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The effect of parental health shocks on living arrangements and employment

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  • Julien Bergeot
  • Irene Ferrari
  • Ya Gao

Abstract

This study investigates the impacts of health shocks among older individuals on the dynamics of their living arrangements in Europe and the United States. Exploiting unpredicted health shocks, we use an event‐study difference‐in‐differences approach to demonstrate that health shocks increase difficulties with activities of daily living and instrumental activities of daily living, thereby increasing the need for care. Our findings indicate that health shocks raise the probability of nursing home residency and co‐residence with adult children by 0.7 and 1.4 percentage points in Europe, and by 2.1 and 1.8 percentage points in the U.S., respectively. Further analyses reveal that more generous long‐term care public policies correlate with a higher probability of nursing home residency and a lower probability of co‐residing with adult children, highlighting the significant role of public policies in household responses to health shocks. Additionally, we find that health shocks negatively impact adult children's labor supply, particularly in the U.S.

Suggested Citation

  • Julien Bergeot & Irene Ferrari & Ya Gao, 2024. "The effect of parental health shocks on living arrangements and employment," Health Economics, John Wiley & Sons, Ltd., vol. 33(12), pages 2798-2837, December.
    • Handle: RePEc:wly:hlthec:v:33:y:2024:i:12:p:2798-2837
    DOI: 10.1002/hec.4893
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    1. Rellstab, Sara & Bakx, Pieter & García-Gómez, Pilar & van Doorslaer, Eddy, 2020. "The kids are alright - labour market effects of unexpected parental hospitalisations in the Netherlands," Journal of Health Economics, Elsevier, vol. 69(C).
    2. Steven Stern, 1995. "Estimating Family Long-Term Care Decisions in the Presence of Endogenous Child Characteristics," Journal of Human Resources, University of Wisconsin Press, vol. 30(3), pages 551-580.
    3. repec:diw:diwwpp:dp1902 is not listed on IDEAS
    4. Nieboer, Anna P. & Koolman, Xander & Stolk, Elly A., 2010. "Preferences for long-term care services: Willingness to pay estimates derived from a discrete choice experiment," Social Science & Medicine, Elsevier, vol. 70(9), pages 1317-1325, May.
    5. Laura Crespo & Pedro Mira, 2014. "Caregiving to Elderly Parents and Employment Status of European Mature Women," The Review of Economics and Statistics, MIT Press, vol. 96(4), pages 693-709, October.
    6. Wen, Jiayi & Huang, Haili, 2024. "Parental health penalty on adult children’s employment: Gender differences and long-term consequences," Journal of Health Economics, Elsevier, vol. 95(C).
    7. Wolfgang Frimmel & Martin Halla & Joerg Paetzold & Julia Schmieder, 2020. "Health of Elderly Parents, their Children's Labor Supply, and the Role of Migrant Care Workers," Economics working papers 2020-18, Department of Economics, Johannes Kepler University Linz, Austria.
    8. Aïda Solé-Auró & Pierre-Carl Michaud & Michael Hurd & Eileen Crimmins, 2015. "Disease Incidence and Mortality Among Older Americans and Europeans," Demography, Springer;Population Association of America (PAA), vol. 52(2), pages 593-611, April.
    9. Cl'ement de Chaisemartin & Xavier D'Haultf{oe}uille, 2020. "Difference-in-Differences Estimators of Intertemporal Treatment Effects," Papers 2007.04267, arXiv.org, revised Dec 2024.
    10. Bauer, Jan Michael & Sousa-Poza, Alfonso, 2015. "Impacts of Informal Caregiving on Caregiver Employment, Health, and Family," IZA Discussion Papers 8851, Institute of Labor Economics (IZA).
    11. Daniel Barczyk & Matthias Kredler, 2019. "Long‐Term Care Across Europe and the United States: The Role of Informal and Formal Care," Fiscal Studies, John Wiley & Sons, vol. 40(3), pages 329-373, September.
    12. Heitmueller, Axel, 2007. "The chicken or the egg?: Endogeneity in labour market participation of informal carers in England," Journal of Health Economics, Elsevier, vol. 26(3), pages 536-559, May.
    13. David Byrne & Michelle S. Goeree & Bridget Hiedemann & Steven Stern, 2009. "Formal Home Health Care, Informal Care, And Family Decision Making," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 50(4), pages 1205-1242, November.
    14. Nicole Maestas & Matt Messel & Yulya Truskinovsky, 2023. "Caregiving and Labor Supply: New Evidence from Administrative Data," NBER Working Papers 31450, National Bureau of Economic Research, Inc.
    15. Schiele, Valentin & Schmitz, Hendrik, 2023. "Understanding cognitive decline in older ages: The role of health shocks," European Economic Review, Elsevier, vol. 151(C).
    16. Mazzotta, Fernanda & Bettio, Francesca & Zigante, Valentina, 2018. "And Thou Shalt Honor: children’s caregiving, work and religion," GLO Discussion Paper Series 202, Global Labor Organization (GLO).
    17. Hiedemann, Bridget & Stern, Steven, 1999. "Strategic play among family members when making long-term care decisions," Journal of Economic Behavior & Organization, Elsevier, vol. 40(1), pages 29-57, September.
    18. Michaud, Pierre-Carl & Heitmueller, Axel & Nazarov, Zafar, 2010. "A dynamic analysis of informal care and employment in England," Labour Economics, Elsevier, vol. 17(3), pages 455-465, June.
    19. Jan Mutchier & Jeffrey Burr, 1991. "A longitudinal analysis of household and nonhousehold living arrangements in later life," Demography, Springer;Population Association of America (PAA), vol. 28(3), pages 375-390, August.
    20. Carlos Bethencourt & José-Víctor Ríos-Rull, 2009. "On The Living Arrangements Of Elderly Widows," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 50(3), pages 773-801, August.
    21. Van Houtven, Courtney Harold & Norton, Edward C., 2004. "Informal care and health care use of older adults," Journal of Health Economics, Elsevier, vol. 23(6), pages 1159-1180, November.
    22. Charles, Kerwin Kofi & Sevak, Purvi, 2005. "Can family caregiving substitute for nursing home care?," Journal of Health Economics, Elsevier, vol. 24(6), pages 1174-1190, November.
    23. Bergeot, Julien & Tenand, Marianne, 2023. "Does informal care delay nursing home entry? Evidence from Dutch linked survey and administrative data," Journal of Health Economics, Elsevier, vol. 92(C).
    24. Maaike Diepstraten & Rudy Douven & Bram Wouterse, 2020. "Can your house keep you out of a nursing home?," Health Economics, John Wiley & Sons, Ltd., vol. 29(5), pages 540-553, May.
    25. Mommaerts, Corina, 2018. "Are coresidence and nursing homes substitutes? Evidence from Medicaid spend-down provisions," Journal of Health Economics, Elsevier, vol. 59(C), pages 125-138.
    26. Bom, Judith & Bakx, Pieter & van Doorslaer, Eddy & Gørtz, Mette & Skinner, Jonathan, 2023. "What explains different rates of nursing home admissions? Comparing the United States to Denmark and the Netherlands," The Journal of the Economics of Ageing, Elsevier, vol. 25(C).
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    1. Eduardo Ramirez Lizardi & Elisabeth Fevang & Knut Røed & Henning Øien, 2025. "Effects of Health Shocks on Adult Children's Labor Market Outcomes and Well‐Being," Health Economics, John Wiley & Sons, Ltd., vol. 34(10), pages 1804-1820, October.

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