The welfare effects of nonlinear health dynamics

We generate a continuous measure of health to estimate a non-parametric model of health dynamics, showing that adverse health shocks are highly persistent when suffered by people in poor health. Canonical models cannot account for this pattern. We incorporate this health dynamic into a life-cycle model of consumption, savings, and labor force participation. After estimating the model parameters, we simulate the effects of health shocks on economic outcomes. We find that bad health shocks have long-term adverse economic effects that are more extreme for those in poor health. Furthermore, bad health shocks also increase the disparity of asset accumulation among this group of people. A canonical model of health dynamics would not reveal these effects

Poverty, growth, inequality and pro-poor factors: new evidence from macro data

Does economic growth reduce poverty? If so, by how much? How economic inequality affects poverty? Does the responsiveness of poverty to growth and inequality depend on initial poverty and inequality? How do pro-poor policies influence the poverty-growth-inequality nexus? This paper provides novel quantitative answers to such questions. In particular, the System Generalised Method of Moments estimator is employed to estimate the intertwined relation between poverty, growth, inequality and pro-poor policies on an original unbalanced panel dataset, built from World Bank – PovcalNet data, which comprises 109 developing countries, observed between 1981 and 2008. Our main results are in line with the existing literature. First, we find that the poverty elasticities to growth and inequality are, respectively, around -2% and 2%. Second, the poverty elasticity to growth is higher the more favorable the initial conditions (i.e. -0.89% and -2.5% for, respectively, high and low initial poverty and inequality). Third, the poverty elasticity to inequality is higher in relatively richer and more equal countries (i.e. 2.6%) than in poorer and more unequal countries (i.e. 0.39%). And, finally, we show that human capital, as measured as health and education, facilitates the effect of economic growth on poverty reduction (i.e. poverty elasticity of -0.89% and -2.5% for, respectively, high and low infant mortality). Our analysis suggests that, in designing policy reduction strategies, policy makers should carefully take into considerations initial poverty and inequality as well as how income is distributed. Moreover, as for the fundamental importance of pro-poor policies, and human capital in particular, economic policies should go beyond the mere growth stimulus

The effect of work disability on the intention to retire of older workers

In this paper, we analyze the effect of work disability on the desire to retire as soon as possible of older workers. We exploit objective health indicators and anchoring vignettes to develop work disability measures enhancing the comparability across individuals of work disability self-assessments. Our results show that, even once controlling for individual fixed-effects, individuals experiencing work limiting health problems are found to have a stronger propensity to retire. The role of work disability in determining retirement intentions varies with earnings and job characteristics

How do early-life conditions shape health age profiles late in life?

We investigate how health dynamics late in life vary with early-life conditions. Better early-life conditions are associated with better health outcomes. Education as well as current income and wealth are important mediating factors of this relationship

Association of kidney disease measures with risk of renal function worsening in patients with type 1 diabetes

Background: Albuminuria has been classically considered a marker of kidney damage progression in diabetic patients and it is routinely assessed to monitor kidney function. However, the role of a mild GFR reduction on the development of stage 653 CKD has been less explored in type 1 diabetes mellitus (T1DM) patients. Aim of the present study was to evaluate the prognostic role of kidney disease measures, namely albuminuria and reduced GFR, on the development of stage 653 CKD in a large cohort of patients affected by T1DM. Methods: A total of 4284 patients affected by T1DM followed-up at 76 diabetes centers participating to the Italian Association of Clinical Diabetologists (Associazione Medici Diabetologi, AMD) initiative constitutes the study population. Urinary albumin excretion (ACR) and estimated GFR (eGFR) were retrieved and analyzed. The incidence of stage 653 CKD (eGFR < 60 mL/min/1.73 m2) or eGFR reduction > 30% from baseline was evaluated. Results: The mean estimated GFR was 98 \ub1 17 mL/min/1.73m2 and the proportion of patients with albuminuria was 15.3% (n = 654) at baseline. About 8% (n = 337) of patients developed one of the two renal endpoints during the 4-year follow-up period. Age, albuminuria (micro or macro) and baseline eGFR < 90 ml/min/m2 were independent risk factors for stage 653 CKD and renal function worsening. When compared to patients with eGFR > 90 ml/min/1.73m2 and normoalbuminuria, those with albuminuria at baseline had a 1.69 greater risk of reaching stage 3 CKD, while patients with mild eGFR reduction (i.e. eGFR between 90 and 60 mL/min/1.73 m2) show a 3.81 greater risk that rose to 8.24 for those patients with albuminuria and mild eGFR reduction at baseline. Conclusions: Albuminuria and eGFR reduction represent independent risk factors for incident stage 653 CKD in T1DM patients. The simultaneous occurrence of reduced eGFR and albuminuria have a synergistic effect on renal function worsening

The effect of work disability on the job involvement of older workers

This paper analyzes the effect of work disability on the job involvement of workers aged 50–65 living in Europe. We elicit a measure of job involvement from a question asking respondents to think about their job and declare whether they would like to retire as early as they can. We exploit objective health indicators and anchoring vignettes to enhance the comparability across individuals of work disability self-assessments. Individuals’ evaluations of their health-related work limitations are found to be mildly affected by justification bias but to depend on individual heterogeneity in reporting behaviour. Work disability significantly reduces the job involvement of workers. After controlling for individual fixed-effects and an extensive set of time-varying covariates, moving from the first to the third quartile of the work disability distribution is associated with a 8% increase (4 percentage points) in the probability of desiring to retire as soon as possible. The effect is larger for blue-collar workers. Justification bias and heterogeneity in reporting behaviour do not alter the magnitude of these effects

Does retirement reduce familiarity with Information and Communication Technology?

This paper analyses the effect of retirement on the familiarity with Information and Communication Technology (ICT) of older individuals. We argue that inability to cope with ICT might represent a threat for older individuals’ social inclusion. To account for the potential endogeneity of retirement with respect to familiarity with ICT, we instrument retirement decision with the age-eligibility for early and statutory retirement pension schemes. Using data from the Survey of Health, Ageing and Retirement in Europe, we show that retirement reduces the computer literacy and the frequency of internet utilization for men and women. This finding is robust to the inclusion as control factors of health, cognition and social network indicators, which the literature has shown to be affected by retirement. Overall, the reduction in the familiarity with ICT after retirement tends to be stronger in the long-run