IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp18854.html

The Impact of the Pandemic on Health-Related Inactivity and Benefit Claims

Author

Listed:
  • Portes, Jonathan

    (King's College London)

  • Savolainen, Riika

    (University of Swansea)

  • Vallis, Dimitris

    (King's College London)

Abstract

We analyse whether the post-pandemic rise in health-related economic inactivity and benefit receipt in the United Kingdom was disproportionately concentrated among working-age adults classified as clinically vulnerable to COVID-19. Using longitudinal data from the UK Household Longitudinal Study, linked to the Understanding Society COVID-19 Study, we treat preexisting vulnerability as a marker of differential exposure to the consequences of the pandemic. We combine coarsened exact matching with pooled pre/post and two-way fixed-effects difference-in-differences specifications. The main estimates indicate clinically vulnerable individuals were 1.3–2.1 percentage points more likely to become inactive because of long-term sickness after 2020. Relative to pre-pandemic rates, this corresponds to an increase of 20–40 per cent. Triple differences estimates are positive but imprecisely. We find no robust evidence of disproportionate increases in disability or incapacity benefit receipt. This suggests persistent relative deterioration in labour-market participation among clinically vulnerable individuals. The weaker relationship with benefit receipt suggests that institutional processes and programme design also play a major role.

Suggested Citation

  • Portes, Jonathan & Savolainen, Riika & Vallis, Dimitris, 2026. "The Impact of the Pandemic on Health-Related Inactivity and Benefit Claims," IZA Discussion Papers 18854, IZA Network @ LISER.
  • Handle: RePEc:iza:izadps:dp18854
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp18854.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Fetzer, Thiemo & Rauh, Christopher, 2022. "Pandemic Pressures and Public Health Care : Evidence from England," The Warwick Economics Research Paper Series (TWERPS) 1395, University of Warwick, Department of Economics.
    2. Bound, John & Burkhauser, Richard V., 1999. "Economic analysis of transfer programs targeted on people with disabilities," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 3, chapter 51, pages 3417-3528, Elsevier.
    3. Jack Britton & Eric French, 2020. "Health and Employment amongst Older Workers," Fiscal Studies, John Wiley & Sons, vol. 41(1), pages 221-250, March.
    4. Carlo Corradini & Jesse Matheson & Enrico Vanino, 2024. "Neighbourhood labour structure, lockdown policies, and the uneven spread of COVID‐19: within‐city evidence from England," Economica, London School of Economics and Political Science, vol. 91(363), pages 944-979, July.
    5. Trevisan, Elisabetta & Zantomio, Francesca, 2016. "The impact of acute health shocks on the labour supply of older workers: Evidence from sixteen European countries," Labour Economics, Elsevier, vol. 43(C), pages 171-185.
    6. David H. Autor & Mark G. Duggan, 2003. "The Rise in the Disability Rolls and the Decline in Unemployment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(1), pages 157-206.
    7. Carol Propper & George Stoye & Ben Zaranko, 2020. "The Wider Impacts of the Coronavirus Pandemic on the NHS," Fiscal Studies, John Wiley & Sons, vol. 41(2), pages 345-356, June.
    8. David G. Blanchflower & Alex Bryson, 2023. "Long COVID in the United States," DoQSS Working Papers 23-01, Quantitative Social Science - UCL Social Research Institute, University College London.
    9. Joseph Richardson, 2025. "Health risks and labour supply: evidence from the COVID‐19 pandemic," Economica, London School of Economics and Political Science, vol. 92(367), pages 959-978, July.
    10. repec:eee:labchp:v:3:y:1999:i:pc:p:3417-3528 is not listed on IDEAS
    11. James Banks & Richard Blundell & Carl Emmerson, 2015. "Disability Benefit Receipt and Reform: Reconciling Trends in the United Kingdom," Journal of Economic Perspectives, American Economic Association, vol. 29(2), pages 173-190, Spring.
    12. Iacus, Stefano M. & King, Gary & Porro, Giuseppe, 2012. "Causal Inference without Balance Checking: Coarsened Exact Matching," Political Analysis, Cambridge University Press, vol. 20(1), pages 1-24, January.
    13. Evans-Lacko, Sara & Knapp, Martin & McCrone, Paul & Thornicroft, Graham & Mojtabai, Ramin, 2013. "The mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries," LSE Research Online Documents on Economics 51632, London School of Economics and Political Science, LSE Library.
    14. Sara Evans-Lacko & Martin Knapp & Paul McCrone & Graham Thornicroft & Ramin Mojtabai, 2013. "The Mental Health Consequences of the Recession: Economic Hardship and Employment of People with Mental Health Problems in 27 European Countries," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-7, July.
    15. repec:cam:camjip:2204 is not listed on IDEAS
    16. Andreas Ravndal Kostol & Magne Mogstad, 2014. "How Financial Incentives Induce Disability Insurance Recipients to Return to Work," American Economic Review, American Economic Association, vol. 104(2), pages 624-655, February.
    17. Christina Beatty & Steve Fothergill, 2023. "The persistence of hidden unemployment among incapacity claimants in large parts of Britain," Local Economy, London South Bank University, vol. 38(1), pages 42-60, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chiara Dal Bianco, 2023. "Disability Insurance and the Effects of Return-to-work Policies," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 49, pages 351-373, July.
    2. repec:osf:socarx:pj8d9_v1 is not listed on IDEAS
    3. Andreas Haller & Stefan Staubli & Josef Zweimüller, 2024. "Designing Disability Insurance Reforms: Tightening Eligibility Rules or Reducing Benefits?," Econometrica, Econometric Society, vol. 92(1), pages 79-110, January.
    4. Gordon B. Dahl & Anne C. Gielen, 2021. "Intergenerational Spillovers in Disability Insurance," American Economic Journal: Applied Economics, American Economic Association, vol. 13(2), pages 116-150, April.
    5. David H. Autor & Mark Duggan & Kyle Greenberg & David S. Lyle, 2016. "The Impact of Disability Benefits on Labor Supply: Evidence from the VA's Disability Compensation Program," American Economic Journal: Applied Economics, American Economic Association, vol. 8(3), pages 31-68, July.
    6. Nicolas R. Ziebarth, 2018. "Social Insurance and Health," Contributions to Economic Analysis, in: Health Econometrics, volume 127, pages 57-84, Emerald Group Publishing Limited.
    7. Halapuu, Vivika, 2021. "Access to education and disability insurance claims," Working Paper Series 2021:17, IFAU - Institute for Evaluation of Labour Market and Education Policy.
    8. Nicholas Bloom & Gordon B. Dahl & Dan-Olof Rooth, 2026. "Work from Home and Disability Employment," American Economic Review: Insights, American Economic Association, vol. 8(2), pages 179-195, June.
    9. Jones, Andrew M. & Rice, Nigel & Zantomio, Francesca, 2020. "Acute health shocks and labour market outcomes: Evidence from the post crash era," Economics & Human Biology, Elsevier, vol. 36(C).
    10. Alexander Gelber & Timothy Moore & Zhuan Pei & Alexander Strand, 2023. "Disability Insurance Income Saves Lives," Journal of Political Economy, University of Chicago Press, vol. 131(11), pages 3156-3185.
    11. Tobias Müller & Stefan Boes, 2020. "Disability insurance benefits and labor supply decisions: evidence from a discontinuity in benefit awards," Empirical Economics, Springer, vol. 58(5), pages 2513-2544, May.
    12. De Brouwer, Octave & Tojerow, Ilan, 2023. "The Growth of Disability Insurance in Belgium: Determinants and Policy Implications," IZA Discussion Papers 16376, IZA Network @ LISER.
    13. Bratsberg, Bernt & Raaum, Oddbjørn & Røed, Knut, 2020. "Immigrant Responses to Social Insurance Generosity," Labour Economics, Elsevier, vol. 65(C).
    14. Chiara Dal Bianco, 2019. "Labour Supply and Welfare Effects of Disability Insurance: A Survey," Italian Economic Journal: A Continuation of Rivista Italiana degli Economisti and Giornale degli Economisti, Springer;Società Italiana degli Economisti (Italian Economic Association), vol. 5(1), pages 161-189, March.
    15. Arie Kapteyn & James P. Smith & Arthur VanSoest, 2005. "Vignettes and Self Reported Work Disability," Labor and Demography 0511005, University Library of Munich, Germany.
    16. Fevang, Elisabeth & Hardoy, Inés & Røed, Knut, 2013. "Getting Disabled Workers Back to Work: How Important Are Economic Incentives?," IZA Discussion Papers 7137, IZA Network @ LISER.
    17. Arie Kapteyn & James P. Smith & Arthur Van Soest, 2004. "Self-reported Work Disability in the US and The Netherlands," Working Papers WR-206, RAND Corporation.
    18. Hjellset Alne, Ragnar, 2018. "Economic incentives, disability insurance and labor supply," Working Papers in Economics 2/18, University of Bergen, Department of Economics, revised 14 Jun 2018.
    19. Mousteri, Victoria & Daly, Michael & Delaney, Liam & Tynelius, Per & Rasmussen, Finn, 2019. "Adolescent mental health and unemployment over the lifespan: Population evidence from Sweden," Social Science & Medicine, Elsevier, vol. 222(C), pages 305-314.
    20. Bíró, Anikó & Elek, Péter, 2020. "Job loss, disability insurance and health expenditure," Labour Economics, Elsevier, vol. 65(C).
    21. Bagaria, Nitika & Petrongolo, Barbara & Van Reenen, John, 2015. "Can helping the sick hurt the able? Incentives, information and disruption in a disability-related welfare reform," LSE Research Online Documents on Economics 62566, London School of Economics and Political Science, LSE Library.

    More about this item

    Keywords

    ;
    ;
    ;
    ;

    JEL classification:

    • J21 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Labor Force and Employment, Size, and Structure
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:iza:izadps:dp18854. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Mark Fallak (email available below). General contact details of provider: https://edirc.repec.org/data/izaaalu.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.