Does retirement trigger ill health?

This paper investigates the effects of retirement on various health outcomes. Data stem from the first three waves of the English Longitudinal Study of Ageing (ELSA). With these informative data, non-parametric matching and instrumental variable (IV) methods are applied to identify causal effects. It is found that retirement significantly increases the risk of being diagnosed with a chronic condition. In particular, it raises the risk of a severe cardiovascular disease and cancer. This is also reflected in increased risk factors (e.g. BMI, cholesterol, blood pressure) and increased problems in physical activities. Furthermore, retirement worsens self-assessed health and an underlying health stock.

[1]  Andrew M. Jones,et al.  Health‐related non‐response in the British Household Panel Survey and European Community Household Panel: using inverse‐probability‐weighted estimators in non‐linear models , 2006 .

[2]  T. Waidmann,et al.  Estimating the Health Effects of Retirement , 2007 .

[3]  L. Brannon,et al.  Health psychology: An introduction to behavior and health , 1988 .

[4]  James J Heckman,et al.  Comparing IV with Structural Models: What Simple IV Can and Cannot Identify , 2009, Journal of econometrics.

[5]  Michael W. Bridges,et al.  Person variables and health: personality predispositions and acute psychological states as shared determinants for disease. , 1995, Psychosomatic medicine.

[6]  S. Behncke How Does Retirement Affect Health? , 2009, SSRN Electronic Journal.

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

[8]  M. Lindeboom,et al.  Tilburg University Does Retirement Kill You ? Evidence from Early Retirement Windows , 2008 .

[9]  D. Melzer,et al.  Smoking cessation and transition into retirement: analyses from the English Longitudinal Study of Ageing. , 2007, Age and ageing.

[10]  M. Lechner Earnings and Employment Effects of Continuous Gff-the-Job Training in East Germany After Unification , 1995 .

[11]  D. Cook,et al.  Loss of employment and mortality , 1994, BMJ.

[12]  M. Frölich Finite-Sample Properties of Propensity-Score Matching and Weighting Estimators , 2004 .

[13]  J. Angrist,et al.  Two-Stage Least Squares Estimation of Average Causal Effects in Models with Variable Treatment Intensity , 1995 .

[14]  K. Neuman Quit Your Job and Get Healthier? The Effect of Retirement on Health , 2008 .

[15]  A. Trichopoulou,et al.  Age at retirement and mortality in a general population sample: the Greek EPIC study. , 2007, American journal of epidemiology.

[16]  D. Rubin Estimating causal effects of treatments in randomized and nonrandomized studies. , 1974 .

[17]  H. Solinge Health Change in Retirement A Longitudinal Study among Older Workers in the Netherlands , 2007 .

[18]  Joshua D. Angrist,et al.  Identification of Causal Effects Using Instrumental Variables , 1993 .

[19]  L. Midanik,et al.  The effect of retirement on mental health and health behaviors: the Kaiser Permanente Retirement Study. , 1995, The journals of gerontology. Series B, Psychological sciences and social sciences.

[20]  Angus Deaton,et al.  Instruments of development: Randomization in the tropics, and the search for the elusive keys to economic development , 2009 .

[21]  Laura Larsson Evaluation of Swedish Youth Labor Market Programs , 2003, The Journal of Human Resources.

[22]  Alberto Abadie Semiparametric instrumental variable estimation of treatment response models , 2003 .

[23]  T. H. Holmes,et al.  The Social Readjustment Rating Scale. , 1967, Journal of psychosomatic research.

[24]  Markus Frölich,et al.  Nonparametric IV Estimation of Local Average Treatment Effects with Covariates , 2002, SSRN Electronic Journal.

[25]  M. Frölich Parametric and Nonparametric Regression in the Presence of Endogenous Control Variables , 2008 .

[26]  J. Kiecolt-Glaser,et al.  Psychoneuroimmunology and cancer: fact or fiction? , 1999, European journal of cancer.

[27]  Michael Lechner,et al.  Long-Run Effects of Public Sector Sponsored Training in West Germany , 2004, SSRN Electronic Journal.

[28]  I. Kawachi,et al.  Transition to retirement and risk of cardiovascular disease: prospective analysis of the US health and retirement study. , 2012, Social science & medicine.

[29]  A. Davey,et al.  Honeymoons and joint lunches: effects of retirement and spouse's employment on depressive symptoms. , 2004, The journals of gerontology. Series B, Psychological sciences and social sciences.

[30]  John Bound,et al.  Self-Reported Versus Objective Measures of Health in Retirement Models , 1991 .

[31]  G. Lowe,et al.  Which Hemostatic Markers Add to the Predictive Value of Conventional Risk Factors for Coronary Heart Disease and Ischemic Stroke?: The Caerphilly Study , 2005, Circulation.

[32]  F. Wolinsky,et al.  Retirement and weight changes among men and women in the health and retirement study. , 2008, The journals of gerontology. Series B, Psychological sciences and social sciences.

[33]  H. Sugisawa,et al.  [Effect of retirement on mental health and social well-being among elderly Japanese]. , 1997, Nihon Koshu Eisei Zasshi (Japanese Journal of Public Health).

[34]  R. Blundell,et al.  Pension Incentives and the Pattern of Early Retirement , 2003 .

[35]  J. Banks,et al.  Estimating pension wealth of ELSA respondents , 2005 .

[36]  J. Angrist,et al.  Identification and Estimation of Local Average Treatment Effects , 1995 .

[37]  Sheldon Cohen,et al.  Psychological stress and disease. , 2007, JAMA.

[38]  M. Minkler Research on the health effects of retirement: an uncertain legacy. , 1981, Journal of health and social behavior.

[39]  Michael Lechner,et al.  Unemployed and their caseworkers: should they be friends or foes? , 2007, SSRN Electronic Journal.

[40]  D. Rubin,et al.  The central role of the propensity score in observational studies for causal effects , 1983 .

[41]  Norma B Coe,et al.  Retirement Effects on Health in Europe , 2008, Journal of health economics.

[42]  Michael Lechner,et al.  Some practical issues in the evaluation of heterogeneous labour market programmes by matching methods , 2002 .

[43]  F A Sloan,et al.  Life events and alcohol consumption among mature adults: a longitudinal analysis. , 2001, Journal of studies on alcohol.

[44]  G. Imbens,et al.  Better Late than Nothing: Some Comments on Deaton (2009) and Heckman and Urzua (2009) , 2009 .

[45]  Gabriel Heller‐Sahlgren Work ‘Til You Drop: Short- and Longer-Term Health Effects of Retirement in Europe , 2012 .

[46]  M. Lechner,et al.  Does Subsidised Temporary Employment Get the Unemployed Back to Work? An Econometric Analysis of Two Different Schemes , 2002, SSRN Electronic Journal.