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Health Matters in Social Security Disability Insurance Participation: Panel Study of Income Dynamics

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  • Zagdbazar, Manlaibaatar
  • Bayarjargal, Munk

Abstract

This paper investigates the independent roles of health deterioration and employment status in determining future enrollment in Social Security Disability Insurance (SSDI). Using longitudinal data from the Panel Study of Income Dynamics (PSID, 2005–2019), this research introduces the frailty index—an objective health measure that aggregates cumulative deficits across physical, cognitive, and social dimensions—to overcome limitations associated with self-reported health metrics. Employing a fixed-effects panel regression model, the analysis reveals that higher frailty scores significantly increase the likelihood of transitioning to SSDI within two years. Employment status further modulates this effect, with temporarily disabled, laid-off, and individuals keeping house exhibiting heightened vulnerability due to pre-existing health impairments and economic instability. Subgroup analyses indicate substantial variation in effects by education, gender, and race, underscoring the interplay between health status, employment vulnerability, and systemic inequalities. Robustness checks confirm the consistency of these findings. These results highlight the necessity of targeted early-intervention health strategies and policies addressing employment instability to mitigate premature reliance on disability benefits.

Suggested Citation

  • Zagdbazar, Manlaibaatar & Bayarjargal, Munk, 2025. "Health Matters in Social Security Disability Insurance Participation: Panel Study of Income Dynamics," MPRA Paper 125947, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:125947
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    References listed on IDEAS

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    1. 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.
    2. Nicole Maestas & Kathleen J. Mullen & Alexander Strand, 2015. "Disability Insurance and the Great Recession," Working Papers 1088, RAND Corporation.
    3. Nicole Maestas & Kathleen J. Mullen & Alexander Strand, 2015. "Disability Insurance and the Great Recession," American Economic Review, American Economic Association, vol. 105(5), pages 177-182, May.
    4. Bound, John, 1991. "The Health and Earnings of Rejected Disability Insurance Applicants: Reply," American Economic Review, American Economic Association, vol. 81(5), pages 1427-1434, December.
    5. Naoko Akashi-Ronquest & Paul Carrillo & Bruce Dembling & Steven Stern, 2011. "Measuring the biases in self-reported disability status: evidence from aggregate data," Applied Economics Letters, Taylor & Francis Journals, vol. 18(11), pages 1053-1060.
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    More about this item

    Keywords

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    JEL classification:

    • I0 - Health, Education, and Welfare - - General
    • I00 - Health, Education, and Welfare - - General - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I28 - Health, Education, and Welfare - - Education - - - Government Policy
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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