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La survenue du cancer : effets de court et moyen termes sur l’emploi, le chômage et les arrêts-maladie

Author

Listed:
  • Thomas Barnay

    (Université de Rouen)

  • Mohamed Ali Ben Halima

    (IRDES Institut de recherche et documentation en économie de la santé, CEE Centre d'études de l'emploi)

  • Emmanuel Duguet

    (Université Paris Est, CEE Centre d'études de l'emploi)

  • Joseph Lanfranchi

    (Université Paris 2, CEE Centre d'études de l'emploi)

  • Christine Le Clainche

    (ENS Ecole normale supérieure Cachan, CES Centre d'économie de la Sorbonne Cachan, CEE Centre d'études de l'emploi)

Abstract

La réduction des inégalités face à la maladie est un des attendus majeurs du troisième Plan cancer 2014-2019, qui préconise de « diminuer l’impact du cancer sur la vie personnelle » afin d’éviter la « double peine » (maladie et exclusion du marché du travail). Dans ce contexte, nous évaluons l’impact de un à cinq ans d’un primo-enregistrement en Affection de longue durée (ALD) caractérisant le cancer sur la situation professionnelle et la durée passée en emploi, maladie et chômage de salariés du secteur privé. Nous utilisons la base de données administratives Hygie, recensant la carrière professionnelle et les épisodes de maladie d’un échantillon de salariés affiliés au Régime général de la Sécurité sociale. L’évaluation de l’impact de la survenue du cancer s’appuie sur une méthode de double différence avec appariement exact pour comparer les salariés malades aux salariés sans aucune ALD. La première année après le diagnostic correspond au temps des traitements caractérisé par une augmentation du nombre de trimestres d’arrêts de travail pour maladie de 1,7 pour les femmes et de 1,2 pour les hommes. L’âge joue également un rôle sur les absences liées à la maladie. Par ailleurs, l’employabilité des travailleurs atteints du cancer diminue avec le temps. La proportion de femmes et d’hommes employés au moins un trimestre, baisse respectivement de 8 et 7 points de pourcentage dans l’année suivant la survenue du cancer et jusqu’à treize points de pourcentage cinq ans plus tard. Cette distance à l’emploi se renforce lorsque les salariés malades sont plus âgés. L’effet de la maladie à cinq ans est respectivement de 15 et 19 points de pourcentage pour les hommes de plus de 51 ans et pour les femmes de plus de 48 ans. Ces différences de genre et d’âge peuvent traduire des différences de localisation et de sévérité des cancers, d’une part, de séquelles des cancers et de difficultés de réinsertion sur le marché du travail plus importantes avec l’avancée en âge, d’autre part.

Suggested Citation

  • Thomas Barnay & Mohamed Ali Ben Halima & Emmanuel Duguet & Joseph Lanfranchi & Christine Le Clainche, 2015. "La survenue du cancer : effets de court et moyen termes sur l’emploi, le chômage et les arrêts-maladie," Working Papers DT65, IRDES institut for research and information in health economics, revised Apr 2015.
  • Handle: RePEc:irh:wpaper:dt65
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    Cited by:

    1. Antoine Marsaudon & Lise Rochaix, 2017. "Impact of acute health shocks on cigarette consumption
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    2. Emmanuel Duguet & Christine Le Clainche, 2016. "Une évaluation de l’impact de l’aménagement des conditions de travail sur la reprise du travail après un cancer," Revue économique, Presses de Sciences-Po, vol. 67(1), pages 49-80.
    3. Thomas Barnay & Thomas Coutrot & Thibaut de Saint Pol, 2016. "Introduction. Santé et itinéraire professionnel : contexte et genèse d’une enquête," Économie et Statistique, Programme National Persée, vol. 486(1), pages 5-15.
    4. Thomas Barnay & Emmanuel Duguet & Christine Le Clainche, 2019. "The Effects of Breast Cancer on Individual Labour Market Outcomes: An Evaluation from an Administrative Panel in France," Annals of Economics and Statistics, GENES, issue 136, pages 103-126.
    5. Christine Le Clainche & Pascale Lengagne, 2019. "The Effects of Mass Layoffs on Mental Health," Working Papers DT78, IRDES institut for research and information in health economics, revised May 2019.
    6. Antoine Marsaudon & Lise Rochaix, 2010. "Impact of acute health shocks on cigarette consumption: A combined DiD-matching strategy to address endogeneity issues in the French Gazel panel data," PSE Working Papers halshs-01626187, HAL.
    7. Thomas Barnay & Thomas Coutrot & Thibaut De Saint Pol, 2016. "Introduction générale - Santé et itinéraire professionnel : contexte et genèse d’une enquête," Post-Print hal-01343227, HAL.

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    More about this item

    Keywords

    cancers; situation professionnelle; méthode des différences de différences avec appariement exact;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • J21 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Labor Force and Employment, Size, and Structure
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply

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