职业选择、衰老与长寿的健康经济学理论

A health economic theory of occupational choice, aging, and longevity

Journal of Health Economics · 2022
被引 15
人大 AABS 3

中文导读

构建了一个包含内生健康行为、衰老和寿命的生命周期职业选择模型,发现高健康需求工作主要由男性、年轻、低教育水平者选择,且对健康行为影响微弱,而医疗技术进步会扩大教育健康梯度。

Abstract

In this paper, I propose a life cycle model of occupational choice with endogenous health behavior, aging, and longevity. Health-demanding work leads to a faster accumulation of health deficits and is remunerated with a hazard markup on wages. Health deficit accumulation is also influenced by unhealthy consumption and health care expenditure. I calibrate the model for a 20 year old average American in 2010 and show the following results, among others. Health-demanding work is ceteris paribus preferred by male, young, and healthy individuals with a relatively low level of education. Health demanding work has a negligible effect on health behavior because income and health investment effects largely offset each other, implying that health effects can be attributed almost fully to the direct health burden of work. Better medical technology induces low-skilled individuals to spend a greater part of their life in health-demanding work and thus increases the health gradient of education. High wealth endowments protect against unhealthy occupational choices. I show robustness of the results in an extension of the model with regard to endogenous retirement.

职业选择健康行为老龄化寿命