How do cardiovascular diseases harm labor force participation? Evidence of nationally representative survey data from Japan, a super-aged society

Rong Fu, Haruko Noguchi, Shuhei Kaneko, Akira Kawamura, Cheolmin Kang, Hideto Takahashi and Nanako Tamiya

PLOS ONE, 2019, vol. 14, issue 7, 1-16

Abstract: Objective: To evaluate how cardiovascular diseases harm labor force participation (LFP) among the Japanese population and verify the validity of plasma biomarkers as instrumental variables of cardiovascular diseases after adjusting for a broad set of confounders including dietary intake. Design: Using nationally representative repeated cross-sectional surveys in Japan, the Comprehensive Survey of Living Conditions and National Health and Nutrition Survey, with plasma biomarkers as instrumental variables for quasi-randomization. Setting: Onset of cardiovascular diseases in those receiving regular treatment for hypertension, intracerebral hemorrhage, intracerebral infarction, angina pectoris, myocardial infarction, or other types of cardiovascular diseases. Participants: A total of 65,615 persons aged ≥ 20 years (35,037 women and 30,578 men) who completed a survey conducted every three years from 1995 through 2013. Main outcome measures: Respondent employment and weekly working hours during each survey year. Results: Cardiovascular diseases significantly and remarkably reduced the probability of working by 15.4% (95% CI: -30.6% to -0.2%). The reduction in working probability was detected for women only. Respondents aged ≥ 40 years were less likely to work once diagnosed and the reduction was enlarged for those aged ≥ 65 years, while those aged

Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0219149

DOI: 10.1371/journal.pone.0219149

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