Breast cancer and women's labor supply.

OBJECTIVE To investigate the effect of breast cancer on women's labor supply. DATE SOURCE/STUDY SETTING: Using the 1992 Health and Retirement Study, we estimate the probability of working using probit regression and then, for women who are employed, we estimate regressions for average weekly hours worked using ordinary least squares (OLS). We control for health status by using responses to perceived health status and comorbidities. For a sample of married women, we control for spouses' employer-based health insurance. We also perform additional analyses to detect selection bias in our sample. PRINCIPAL FINDINGS We find that the probability of breast cancer survivors working is 10 percentage points less than that for women without breast cancer. Among women who work, breast cancer survivors work approximately three more hours per week than women who do not have cancer. Results of similar magnitude persist after health status is controlled in the analysis, and although we could not definitively rule out selection bias, we could not find evidence that our results are attributable to selection bias. CONCLUSIONS For some women, breast cancer may impose an economic hardship because it causes them to leave theirjobs. However, for women who survive and remain working, this study failed to show a negative effect on hours worked associated with breast cancer. Perhaps the morbidity associated with certain types and stages of breast cancer and its treatment does not interfere with work.

[1]  D. Berry Return-to-work experiences of people with cancer. , 1993, Oncology nursing forum.

[2]  W. Satariano,et al.  The likelihood of returning to work after breast cancer. , 1996, Public health reports.

[3]  M. Nevitt,et al.  Work disability among cancer patients. , 1989, Social science & medicine.

[4]  Daniel S. Miller,et al.  Annual report to the nation on the status of cancer, 1973-1996, with a special section on lung cancer and tobacco smoking. , 1999, Journal of the National Cancer Institute.

[5]  Brigitte C. Madrian,et al.  Limited Insurance Portability and Job Mobility: The Effects of Public Policy on Job-Lock , 1993 .

[6]  C. Gotay,et al.  Quality of life in long-term survivors of adult-onset cancers. , 1998, Journal of the National Cancer Institute.

[7]  Carter Bj Surviving breast cancer: a problematic work re-entry. , 1994, Cancer practice.

[8]  U. G. Dailey Cancer,Facts and Figures about. , 2022, Journal of the National Medical Association.

[9]  R. Moffitt,et al.  The Effect of the Medicaid Program on Welfare Participation and Labor Supply , 1990 .

[10]  Monica Morrow,et al.  National Cancer Data Base survey of breast cancer management for patients from low income zip codes , 2000, Cancer.

[11]  Heather L. Bednarek,et al.  Breast Cancer Survival, Work, and Earnings , 2001, Journal of health economics.

[12]  Brigitte C. Madrian Employment-Based Health Insurance and Job Mobility: Is There Evidence of Job-Lock? , 1993 .

[13]  S M Shinagawa,et al.  The excess burden of breast carcinoma in minority and medically underserved communities , 2000, Cancer.

[14]  B. J. Carter Surviving breast cancer: a problematic work re-entry. , 1994, Cancer practice.

[15]  Satariano Wa,et al.  The likelihood of returning to work after breast cancer. , 1996 .

[16]  A. Evans,et al.  People with Disabilities: Access to Health Care and Related Benefits , 1996 .

[17]  N. Fow Cancer rehabilitation: an investment in survivorship. , 1996, Rehab management.

[18]  A. Monheit,et al.  Health Insurance and Job Mobility: Theoryand Evidence , 1994 .

[19]  J. Heckman Shadow prices, market wages, and labor supply , 1974 .

[20]  Rebecca Voelker,et al.  Breast Cancer Survival , 1998 .

[21]  K. Kapur The Impact of Health on Job Mobility: A Measure of Job Lock , 1998 .

[22]  M. Grossman On the Concept of Health Capital and the Demand for Health , 1972, Journal of Political Economy.

[23]  O. Mitchell,et al.  Health Problems as Determinants of Retirement: Are Self-Rated Measures Endogenous? , 1998, Journal of health economics.

[24]  Fow Nr Cancer rehabilitation: an investment in survivorship. , 1996 .

[25]  Robert G. Valletta,et al.  The effect of health insurance on married female labor supply , 1999 .