The impact of diabetes on employment and work productivity.

OBJECTIVE The purpose of this study was to longitudinally examine the effect of diabetes on labor market outcomes. RESEARCH DESIGN AND METHODS Using secondary data from the first two waves (1992 and 1994) of the Health and Retirement Study, we identified 7,055 employed respondents (51-61 years of age), 490 of whom reported having diabetes in wave 1. We estimated the effect of diabetes in wave 1 on the probability of working in wave 2 using probit regression. For those working in wave 2, we modeled the relationships between diabetic status in wave 1 and the change in hours worked and work-loss days using ordinary least-squares regressions and modeled the presence of health-related work limitations using probit regression. All models control for health status and job characteristics and are estimated separately by sex. RESULTS Among individuals with diabetes, the absolute probability of working was 4.4 percentage points less for women and 7.1 percentage points less for men relative to that of their counterparts without diabetes. Change in weekly hours worked was not statistically significantly associated with diabetes. Women with diabetes had 2 more work-loss days per year compared with women without diabetes. Compared with individuals without diabetes, men and women with diabetes were 5.4 and 6 percentage points (absolute increase), respectively, more likely to have work limitations. CONCLUSIONS This article provides evidence that diabetes affects patients, employers, and society not only by reducing employment but also by contributing to work loss and health-related work limitations for those who remain employed.

[1]  K. Langa,et al.  The impact of diabetes on workforce participation: results from a national household sample. , 2004, Health services research.

[2]  W. Manning,et al.  Labor market costs of illness: prevalence matters. , 2004, Health economics.

[3]  A. Pienta.  Partners in Marriage: An Analysis of Husbands' and Wives' Retirement Behavior , 2003 .

[4]  Morton B. Brown,et al.  The direct medical cost of type 2 diabetes. , 2003, Diabetes care.

[5]  Plamen Nikolov,et al.  Economic Costs of Diabetes in the U.S. in 2002 , 2003, Diabetes care.

[6]  J. Pagán,et al.  The impact of diabetes on adult employment and earnings of Mexican Americans: findings from a community based study. , 2002, Health economics.

[7]  J. Murray,et al.  A general model of the impact of absenteeism on employers and employees. , 2002, Health economics.

[8]  Y. Ng,et al.  Productivity losses associated with diabetes in the US. , 2001, Diabetes care.

[9]  M. Engelgau,et al.  The continuing increase of diabetes in the US. , 2001, Diabetes care.

[10]  R. Walld,et al.  Impact of diabetes on employment and income in Manitoba, Canada. , 2001, Diabetes care.

[11]  P. Deb,et al.  Work disability and diabetes. , 1999, Diabetes care.

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

[13]  Rebecca M. Blank,et al.  Race and gender in the labor market , 1999 .

[14]  Matthew E. Kahn.  Health and Labor Market Performance: The Case of Diabetes , 1998, Journal of Labor Economics.

[15]  G A Colditz,et al.  Current estimates of the economic cost of obesity in the United States. , 1998, Obesity research.

[16]  F. Juster,et al.  Economic Status Measures in the Health and Retirement Study , 1995 .

[17]  Kevin T. Reilly.  Human Capital and Information: The Employer Size-Wage Effect , 1995 .

[18]  R. Suzman,et al.  An Overview of the Health and Retirement Study , 1995 .

[19]  R. Wallace,et al.  Overview of the Health Measures in the Health and Retirement Study , 1995 .

[20]  Alan L. Gustman,et al.  Retirement Measures in the Health and Retirement Study , 1995 .

[21]  Dora L. Costa,et al.  Health and Labor Force Participation of Older Men, 1900–1991 , 1994, The Journal of Economic History.

[22]  N. Tajima,et al.  Social and Economic Impact on Youth-Onset Diabetes in Japan , 1993, Diabetes Care.

[23]  Work absenteeism in type 2 diabetes mellitus: results of the prospective Diabetes Intervention Study. , 1993, Diabete & metabolisme.

[24]  R. LaPorte,et al.  Employment Spectrum of IDDM , 1989, Diabetes Care.

[25]  H T Waaler,et al.  Height. Weight and Mortality The Norwegian Experience , 2009 .