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Health effects of discontinuities in female employment and marital status.

The discontinuities that characterize women's work histories are also a factor in women's marital histories. Family obligations and childbearing contribute to women's unique employment histories, which include intermittent labor force participation and mobility between employers. While research has increasingly focussed on the effect of labor force participation on women's health, little attention has been given to the effect of the consistency or the stability of labor force participation on health. The purpose of this paper is to examine 15 years of employment histories and marital status changes among a cohort of women and to determine the cumulative effect of these histories on subsequent morbidity and self-reported health. The cohort of 556 women examined in this study were interviewed as part of a household interview survey completed in 1970-71, and resurveyed via a mail-out questionnaire, in 1985-86. Medical record data for the full 15 years of the study have been linked with the survey data. The findings suggest that work discontinuities and marital status discontinuities are unrelated to morbidity during the study period. However, two or more changes in marital status are related to poor self-reported health at follow-up.

Adolescent↗

[Places and agents: the ethnic and sexual division of labor in Quebec from 1931 to 1981].

The socio-professional distribution of Quebec's total labor force has changed during the 20th century, as one can observe from the 1931-81 Canadian censuses that provide comparative occupation codes. As well, the sexual and ethnic composition of the labor force has changed substantially during this period. The authors analyze the manner in which these sexual and ethnic cleavages are, at various moments, called upon to assign agents to different places in the division of labor; in particular, it is a matter of seeing how the dominated groups, defined by these 2 cleavages, are used to fulfill the lower functions of the work hierarchy. The use of complex models of the linear log type makes it possible to distinguish, on the 1 hand, crude effects relating the reality experienced by sexual and ethnic groups in the labor force, and, on the other hand, the net effects corresponding to the more or less permanent, but less evident, rules which govern these groups' access to the various jobs.

Americas↗

Health services administration education: meeting the challenge of a culturally diverse work force.

Curriculum revision is a continuous and an ongoing process. Health services administration programs must revise course offerings to reflect current demands and changing trends within our society. Given the expected changes in the work force by the year 2000, health services administration programs must consider incorporating cultural diversity issues as they relate to the management of a diverse work force within the health care industry. Labor force and population trends are projected to include a slowly growing work force population, a decline in the pool of young workers, entrance of more females, increased participation of minorities into the labor force, an increased non-white percentage of new entrants and the largest work force increase attributed to increasing numbers of immigrants. In preparation for the diversity within the work force by the 21st century, health administration programs may find the approaches outlined as conducive for teaching students to become sensitive and cognizant of culturally diverse employees. Incorporation of cultural diversity issues may occur in a variety of ways, however, a close examination of the best way to integrate this content lies within each educational program.

Cultural Diversity↗

Work losses related to inflammatory bowel disease in Canada: results from a National Population Health Survey.

OBJECTIVE: Few studies have assessed the influence of inflammatory bowel disease (IBD) on work loss or estimated the costs related to work loss. Our analysis reports the employment effects related to IBD as based on the 1998 sample of the Canadian National Population Health Survey (NPHS). METHODS: Our predictive analysis adapts the theory of labor supply to a health context. Respondents between the ages of 20 and 64 who reported that they had been diagnosed by a health professional to have "a bowel disorder such as Crohn's disease or colitis" were distinguished from the other respondents. A logistic regression model was used to estimate the OR for labor force nonparticipation and variables predictive of it in the case of IBD. For those people in the labor force, the Cox proportional hazard model was used to determine whether having IBD and similar bowel disorders had an effect on the number of months of continuous employment. RESULTS: Of the IBD patients 28.9% reported labor force nonparticipation, which was a greater proportion than the non-IBD respondents (18.5% nonparticipation). The OR was 1.20 (95% CI = 1.19-1.21) for nonparticipation of IBD patients versus non-IBD patients controlling for potentially confounding factors. We estimated the excess nonparticipation attributable to IBD and similar bowel disorders in Canada to be 2.9%. Based on this, the indirect cost of nonparticipation attributable to IBD in 1998 was >$104.2 million Canadian dollars. According to the second regression using the Cox proportional hazard model, IBD and similar bowel disorders were not significantly related to the number of months worked until a break in employment was reported. Thus, there was no excess work loss among those who were employed that was associated with IBD. CONCLUSIONS: By using directly observed data in our analysis, this method of estimation can predict the overall burden of IBD and similar bowel disorders, controlling for the effect of other potentially influential characteristics.

Adult↗

[[The effect of demographic structural change on labor utilization in Taiwan]].

"The purpose of this study is to examine the effect of demographic structural change on labor utilization in Taiwan.... Both purging method and decomposing rate differences method are used to analyze labor utilization data obtained from reports on the Manpower Utilization Survey from 1980 to 1989. The results suggest that the age-sex composition change of labor force from 1980 to 1989 pushed down the crude rate of labor underutilization in the labor market; the education-sex composition change pulled up crude rate of underutilization; and marital status-sex composition change also pushed down crude underutilization rate. In sum, the demographic structural change of labor force in Taiwan does have [an] obvious impact on labor utilization." (SUMMARY IN ENG)

Age Distribution↗

Role of migrant factors in work-related fatalities in Australia.

OBJECTIVES: The importance of workers' language and migration characteristics to safety in the work environment has been debated but remains unclear. This study examined the role of these factors in the occurrence of work-related fatalities in Australia. METHODS: The study was based on an investigation of all work-related fatalities occurring in Australia during 1982-1984. Denominators for each year were obtained according to gender and country-of-birth census data from the 1981 and 1986 national censuses, interpolated and adjusted according to annual labor force survey estimates for the period 1981 to 1986 to indicate the true movement of the employed civilian labor force over the study period. RESULTS: Of 1211 decedents identified with known country of birth, 333 were born outside of Australia. The overall fatality incidence per 100,000 person-years in the employed civilian labor force was 7.12 [95% confidence interval (95% CI) 6.36-7.88], which is similar to that of Australian-born persons, 6.56 (95% CI 6.12-6.99). However, fatality incidences in rural and mining occupations were significantly increased among overseas-born persons when they were compared with Australian-born persons. Mortality ratios standardized separately for occupation and age showed significantly elevated mortality for duration of residence of less than five years, particularly for persons of non-English speaking background. These values converged to the Australian rate with increasing duration of residence. CONCLUSION: This study suggests that factors related to country of birth (eg, language) and duration of residence of overseas-born workers are important determinants of safety at work in Australia.

Accidents, Occupational↗

Sex-specific equivalent retirement ages: 1940-2050.

This article presents four measures of equivalent retirement ages to be considered when analyzing retirement age issues. Insofar as previous research reveals significant sex differences in life expectancy at the older ages, the analysis here extends the question of equity when increased retirement age is considered by examining each measure separately for men and for women. The measures are applied to data from 1940 to 2050. In the first two measures, all improvements in life expectancy at retirement are assigned to the labor force ages; in the second two measures, increases in life expectancy are shared between expected time in the labor force and expected time in retirement. In each case, the increase in life expectancy at retirement was measured both as the expected years in retirement among those surviving to retirement and as the expected years in retirement among all persons entering the labor force. The findings have different implications in terms of equity when an increased retirement age is considered. The article concludes that although it may not be appropriate to establish separate retirement age schedules for men and women, an awareness of existing life expectancy differences between the sexes should help in selecting a middle-range choice.

Age Factors↗

Race inequities in men's retirement.

A multistate life table model is used to identify how labor force experiences and mortality determine the labor force participation rates (LFPRs) and the qualities of the retirement life cycle of Black and White older men. LFPRs and the life cycle measures are compared to assess inequities of retirement access for the racial groups. The results show that Blacks' lower LFPRs are a function of disability. Despite lower LFPRs than Whites, however, Blacks spend a greater portion of their lives both working and disabled, reducing the retirement period. Race differences in the retirement life cycle also are highly sensitive to mortality. Reducing Black mortality to that of Whites would substantially narrow the life cycle differences. The combination of higher disability and mortality rates among Blacks suggests that health is a key determinant of retirement inequity.

Black or African American↗

A further study of life expectancy by socioeconomic factors in the National Longitudinal Mortality Study.

OBJECTIVES: The objective of this article is to provide estimates of life expectancy for White, Black, and Hispanic populations by socioeconomic factors. Effects of educational, income, employment, and marital status on life expectancy are presented and interpreted. DESIGN: The National Longitudinal Mortality Study, consisting of a number of Current Population Surveys (CPS) linked to mortality information obtained from the National Death Index, provides data to construct life tables for various socioeconomic and demographic groups. Probabilities of death are estimated using a person-year approach to accommodate the aging of the population over 11 years of follow up. RESULTS: Across various ethnicity-race-sex groups, longer life expectancy was observed for individuals with higher levels of education and income, and for those who were married and employed. The differences in life expectancy between levels of the socioeconomic characteristics tended to be larger for men than for women. Also, differences were found to be larger for the non-Hispanic Black population compared to the non-Hispanic White population. Hispanic White men exhibited patterns similar to those of non-Hispanic White and Black men. CONCLUSIONS: For selected ethnicity-race-sex groups, the impact of socioeconomic variables on life expectancy is dramatic. The shorter life expectancy observed among the poor, the less educated, the unmarried, and those not in the labor force, highlights the impact of socioeconomic disadvantage on survival. Further, the substantial 14-year differential favoring the employed over those not in the labor force may be partially explained by unemployment due to poor health. Another reason may be that employed individuals have greater access to health care than do those not in the labor force.

Adult↗

Age and the satisfactions from work.

This research documents age differences in the relative importance of intrinsic work satisfactions as determinants of the individual's sense of global well-being. Evidence of a decline in the importance of these intrinsic satisfactions for men during the later stages of labor force participation is not an artifact of lower levels of satisfaction. Rather, it appears that toward the end of the period of labor force participation, the satisfactions men derive from work are transferred from the actual experience of work to its consequences. The relevance of the results to early retirement policies is considered. Data used in the analysis come from the 1971 Quality of American Life survey. The national cross-sectional survey allows for comparison of the multivariate structure of life satisfactions among four age groups of labor force participants (i.e., 21-34, 35-44, 45-54, 55-64).

Adult↗

Work and retirement among a cohort of older men in the United States, 1966-1983.

Multivariate increment-decrement working life tables are estimated for a cohort of older men in the United States for the period 1966-1983. The approach taken allows multiple processes to be simultaneously incorporated into a single model, resulting in a more realistic portrayal of a cohort's late-life labor force behavior. In addition, because the life table model is developed from multivariate hazard equations, we identify the effects of sociodemographic characteristics on the potentially complex process by which the labor force career is ended. In contrast to the assumed homogeneity of previous working life table analyses, the present study shows marked differences in labor force mobility and working and nonworking life expectancy according to occupation, class of worker, education, race, and marital status. We briefly discuss the implications of these findings for inequities of access to retirement, private and public pension consumption, and future changes in the retirement process.

Aged↗

Three challenges of China's population in the 1990s.

China will encounter 3 challenges of its population problem in the 1990s. The 1st is the huge number of people born or population increase each year. The 3rd baby boom, which started at the mid-1980s, will last until abound 1997. The women entering into the age of peak childbearing (23 years old) exceed 11 million each year with an upper range of about 13 million. IN 1992, the number of women of fecund ages (22-29) in the whole country will reach 124 million, the largest number of fertile women in history. The net increase of population will be from 15.5 to 17.0 million for each hear. What is more serious is that the momentum of population increase will continue, instead of being checked by the year 2000. The next are the continuous increase of the aged population of 65 and over and the growing tendency of population aging ahead of economic development. China is a developing socialist country, huge in population, weak in economic development, with less-developed science, culture, and education. However, as a result of the decline in the proportion of children to the total population due to the decline in the birth rate in the 1970s, China's population has become an adult population from a young one in terms of the age structure, and will be an aged one very soon. China is facing the challenge of aging under economically less developed conditions. For developed countries, it took 80 years for the proportion of the aged population of 65 and over to increase from 7% to 17%; for China, it has taken only 40 years. It will certainly bring about a series of problems and difficulties upon the society to cope with such a huge number of elderly in an underdeveloped economy. The 3rd challenge is the increasing pressure on employment due to the continuous growth of working-age population (15-64). It is estimated that the working-age population will increase to 858 million by 2000, 20 million more than the sum of working-age population in all of the developed countries; and to 977 million by 2020. Since in a short period of time it is difficult to change the situation of labor supply greater than demand, the pressure on employment will continue to increase, with more than 15 million people entering the labor force or waiting for jobs each year. In particular, the rural surplus labor force will reach 233 million by 2000. This is signaled by the huge number of farmers who have rushed into big cities for work in recent years. It is far beyond the capability of the government to employ such a huge number of laborers because it would require an investment of at least 3600 billion yuan for fixed assets. It seems to me that the 3 population challenges stated above are not isolated but interact to restrict the process of China's economic and social development. The way out lies in developing production and doing a better job of economic construction, while also adopting comprehensive measures to make further efforts in practicing family planning to better control the overrapid growth of population and improve the quality of human resources.

Adult↗

[Configuration of the skull of the newborn infant through the mechanical forces of labor and refiguration].

The during labor removed head of the newborn (configuration) regular within the following 4 days will become again his normal figure. This procedure we call "refiguration". By means of X-ray and hydrocephalometric investigations during the refiguration we conclude on the morphologic alterations during preceded configuration. Though we got the opinion, that by the force of labor the procedure of the configuration leads to a diminution of the volume of the head and to displacements of the cerebral substance. We think, that this are parts of the normal compensatory mechanism of the fetus against pressure under birth.

Birth Injuries↗

Effects of multiple roles on women's health--evidence from a national longitudinal study.

This study analyzes longitudinal data for a national sample of older middle-aged women in order to assess the health effects of three roles--labor force participant, spouse and parent. Women who held more roles had better health trends. The effect of each specific role varied, depending on race and the other roles a woman held. For example, our evidence indicates that labor force participation had beneficial effects on health for white women who were not married and for black women who had children at home, but not for other women. The findings of this study do not support the hypothesis that involvement in multiple roles contributes to role overload and role conflict with consequent harmful effects on women's health. Rather, it appears that involvement in multiple roles generally contributed to better health, due to the beneficial effects of labor force participation and marriage for some women.

Adult↗

Policies for a smoother transition from work to retirement.

Japan has maintained a relatively high labor-force participation rate among older people. Although the rate had declined steadily until the mid-1980s, the trend has since reversed and the participation rate is expected to rise in the future. In contrast, the labor-force participation of older people has sharply declined in the United States and European countries, especially since the 1970s. This article explores why Japan's experience differs markedly from other advanced countries. Improved pensions have a strong influence toward early retirement, even in Japan. However, other factors such as a low replacement ratio, improved health, and several loopholes in the income test of the pension systems push up the participation rate of older people. The government also encourages active labor-force participation of senior citizens by introducing reformed partial working pensions and wage subsidies for workers in their second and third careers.

Aged↗

Health insurance and female labor supply in Taiwan.

We examine whether the availability of subsidized health insurance to the non-working population in Taiwan affected the labor force participation of married women. Our empirical identification exploits the fact that such insurance was first made available to wives of government employees, before being made universally available in Taiwan in 1995. We find that the availability of insurance for non-workers was associated with a 4 percentage point decline in labor force participation among married women, with larger declines among women from low income households. Countries considering universal health insurance as in Taiwan should anticipate similar declines in labor force participation.

Employment↗

Increased wealth and income as correlates of self-assessed retirement.

This study examined whether retirement implies complete withdrawal from the labor force and the role that increased wealth and income play in regard to the nature of retirement. Data came from the Health & Retirement Study, Waves 1-5. Findings indicated that most study sample pre-retirees remained in the labor force as they moved into what are considered the normal retirement years. As they moved on average from 50+ years of age to 60+ years of age, increasing percentages of study sample pre-retirees reported themselves as completely retired. Those who viewed themselves as completely retired were far less likely to work than those who did not view themselves as completely retired. Of particular importance was the finding that increased income in 2000 decreased the likelihood of self-reported complete retirement. Equally important was the finding that increased assets had no effect on retirement status with the exception of survey year 1998 when increased assets decreased the likelihood of viewing oneself as completely retired. Findings suggested that pro-work retirement policies aimed at increasing labor force participation among pre-retirees and increasing the normal retirement age can be effective. Five pro-work policies were discussed.

Aged↗

Retirement patterns and plans of radiologists.

OBJECTIVE: The objectives of our study were to describe radiologists' recent retirement plans and patterns and to assess whether changes in radiologists' retirement patterns over the period of 1995-2003 explain the recent easing of the radiologist shortage. MATERIALS AND METHODS: We present detailed information from 2003 about the planned retirement age of radiologists, their labor force participation late in their careers, and their actual retirement pattern based on data from the American College of Radiology's (ACR) 2003 Survey of Radiologists. To analyze changes over time, we compare these data with information from the ACR's 1995 and 2000 Surveys of Radiologists. Multivariate regression analysis was also used to identify the effects of radiologist and practice characteristics on radiologists' retirement plans. RESULTS: The percentage of radiologists fully retired and the average retirement age were the same in 1995 and 2003. Overall, labor force participation rates were decreasing over the period 1995-2003 for both women and men. Standardized labor force participation rates for radiologists age 55-74 years appeared to decrease from 1995 to 2000 and remained at a lower level in 2003, but the changes were not statistically significant. As of 2003, radiologists retired at 64, approximately 2 years older than the average U.S. worker. CONCLUSION: Radiologists remain active in their profession longer than the typical U.S. worker. There was no change in radiologists' pattern of gradually moving into retirement. If anything, radiologists were retiring earlier in 2003 than in the past. A delay in retirement is not an explanation of the recent easing of the radiologist shortage.

Aged↗