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How do cardiovascular diseases harm labor force participation? Evidence of nationally representative survey data from Japan, a super-aged society

Author

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  • Rong Fu
  • Haruko Noguchi
  • Shuhei Kaneko
  • Akira Kawamura
  • Cheolmin Kang
  • Hideto Takahashi
  • Nanako Tamiya

Abstract

Objective: To evaluate how cardiovascular diseases harm labor force participation (LFP) among the Japanese population and verify the validity of plasma biomarkers as instrumental variables of cardiovascular diseases after adjusting for a broad set of confounders including dietary intake. Design: Using nationally representative repeated cross-sectional surveys in Japan, the Comprehensive Survey of Living Conditions and National Health and Nutrition Survey, with plasma biomarkers as instrumental variables for quasi-randomization. Setting: Onset of cardiovascular diseases in those receiving regular treatment for hypertension, intracerebral hemorrhage, intracerebral infarction, angina pectoris, myocardial infarction, or other types of cardiovascular diseases. Participants: A total of 65,615 persons aged ≥ 20 years (35,037 women and 30,578 men) who completed a survey conducted every three years from 1995 through 2013. Main outcome measures: Respondent employment and weekly working hours during each survey year. Results: Cardiovascular diseases significantly and remarkably reduced the probability of working by 15.4% (95% CI: -30.6% to -0.2%). The reduction in working probability was detected for women only. Respondents aged ≥ 40 years were less likely to work once diagnosed and the reduction was enlarged for those aged ≥ 65 years, while those aged

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0219149
    DOI: 10.1371/journal.pone.0219149
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    References listed on IDEAS

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