Health Insurances and the Health-Related Work Capacity of Retirement-Aged Workers: A Comparative Investigation. Issue 3 (29th March 2022)

• Record Type: Journal Article
• Authors: Li, Jiannan; Yuan, Bocong
• Is Part Of: Journal of occupational and environmental medicine. Volume 64:Issue 3(2022)
• Page Start: e155
• Page End: e164
• Publication Date: 2022-03-29
• Subjects: delayed retirement initiative -- health-related work capacity -- late-life career participation -- multilevel social health insurance system -- retirement-aged workers; Medicine, Industrial -- Periodicals; Environmental health -- Periodicals; Occupational Medicine -- Periodicals; Environmental Medicine -- Periodicals; Environmental health; Medicine, Industrial; Periodicals; Electronic journals; 616.9803
• DOI: 10.1097/JOM.0000000000002471
• Languages: English
• ISSNs: 1076-2752

Abstract

Abstract : Systematic inequity across different health insurances can bring risk to retirement-aged workers and lead to their contrasting health outcomes. Policymakers need more fine-grained design of health insurances to better protect retirement-aged workers. Abstract : Objective: This study is to investigate the health-related work capacity of retirement-aged workers under the beneficiary status of different health insurance schemes in China. Method: Using the data from CHARLS program, we investigate the health-related work capacity of retirement-aged workers in China (more than 60/55 years-old for men/women respectively). Multivariate regressions and robustness checks (Heckman two-stage procedures, chronological design, etc) are conducted. Results: (1) Late-life career participation could reduce the risk of declining work capacity due to health problems; (2) different social health insurances affect health-related work capacity among retirement-aged workers differently; (3) social health insurances influence the role of late-life career participation in reducing the risk of health-related work capacity, with different schemes displaying different effects (mitigate or strengthen). Conclusions: Systematic inequity in benefit across health insurances may result in contrasting health outcomes of retirement-aged workers.