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Effects of Health Shocks on Adult Children's Labor Market Outcomes and Well‐Being

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  • Eduardo Ramirez Lizardi
  • Elisabeth Fevang
  • Knut Røed
  • Henning Øien

Abstract

Using Norwegian administrative register data, we assess the impact of unexpected health shocks hitting lone parents on offspring's labor market outcomes and well‐being. We use first‐time hip fractures or strokes as indicators of parental health shocks and estimate both the overall effects and the heterogeneous impacts by the survival time of the affected parent. We identify small, but significant, immediate responses in terms of an increase in physician‐certified sickness absences and a higher risk of diagnosed mental disorders. The short‐term effects are larger for offspring whose parents die shortly after the shock. Most of the effects fade out quickly, and the negative impacts on subsequent employment and earnings are small and only borderline statistically significant. In general, our results suggest that the responses to the deteriorating health of a parent tend to be short‐lived and mostly manifest as temporary absences from work rather than complete detachment from the labor market.

Suggested Citation

  • 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.
  • Handle: RePEc:wly:hlthec:v:34:y:2025:i:10:p:1804-1820
    DOI: 10.1002/hec.70005
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    1. Signe A. Abrahamsen & Maja Weemes Grøtting, 2023. "Formal care of the elderly and health outcomes among adult daughters," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 436-461, February.
    2. Bonekamp, Johan & Wouterse, Bram, 2023. "Do different shocks in health matter for wealth?," Journal of Health Economics, Elsevier, vol. 87(C).
    3. Norman Bannenberg & Oddvar Førland & Tor Iversen & Martin Karlsson & Henning Øien, 2021. "Preventive Home Visits," American Journal of Health Economics, University of Chicago Press, vol. 7(4), pages 457-496.
    4. Manasi Deshpande & Yue Li, 2019. "Who Is Screened Out? Application Costs and the Targeting of Disability Programs," American Economic Journal: Economic Policy, American Economic Association, vol. 11(4), pages 213-248, November.
    5. 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.
    6. Andreas Kotsadam, 2012. "The employment costs of caregiving in Norway," International Journal of Health Economics and Management, Springer, vol. 12(4), pages 269-283, December.
    7. Nicole Maestas & Matt Messel & Yulya Truskinovsky, 2024. "Caregiving and Labor Supply: New Evidence from Administrative Data," Journal of Labor Economics, University of Chicago Press, vol. 42(S1), pages 183-218.
    8. Bom, Judith & Bakx, Pieter & Schut, Frederik & van Doorslaer, Eddy, 2019. "Health effects of caring for and about parents and spouses," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    9. Bolin, K. & Lindgren, B. & Lundborg, P., 2008. "Your next of kin or your own career?: Caring and working among the 50+ of Europe," Journal of Health Economics, Elsevier, vol. 27(3), pages 718-738, May.
    10. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    11. Anna A. Amirkhanyan & Douglas A. Wolf, 2006. "Parent Care and the Stress Process: Findings From Panel Data," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(5), pages 248-255.
    12. Nicholas A. Jolly & Nikolaos Theodoropoulos, 2023. "Health shocks and spousal labor supply: an international perspective," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(2), pages 973-1004, April.
    13. Marjolein I. Broese van Groenou & Alice Boer, 2016. "Providing informal care in a changing society," European Journal of Ageing, Springer, vol. 13(3), pages 271-279, September.
    14. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    15. Felix Glaser & Gerald J. Pruckner, 2023. "A hard pill to swallow? Parental health shocks and children's mental health," Health Economics, John Wiley & Sons, Ltd., vol. 32(12), pages 2768-2800, December.
    16. Gautun, Heidi & Bratt, Christopher, 2024. "Caring for older parents in Norway – How does it affect labor market participation and absence from work?," Social Science & Medicine, Elsevier, vol. 346(C).
    17. Imbens,Guido W. & Rubin,Donald B., 2015. "Causal Inference for Statistics, Social, and Biomedical Sciences," Cambridge Books, Cambridge University Press, number 9780521885881, November.
    18. Susan L. Ettner, 1996. "The Opportunity Costs of Elder Care," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 189-205.
    19. Bobinac, Ana & van Exel, N. Job A. & Rutten, Frans F.H. & Brouwer, Werner B.F., 2010. "Caring for and caring about: Disentangling the caregiver effect and the family effect," Journal of Health Economics, Elsevier, vol. 29(4), pages 549-556, July.
    20. Elisabeth Fevang & Snorre Kverndokk & Knut Røed, 2012. "Labor supply in the terminal stages of lone parents’ lives," Journal of Population Economics, Springer;European Society for Population Economics, vol. 25(4), pages 1399-1422, October.
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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply

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