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Healthier lifestyles after retirement in Europe? Evidence from SHARE

Author

Listed:
  • Martina Celidoni

    (University of Padua)

  • Vincenzo Rebba

    (University of Padua)

Abstract

This paper investigates changes in health behaviours upon retirement, using data drawn from the Survey of Health Ageing and Retirement in Europe. By exploiting changes in eligibility rules for early and statutory retirement, we identify the causal effect of retiring from work on smoking, alcohol drinking, engagement in physical activity and visits to the general practitioner or specialist. We provide evidence about individual heterogeneous effects related to gender, education, net wealth, early-life conditions and job characteristics. Our main results––obtained using fixed-effect two-stage least squares––show that changes in health behaviours occur upon retirement and may be a key mechanism through which the latter affects health. In particular, the probability of not practicing any physical activity decreases significantly after retirement, and this effect is stronger for individuals with higher education. We also find that different frameworks of European health care systems (i.e. countries with or without a gate-keeping system to regulate the access to specialist services) matter in shaping individuals’ health behaviours after retirement. Our findings provide important information for the design of policies aiming to promote healthy lifestyles in later life, by identifying those who are potential target individuals and which factors may affect their behaviour. Our results also suggest the importance of policies promoting healthy lifestyles well before the end of the working life in order to anticipate the benefits deriving from individuals’ health investments.

Suggested Citation

  • Martina Celidoni & Vincenzo Rebba, 2017. "Healthier lifestyles after retirement in Europe? Evidence from SHARE," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(7), pages 805-830, September.
  • Handle: RePEc:spr:eujhec:v:18:y:2017:i:7:d:10.1007_s10198-016-0828-8
    DOI: 10.1007/s10198-016-0828-8
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    8. Bertoni, Marco & Brunello, Giorgio & Mazzarella, Gianluca, 2018. "Does postponing minimum retirement age improve healthy behaviors before retirement? Evidence from middle-aged Italian workers," Journal of Health Economics, Elsevier, vol. 58(C), pages 215-227.
    9. Chiara Ardito & Roberto Leombruni & David Blane & Angelo d’Errico, 2020. "To Work or Not to Work? The Effect of Higher Pension Age on Cardiovascular Health," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 59(3), pages 399-434, July.
    10. Claudio Lucifora & Daria Vigani, 2018. "Health care utilization at retirement: The role of the opportunity cost of time," Health Economics, John Wiley & Sons, Ltd., vol. 27(12), pages 2030-2050, December.
    11. Barschkett, Mara & Geyer, Johannes & Haan, Peter & Hammerschmid, Anna, 2021. "The Effects of an Increase in the Retirement Age on Health - Evidence from Administrative Data," Rationality and Competition Discussion Paper Series 302, CRC TRR 190 Rationality and Competition.
    12. Martina Celidoni & Chiara Dal Bianco & Vincenzo Rebba & Guglielmo Weber, 2020. "Retirement and Healthy Eating," Fiscal Studies, John Wiley & Sons, vol. 41(1), pages 199-219, March.
    13. Szanyi-Nagy, Sára & Vaskövi, Ágnes, 2021. "Hogyan élnek az európai nyugdíjasok? Egyéni szintű különbözőségek vizsgálata SHARE-adatok alapján [European quality of life in retirement. Analysing personal differences through SHARE data]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(12), pages 1336-1363.
    14. Motegi, Hiroyuki & Nishimura, Yoshinori & Oikawa, Masato, 2020. "Retirement and health investment behaviors: An international comparison," The Journal of the Economics of Ageing, Elsevier, vol. 16(C).
    15. Steve Briand, 2020. "Beyond the direct impact of retirement: coordination by couples in preventive and risky behaviors," Working Papers hal-02467440, HAL.
    16. Pasqualini, M. & Lanari, D. & Minelli, L. & Pieroni, L. & Salmasi, L., 2017. "Health and income inequalities in Europe: What is the role of circumstances?," Economics & Human Biology, Elsevier, vol. 26(C), pages 164-173.
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    More about this item

    Keywords

    Retirement; Health behaviour; Fixed effects; Instrumental variables; SHARE;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • 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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