Dataset Information

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

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 < 40 years appeared to be unaffected. Probability of engaging in manual labor significantly decreased once diagnosed; however, no impact was found for cognitive occupations. Among employed respondents, the adverse effects of cardiovascular diseases decreased working hours by five hours per week. Validity of the biomarker instrumental variables was generally verified.

Conclusions

A vicious circle is suggested between LFP and unfavorable health. However, the effects vary across age, sex, and occupation type, even after adjusting for causal effects, which could cause a downward bias in LFP impact.

Attributes

cardiovascular disease, labor force participation, instrumental variable method as quasi-randomization, plasma biomarker, Comprehensive Survey of Living Conditions, National Health and Nutrition Survey.

SUBMITTER: Fu R

PROVIDER: S-EPMC6611572 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

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

Fu Rong R Noguchi Haruko H Kaneko Shuhei S Kawamura Akira A Kang Cheolmin C Takahashi Hideto H Tamiya Nanako N

PloS one 20190705 7

<h4>Objective</h4>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.<h4>Design</h4>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 i ...[more]

PMID: 31276516

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Project description:ObjectivesThe purpose of this paper is to describe the prevalence of depressive symptoms in the Chinese labor force; to explore the relationship between depressive symptoms and socioeconomic status among the Chinese labor force, including both the structural determinants and the intermediary determinants of health inequities; and to identify vulnerable populations who would benefit from intervention measures.MethodsData were from the China Labor-Force Dynamics Survey (CLDS) 2016. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depressive symptoms. The World Health Organization's theoretical framework of the social determinants of health was adopted to analyze the relationship between social determinants and depressive symptoms.ResultsOf the participants in the research from the Chinese labor force, 17.34% were identified as having depressive symptoms. Depression was significantly related to socioeconomic factors such as hukou status (p < 0.05 in the age < 45 model), education (p < 0.01 in all five models), employment (p < 0.05 in the male model), income (p < 0.05 in all five models), and self-assessed social class position (p < 0.01 in all five models). Intermediary factors were also related to depressive symptoms, such as gender (p < 0.001 in the overall model), age (p < 0.05 in the overall model), marriage (p < 0.05 in the female model), occupational exposure (p < 0.01 in the overall model), exercise (p < 0.05 in all five models), and health insurance (p < 0.05 in the overall model). The results showed that low socioeconomic status was associated with an increased risk of depression and there were some gradient changes in the distribution of depressive symptoms in socioeconomic status.ConclusionsThe findings showed that depression symptoms are significantly related to structural determinants and intermediary determinants in China's labor force. There are some gradient changes in the distribution of depressive symptoms among people of different socioeconomic status. Low socioeconomic status is associated with increased risk of depression. Women, older people, and single and divorced people are the relative vulnerable groups in China's labor force.

Dataset Information

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

Objective

Design

Setting

Participants

Main outcome measures

Results

Conclusions

Attributes

Publications

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

Similar Datasets

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