily focuses on point-in-time associations between unionization and health, whereas the theoretical benefits of union membership should accrue over a long period of time through such mechanisms as predictable upward attainment and greater employment security. Moreover, studies have not examined union membership's association with mortality, a core health outcome in medical research. We build on recent research that examines the contributions of a unionized career to middle- and older-adulthood mortality using data from the Panel Study of Income Dynamics between 1969 and 2019. We track respondents born between 1935 and 1965 and predict mortality using discrete time hazard regression models. We find that more time spent in a union predicts lower rates of mortality, with an additional year as a union member decreasing the odds of mortality by about 1.5%. This magnitude is about half that of consistent attachment to paid employment. Moreover, we find that male, White, and less educated respondents were most protected by unionized careers, while union protection was found between ages 41 and 67. Our findings extend knowledge of the noneconomic consequences of union benefits and point to a source of emerging health disparities among older adults.

Suggested Citation

  • VanHeuvelen, Tom & Han, Xiaowen & VanHeuvelen, Jane, 2025. "The mortality implications of a unionized career," Social Science & Medicine, Elsevier, vol. 365(C).
  • Handle: RePEc:eee:socmed:v:365:y:2025:i:c:s0277953624010748
    DOI: 10.1016/j.socscimed.2024.117620
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    1. MacConnachie, Lauren & Zhang, Yuan S. & Farina, Mateo & Gutierrez, Carmen & Hoover, Andrew & He, Yuelin & Aiello, Allison E. & Noppert, Grace A., 2024. "The association between incarceration and housing insecurity and advanced immune age during late life," Social Science & Medicine, Elsevier, vol. 347(C).
    2. Rania Gihleb & Osea Giuntella & Jian Qi Tan, 2024. "The impact of right‐to‐work laws on long hours and work schedules," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 43(3), pages 696-713, June.
    3. James Feigenbaum & Alexander Hertel-Fernandez & Vanessa Williamson, 2018. "From the Bargaining Table to the Ballot Box: Political Effects of Right to Work Laws," NBER Working Papers 24259, National Bureau of Economic Research, Inc.
    4. Wilper, A.P. & Woolhandler, S. & Lasser, K.E. & McCormick, D. & Bor, D.H. & Himmelstein, D.U., 2009. "Health insurance and mortality in US adults," American Journal of Public Health, American Public Health Association, vol. 99(12), pages 2289-2295.
    5. Tom VanHeuvelen, 2023. "The Right to Work and American Inequality," American Sociological Review, , vol. 88(5), pages 810-843, October.
    6. Athina Economou & Ioannis Theodossiou, 2015. "Join the Union and Be Safe: The Effects of Unionization on Occupational Safety and Health in the European Union," LABOUR, CEIS, vol. 29(2), pages 127-140, June.
    7. Podber, Naomi & Gruenewald, Tara L., 2023. "Positive life experiences and mortality: Examination of psychobiological pathways," Social Science & Medicine, Elsevier, vol. 335(C).
    8. Miller, Charlotte E. & Vasan, Ramachandran S., 2021. "The southern rural health and mortality penalty: A review of regional health inequities in the United States," Social Science & Medicine, Elsevier, vol. 268(C).
    9. David Card & Thomas Lemieux & W. Craig Riddell, 2004. "Unions and Wage Inequality," Journal of Labor Research, Transaction Publishers, vol. 25(4), pages 519-562, October.
    10. Lynch, Jamie L. & von Hippel, Paul T., 2016. "An education gradient in health, a health gradient in education, or a confounded gradient in both?," Social Science & Medicine, Elsevier, vol. 154(C), pages 18-27.
    11. Alejandro Donado, 2015. "Why Do Unionized Workers Have More Nonfatal Occupational Injuries?," ILR Review, Cornell University, ILR School, vol. 68(1), pages 153-183, January.
    12. Tom VanHeuvelen & David Brady, 2022. "Labor Unions and American Poverty," ILR Review, Cornell University, ILR School, vol. 75(4), pages 891-917, August.
    13. Sergio P. Firpo & Nicole M. Fortin & Thomas Lemieux, 2018. "Decomposing Wage Distributions Using Recentered Influence Function Regressions," Econometrics, MDPI, vol. 6(2), pages 1-40, May.
    14. Dale Dannefer, 2003. "Cumulative Advantage/Disadvantage and the Life Course: Cross-Fertilizing Age and Social Science Theory," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(6), pages 327-337.
    15. Jasmine Kerrissey & Nathan Meyers, 2022. "Public-Sector Unions as Equalizing Institutions: Race, Gender, and Earnings," ILR Review, Cornell University, ILR School, vol. 75(5), pages 1215-1239, October.
    16. James M. Raymo & John R. Warren & Megan M. Sweeney & Robert M. Hauser & Jeong-Hwa Ho, 2011. "Precarious Employment, Bad Jobs, Labor Unions, and Early Retirement," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(2), pages 249-259.
    17. Delaruelle, Katrijn & Buffel, Veerle & Bracke, Piet, 2015. "Educational expansion and the education gradient in health: A hierarchical age-period-cohort analysis," Social Science & Medicine, Elsevier, vol. 145(C), pages 79-88.
    18. Locher, Julie L. & Ritchie, Christine S. & Roth, David L. & Baker, Patricia Sawyer & Bodner, Eric V. & Allman, Richard M., 2005. "Social isolation, support, and capital and nutritional risk in an older sample: ethnic and gender differences," Social Science & Medicine, Elsevier, vol. 60(4), pages 747-761, February.
    19. Sergio Firpo & Nicole M. Fortin & Thomas Lemieux, 2009. "Unconditional Quantile Regressions," Econometrica, Econometric Society, vol. 77(3), pages 953-973, May.
    20. David Brady & Regina Baker & Ryan Finnigan, 2013. "When Unionization Disappears: State-Level Unionization and Working Poverty in the U.S," LIS Working papers 590, LIS Cross-National Data Center in Luxembourg.
    21. Jonathan E. Booth & Daniela Lup & Mark Williams, 2017. "Union Membership and Charitable Giving in the United States," ILR Review, Cornell University, ILR School, vol. 70(4), pages 835-864, August.
    22. Malinowski, B. & Minkler, M. & Stock, L., 2015. "Labor unions: A public health institution," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 261-271.
    23. Joshua Choper & Daniel Schneider & Kristen Harknett, 2022. "Uncertain Time: Precarious Schedules and Job Turnover in the US Service Sector," ILR Review, Cornell University, ILR School, vol. 75(5), pages 1099-1132, October.
    24. Luo, Ye & Hawkley, Louise C. & Waite, Linda J. & Cacioppo, John T., 2012. "Loneliness, health, and mortality in old age: A national longitudinal study," Social Science & Medicine, Elsevier, vol. 74(6), pages 907-914.
    25. VanHeuvelen, Tom & Brady, David, 2022. "Labor Unions and American Poverty," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 75(4), pages 891-917.
    26. Kristen Harknett & Daniel Schneider & Véronique Irwin, 2021. "Improving health and economic security by reducing work schedule uncertainty," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 118(42), pages 2107828118-, October.
    27. Falconer, James & Quesnel-Vallée, Amélie, 2017. "Pathway from poor self-rated health to mortality: Explanatory power of disease diagnosis," Social Science & Medicine, Elsevier, vol. 190(C), pages 227-236.
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