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PubMed1978

Occupational mobility of health workers in the United States.

This article presents data from the 1970 U.S. Census Public Use Sample on occupational mobility patterns and labor force separations for health occupations. Turnover among health workers is significantly lower than in the labor force in general. Occupations with the strongest occupational attachment are those predominately male occupations that require the heaviest investment in training. Those with the highest attrition rate are traditionally female occupations that require relatively few skills and are often viewed as entry points for possible upward mobility.

Adult↗
PubMed1978

Indigenous labor supply, sustenance organization, and population redistribution in nonmetropolitan America: an extension of the ecological theory of migration.

The ecological theory of migration asserts that change in sustenance organization, to the extent that it produces changes in the opportunities for living, necessitates a change in population size. Migration may thus be viewed as a demographic response to the populations's need to reestablish a balance between its size and sustenance organization, thus attaining its best possible living standard. However, the levels of net in- or out-migration needed to restore the balance should be affected by the degree of positive or negative growth of the indigenous labor force population. We thus test the hypothesis that changes in opportunities for living will be balanced by net changes in the number of persons in the labor force, where this is a function of both indigenous labor supply and net migration.

Ecology↗
PubMed1986

Four themes in fertility research.

This study is concerned with four main themes that have been combined to describe U.S. fertility trends since 1920. These themes are identified as a time adjustment mechanism, income, the wife's labor force activities, and some intergenerational factor. "In order to obtain an unambiguous picture each theme will be represented by only one variable. After selecting the variables and estimating a model, an examination of the changing role these variables have had in explaining changes in fertility (the total fertility rate) throughout much of this century will be made. Finally, the implications these themes have for future fertility will be examined." The authors conclude that "in interpreting historical U.S. fertility rates, the results seem to indicate that much of the early decline in U.S. fertility was due to falling infant mortality. After the Second World War, fertility rose sharply as the age-structure variable declined and income rose. Eventually both women's labor force participation rates and the age-structure variable rose and, consequently, fertility fell." They also suggest that the age structure variable may cause a temporary upward swing in fertility in the near future.

Americas↗
PubMed1989

Female labour force activity and the sex differential in mortality: comparisons across developed nations, 1950-1980.

This paper examines the macro-level relationship between female labor force activity and the sex differential in mortality among developed nations. Discrimination, protection, and null relationship hypotheses are tested using aggregate data for 18 high income nations over 7 time points from 1950 to 1980. High levels of female labor force activity--controlling for a variety of general social conditions--increase the longevity advantage women have over men. In some models the effects are immediate; in other models the effects occur after a substantial lag; but in no cases are there harmful effects for women's longevity. Also important for the differential are consumption of cigarettes and alcohol, and the level of income inequality in a society.

Alcohol Drinking↗
PubMed1997

Prevalence of physician-diagnosed asthma by occupational groupings in Manitoba, Canada.

The objective of this research was to determine whether there are differences in the rate of physician-diagnosed asthma in various occupational groups. A prevalence survey using a population-based administrative database of a sample of the labor force in Manitoba, Canada was used. A sample of 22,561 individuals who were in the labor force at the time of the 1986 census were linked to the provincial administrative health database. The frequency of physician-diagnosed asthma and other obstructive respiratory conditions were measured. A case of asthma was defined as having at least three physician contacts for asthma between April 1, 1986, and March 31, 1990. Data on potential confounding factors such as age, gender, area of residence, income, and education were also available. The results showed that frequency of physician-diagnosed asthma by occupational grouping ranged from a low of 0.1/100 workers to a high of 4.8/100 workers. Three occupational groups, 1) other teaching and related occupations (SOC 279) (OR 2.54, 95% CI 1.18-5.44); 2) fabricating, installing, and repairing occupations of electrical electronic and related equipment (SOC 853) (OR 2.37, 95% CI 1.05-5.33); and 3) other occupations in laboring and other elemental work (SOC 992) (OR 2.51, 95% CI 1.21-5.24) were found to have elevated odds ratios for physician-diagnosed asthma. Datasets linking occupation and health care utilization may be useful tools for surveillance of work-related diseases in general, and for asthma in particular. However, further work should be done utilizing larger databases to determine the overall usefulness of this approach.

Asthma↗
PubMed2006

Retirement patterns from career employment.

PURPOSE: This article investigates how older Americans leave their career jobs and estimates the extent of intermediate labor force activity (bridge jobs) between full-time work on a career job and complete labor-force withdrawal. DESIGN AND METHODS: Using data from the Health and Retirement Study, we explored the work histories and retirement patterns of a cohort of retirees aged 51 to 61 in 1992 during a 10-year period in both cross-sectional and longitudinal contexts. We examined determinants of retirement patterns in a multinomial logistic regression model. RESULTS: We found that a majority of older Americans with career jobs retire gradually, in stages, rather than all at once. We also found that the utilization of bridge jobs was more common among younger respondents, respondents without defined-benefit pension plans, and respondents at both the lower and upper ends of the wage distribution. IMPLICATIONS: Older Americans are now working longer than pre-1980s trends would have predicted. Given concerns about the traditional sources of retirement income (Social Security, employer pensions, and prior savings), older Americans may have to rely more on earnings. This article suggests that many are already doing so by moving to bridge jobs after leaving their career employment.

Aged↗
PubMed1986

The prevalence and health impact of shiftwork.

Data from the National Center for Health Statistics National Survey of Personal Health Practices and Consequences were analyzed to determine the impact of variable shift schedules on health-related behaviors of persons in the United States labor force. Twenty-six per cent of men and 18 per cent of women in the US labor force reported working a variable shift in Spring 1980. As compared to men working non-variable work schedules, those working variable shifts exhibited higher rates of heavy drinking, job stress, and emotional problems. Female variable shift workers reported higher rates of sleeping pill, tranquilizer, and alcohol use, as well as lower social network scores, more job stress, and more emotional problems.

Adult↗
PubMed1979

Labor supply behavior of prospective and new mothers.

Utilizing unique data generated from the National Longitudinal Surveys of Young Women, this paper examines the labor force participation of young mothers in the months immediately preceding and following the birth of the first child. Labor supply behavior at this point in the life cycle is described in greater detail than has hitherto been available. In addition, we analyze the independent effect of several factors of interest on the probability that a young woman will be in the labor force during various intervals surrounding the first birth.

Adolescent↗
PubMed2000

Health insurance and retirement behavior: evidence from the health and retirement survey.

This paper studies the role of health insurance in the retirement decisions of older workers. As policymakers consider mechanisms for how to increase access to affordable health insurance for the near elderly, considerations of the potential labor force implications of such policies will be important to consider--potentially inducing retirements just at a time when the labor force is shrinking. Using data from the 1992 and 1996 waves of the Health and Retirement Survey, this study demonstrates that access to post-retirement health insurance has a large effect on retirement. Among older male workers, those with retiree health benefit offers are 68% more likely to retire (and those with non-employment based insurance are 44% more likely to retire) than their counterparts who would lose employment-based health insurance upon retirement. In addition, the study demonstrated that in retirement models, when retiree health benefits are controlled for, the effects of pension coverage are reduced, suggesting that these effects may have been overestimated in the prior literature.

Aged↗
PubMed1988

Changes in the retirement process among older men in the United States: 1972-1980.

Recent changes in older men's retirement patterns are investigated for the United States. The results show that labor force incumbents, particularly those in secondary occupations, experienced increases in the volume of both retirement and reentry to the labor force. In addition, although working life expectancy remained relatively stable across occupations, men in secondary occupations spent increasingly greater portions of their work lives in postretirement jobs. Finally, large increases in nonworking life expectancy occurred because of substantial increases in life expectancy. In several occupations, however, declines in working life expectancy were major contributors to increases in nonworking life expectancy.

Actuarial Analysis↗
PubMed2006

The rise and fall of the medical gaze: the political economy of immigrant medical inspection in modern America.

In this paper I examine the mass medical inspections of immigrants to the United States from the 1890s through the 1920s. I show how, framed as it was not only by nativism and eugenics but also by national industrial imperatives and priorities, scientific medicine served dual purposes. On the one hand, the medical exam was a tool for managing cultural and biological threats to the nation. There were regional variations in medical inspections that reflected the politics of race. On the other hand, the medical exam played an important role in the process of building an unskilled, highly mobile labor force. The industrial demands of the nation provided a rationale for drawing and absorbing millions of European immigrants into the labor force. It was thus a distinct product of the political economy of immigration. It was this second function that characterized the exam for the majority of immigrants entering the nation.

Asia↗
PubMed1999

Increasing older persons' employment in Finland: in search of a new strategy.

Using Finland as a case study, it is argued that early retirement will probably no longer be used on a large scale to reduce older-worker labor-force participation and unemployment among older workers. Instead, new strategies are needed to enhance the ability of older workers to remain productive and in the labor force, and to facilitate the reintegration of unemployed older persons back into working life. Both tasks require massive pioneering efforts. Reducing unemployment rates among older workers, particularly, requires completely new kinds of labor-market measures.

Adolescent↗
PubMed1997

The rise of divorce and separation in the United States, 1880-1990.

I use the Integrated Public Use Microdata Series to assess the potential effects of local labor-market conditions on long-term trends and race differences in marital instability. The rise of female labor-force participation and the increase in nonfarm employment are closely associated with the growth of divorce and separation. Moreover, higher female labor-force participation among black women and lower economic opportunities for black men may account for race differences in marital instability before 1940, and for most of such differences in subsequent years. However, unmeasured intervening cultural factors are probably responsible for at least part of these effects.

Adult↗
PubMed1998

Resource utilisation in haemophiliacs treated in Europe: results from the European Study on Socioeconomic Aspects of Haemophilia Care. The European Socioeconomic Study Group.

The objectives of our study was to answer the following questions: (1) What are the socioeconomic costs and benefits of different haemophilia treatment strategies? (2) Which savings can be achieved through a comprehensive care program? (3) How are haemophiliacs integrated into their social life? (4) What are the annual costs of treating haemophilia from a third party payer perspective? In this cross-sectional study, 840 consecutive haemophiliacs attending 16 haemophiliac treatment centres in 10 European countries at were entered in the study. The following six parameters were analysed: sociodemographic patient data, the type of substitution (on demand or prophylaxis), transfusion-transmitted diseases, the functional joint status, quality of life as well as the total costs of therapy. Three kinds of substitution modalities were distinguished: on demand therapy, pure and modified prophylaxis. The average number of medical visits, the average length of hospital stay, regular drug therapy and the average number of days off work per bleeding joint were recorded from the medical charts as a basis for the subsequent assessment of the costs of therapy. The total study sample comprised of 566 patients. Interestingly, statistically more significant (P = 0.0005) patients were unemployed in the on-demand group (14%) than in the prophylaxis group (3.4%). There was a higher ratio of white collar workers in the on-demand group as compared to the prophylaxis group and vice versa for blue collar workers. The distribution of blue collar workers, clerk, self-employed persons, students and housemen were quite comparable between the patients of the on-demand and prophylactic therapeutic regimen. The labor force participation rate was 55.2% in the patients in the on demand and 59.3% in the patients in the modified prophylactic group. The labor force participation rate across all patients was 56%. Patients on demand therapy used on average 38.3 (median: 12.5) units/kg/week as compared to 68.6 (median: 6) units/kg/week in the prophylaxis group. The mean usage across all patients was 46.1 (median 19.7) units/kg/week. There were an average of 7.4 (median: 3) joint bleeds per patient across all patients during the 6-month observation period. In the on-demand group 8.8 (median: 5) joint bleeds were recorded versus 3.1 joint bleeds (median: 0) in the prophylactic group. This difference was statistically different (95% CI of difference: 4.33-7.07). Our data suggest that patients receiving prophylactic clotting factor therapy require less additional health care resources, mainly due to the reduction in the number of joint bleeds.

Adolescent↗
PubMed1998

Foreign workers in Israel: history and theory.

"Beginning in 1993, Israel began importing large numbers of foreign workers, replacing its traditional Palestinian labor force. This article presents a descriptive history and theoretical analysis of the migration, placing it in the context of Israel's reliance on noncitizen labor from the occupied territories. Dual labor market theory is particularly helpful in analyzing labor migration to Israel, but only by also analyzing the determinants of state policy can we understand how these recent flows began. The Israeli case thus suggests a cumulative model of the initiation of labor migration flows: structural factors create a predisposition toward use of foreign labor, and political factors determine whether and how that predisposition will be actualized."

Asia↗
PubMed2006

Measuring the effect of husband's health on wife's labor supply.

A sizable proportion of women remain married well into late life and an increasing proportion of them participate in the labor force. Since women tend to marry men older than themselves and men tend to experience serious illnesses at younger ages than women, women frequently witness declining health in their husbands. This is likely to affect a wife's labor-leisure trade-off in offsetting ways. Prior studies have not sought to disentangle the effect of a husband's poor health on his wife's reservation wage from the income effect of his ill health. We argue that, if we control for husband's earnings, the coefficient of husband's health in models of his wife's labor force participation (and hours of work) will reflect, in part, her preference over whether to decrease her labor supply to provide health care for her husband or whether to instead increase it to purchase this care in the market. However, husband's earnings are likely to be endogenous in these models due to unobserved characteristics common to husbands and wives. We find that the estimated effect of husband's health depends on whether we instrument for husband's earnings and on the health measure used. This is indicative of the importance of using a variety of health measures and controlling for husband's earnings, and their endogeneity, in future research on the effect of husband's health on wife's labor supply.

Employment↗
PubMed1989

Occupational influences on retirement, disability, and death.

This research examines the alternative mechanisms by which occupations influence the nature and timing of older men's labor force withdrawal. We specifically assess the extent to which occupational factors operate directly and indirectly on exiting events and whether occupations constrain traditional determinants of labor force participation. Based on a discrete-time hazard modeling approach, the results substantiate that the occupational task activities--substantive complexity and physical demands--are key elements of the work environment that are evaluated against nonwork alternatives. In the case of retirement, these aspects of occupational attractiveness function as a dominant and direct force in retirement decision making. With regard to disability, the occupational attribute of substantive complexity operates as an indirect advantage (through higher wages) by reducing the risk of disability. Indicators of career continuity also influence retirement among older workers. Finally, the results suggest that financial characteristics and health problems are central to the distribution of older workers across the alternative destination statuses of retirement, disability, and death.

Aged↗
PubMed1992

Immigrants, visible minorities, and self-employment.

Historically, self-employment was perceived as a mechanism whereby immigrants could circumvent discriminatory practices in wage labor. More recent research by Borjas in the United States, however, suggests that this view is incorrect. Immigrants, particularly members of visible minorities, are disadvantaged in both the wage labor and the self-employed markets. This pattern has not been replicated in Canada, however; after controlling for several socioeconomic attributes, it is found that foreign-born, self-employed visible minority-group members are not at a disadvantage in relation to the majority population. Foreign-born visible minority group members earn less, however, in the wage labor force. In contrast, it was found that there is no statistically significant difference between native-born visible minority group members and others in the wage labor force, and that native-born, self-employed minority-group members may earn more than others in that market segment.

Adolescent↗