Associations between existing and newly diagnosed chronic health conditions and change in subjective life expectancy: Results from a panel study

Vanajan, Anushiya; Gherdan, Catalin

doi:10.1016/j.ssmph.2022.101271

Cited by 4 publications

(2 citation statements)

References 48 publications

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“…The average marginal decline in life expectancy is 1.8 years with each additional chronic condition, ranging from 0.4 fewer years with the first condition to 2.6 fewer years with the sixth condition. Vanajan and Gherdan (2022) also conclude that having a chronic health condition is associated with a change in subjective life expectancy, in particular newly diagnosed ones, relative to having no chronic health condition. Franco et al (2007) calculate the association of having diabetes mellitus with life expectancy, and years lived with and without cardiovascular disease (CVD) among populations aged 50 years and older.…”

Section: Pension Take-up Health and Life Expectancymentioning

confidence: 80%

Health status, life expectancy and early claiming of pension

Aakvik,

Holmås,

Kjerstad

2024

SN Bus Econ

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Prior to 2011, individual life expectancy played no role in the Norwegian old-age pension system. However, after the 2011 reform, life expectancy became a central factor for early pension take-up. Asymmetric information is crucial in most insurance markets, including the new pension system, where employees can flexible claim a public pension from the age of 62. Individuals who expect to live longer than the average for their birth cohort can maximize their pension wealth by deferring pension claiming, while those with a shorter life expectancy should draw their pension as early as possible. This raises concerns that adverse selection may pose a risk to the sustainability of the new pension system. To investigate this issue, we use chronic disease as a proxy for life expectancy and examine its relationship with employment and pension decisions. Our findings show that individuals with a chronic health condition are more likely to draw a pension and continue working when they reach 62 years of age compared to those without a chronic health condition. This suggests potential adverse selection issues in the pension system, although our results suggest small effects after adjusting for unobservables.

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Section: Pension Take-up Health and Life Expectancymentioning

confidence: 80%

Health status, life expectancy and early claiming of pension

Aakvik,

Holmås,

Kjerstad

2024

SN Bus Econ

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“…By comparison, arthritis is associated with lower self-rated health but does not affect subjective life expectancy (Jylha, 2011). All types of chronic conditions do not affect SSP the same way (Vanajan & Gherdan, 2022). SSP appears to be a direct indicator of the probability of mortality that is not framed by self-rated health, even though self-rated health could predict mortality (Cho et al, 2022; Idler & Benyamini, 1997; Mossey & Shapiro, 1982).…”

Section: Introductionmentioning

confidence: 99%

Subjective survival probabilities by employment category and job satisfaction among the fifty-plus population in Japan

Wels

2023

Preprint

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Background: Subjective Survival Probabilities (SSP) are known to be associated with mortality but little is known about the relationship they might have with employment categories and job satisfaction. We assess such a relationship looking at the fifty-plus population in Japan that is characterized by a stratified labour market for the older workers and high working time intensity. Method: We use the four waves (2007-2013) of the Japanese Study of Aging and Retirement (JSTAR), a panel dataset tracking 7,082 50-plus respondents in 10 Japanese prefectures. We use a mixed-effects quantile regression model to investigate the relationship between SSP and employment status (model 1) and job satisfaction (model 2). Both models additively control for demographic and socio-economic cofounders as well as other health measurements. Multiple imputations are used to correct sample attrition. Results: In model 1, retirement (-0.27, 95%CI =-0.51;-0.03) and contract work (-0.51, 95%CI=-0.79;-0.23) are negatively associated with SSP in comparison with full-time employment. In model 2, low job satisfaction appears to be strongly associated with SSP (-1.37, 95%CI=-1.84;-0.91) in comparison with high job satisfaction. The same trend is observed regardless of the way job satisfaction is calculated. Both working time and employment category are not significantly associated with SSP after controlling for job satisfaction which indicates that job satisfaction is a main driver of SSP discrepancies. Discussion: SSP variations can be explained by employment category with contract work more at risk. Job dissatisfaction is a main explanation of low SSP. Both work and employment explain SSP variations.

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Pain Lowers Subjective Survival Probabilities Among Middle-Aged and Older Adults

Fennell,

Osuna,

Ailshire

et al. 2024

The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences

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Objective Pain is a leading cause of disability and a limiting factor in individuals’ assessments of their own subjective health, however its association with subjective longevity has yet to be explored. Subjective survival probabilities (SSPs), or one’s own perceived chances of living to a given age, can influence individuals’ behavior as they plan for their futures. This study assesses whether pain correlates to lower SSPs. Methods We use a repeated cross-section of the 2000-2018 waves of the Health and Retirement Study, a longitudinal and nationally representative survey of Americans aged 51 and older (N=31,773). Results Fractional logit regressions indicate that, across all age groups, respondents with severe and/or interfering pain reported significantly lower SSPs than those with no pain (Marginal Effect (ME) = -0.03 to -0.06, p < .05). Controlling for all covariates, mild or moderate non-interfering pain was only associated with a significant reduction in SSPs among the youngest group reporting their chances of living to age 75 (ME = -0.02, p < .001). Descriptively and in the model results, respondents with mild or moderate non-interfering pain appeared to more closely resemble pain-free respondents than those with severe or interfering pain. Discussion These findings highlight the importance of pain on SSPs, and contribute to the growing evidence that pain interference is uniquely important in predicting meaningful health outcomes.

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Associations between existing and newly diagnosed chronic health conditions and change in subjective life expectancy: Results from a panel study

Cited by 4 publications

References 48 publications

Health status, life expectancy and early claiming of pension

Health status, life expectancy and early claiming of pension

Subjective survival probabilities by employment category and job satisfaction among the fifty-plus population in Japan

Pain Lowers Subjective Survival Probabilities Among Middle-Aged and Older Adults

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