Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/185277 
Year of Publication: 
2018
Series/Report no.: 
IZA Discussion Papers No. 11817
Publisher: 
Institute of Labor Economics (IZA), Bonn
Abstract: 
A diabetes diagnosis can motivate its recipients to reduce their health risks by changing lifestyles but can adversely affect their economic activity. We investigate the effect of a diabetes diagnosis on employment status and behavioural risk-factors taking into account their potentially intertwined relationships. Longitudinal data from the China Health and Nutrition Survey covering the years 1997 to 2011 are used to estimate the effect of a diabetes diagnosis on employment probabilities, alcohol consumption, smoking cessation, body mass index, physical activity and hypertension. To deal with potential confounding, two complementary statistical techniques - marginal structural and fixed effects models - are applied. The marginal structural and fixed effects models generate similar results despite their different underlying assumptions. Both strategies find patterns distinct for males and females, suggesting a decrease in employment probabilities after the diagnosis for women but not for men. Further, few improvements and even further deterioration of behavioural risk factors are found for women, while for men these risk factors either improve or remain the same. These results suggest differences in the impact of diabetes between sexes in China and highlight the potential of reducing behavioural risk factors for women to narrow these inequities.
Subjects: 
China
diabetes
employment
behavioural risk factors
marginal structural model
JEL: 
D83
E24
F61
I12
I14
J24
Document Type: 
Working Paper

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