Effects Of Health Variables Research Articles

Health Status and Retirement Decisions for Older European Couples

In this paper we use data the European Community Household Panel (ECHP) to describe and analyse the dynamics of joint labour force behaviour of older couples for the EUI2 countries. We focus on three main issues: the relanvance of joint retirement across EUI2 countries, the existence of complementarities in leisure and/or assortative matting and the effects of health variables. Concerning the evidence, we first find that a working spouse is more likely to retire the more recently the other spouse has retired; this effect is stronger if the wife is the working spouse. Second, there is evidence of assortative mating and/or complementarities in leisure; the effects of all relevant factors on the retirement decision of one spouse depend strongly on whether the other one is working, unemployed, or retired. Third, besides the standard evidence that poor health increases the retirement probabiliby, we find that the husband's health affects the couple's retirement decisions much more strongly than the wife's health does. Additional asymmetric effects are detected with respect to income related variables.

Transitions in formal and informal care utilisation amongst older Europeans: the impact of national contexts.

The objective of this study was to explore how long-term care systems, and in particular the incorporation of needs-based entitlements to care services or benefits, influence formal and informal care utilisation dynamics. We used the Survey of Health, Ageing and Retirement in Europe (SHARE) wave 1 and 2 data, restricting the sample to persons 65+ from 9 European countries (N=6,293). The effects of changes in health and household composition on formal and informal care transitions were estimated using logistic regression, allowing these effects to vary across countries. The results indicated that, in all countries, formal and informal care were more often complements than substitutes. The likelihood of becoming a formal or informal care user varied significantly between countries. In the Scandinavian countries and in several continental European countries with needs-based entitlements, the transition to formal care was strongly related to informal support being or becoming unavailable. We found little evidence of country differences in the effect of health variables on the transition to formal care. The analysis suggested that, whilst rates of formal care utilisation continue to differ considerably between European countries, formal care allocation practices are not very dissimilar across Northern and continental European welfare states, as we found evidence for all countries of targeting of older persons living alone and of the most care-dependent older people.

Productivity of Household Investment in Health: the Case of Colombia

The purpose of this study is to understand how public and private investments in health in Colombia are related to future earnings of individuals. The returns to good health of individuals and the determinants of the health production function are analyzed. The magnitude of the returns to having good health status is identified through the direct effect of health variables on earnings of individuals. Regional (rural-urban) and gender aspects are considered separately. The significant IV estimates showed that one more day of disability decreased male rural earnings by 33% and female by 13%, that having a disability in a given month decreased the earnings of an urban male by 28% and by 14% for an urban female, and that having one more centimeter of stature increased urban female earnings by 6. 9% and urban male earnings by 8%. These returns to height are much larger than those found in other countries and reveal that investments in nutrition are as important as investments in education for future increases in productivity and growth. Estimations of health production functions showed that it would be desirable to increase social security coverage in rural areas in order to see a lower incidence or duration of illness in these regions. However, in urban areas, where the system of social security is more developed, social security may increase the tendency to report illness. In general, wealthier individuals tend to have better health and the interaction between non-labor income of the individual and adequate housing affects positively the health status of individuals. Policies oriented to increase the coverage of basic services in households, such as electricity, potable water or sewage, have a negligible effect on height and, through height, on productivity. Policies oriented to provide more adequate housing translate into better health conditions and productivity for individuals.