The effect of a minor health shock on labor market outcomes: The case of concussions.

health shock labor market outcomes mild traumatic brain injury

Journal

Health economics
ISSN: 1099-1050
Titre abrégé: Health Econ
Pays: England
ID NLM: 9306780

Informations de publication

Date de publication:
18 Sep 2024
Historique:
revised: 18 07 2024
received: 25 04 2024
accepted: 03 08 2024
medline: 19 9 2024
pubmed: 19 9 2024
entrez: 19 9 2024
Statut: aheadofprint

Résumé

The literature on health shocks finds that minor injuries have only short-term labor market impacts. However, mild traumatic brain injuries (mTBIs, commonly referred to as concussions) may be different as the medical literature highlights that they can have longer-term health and cognitive effects. Moreover, TBIs are one of the most common causes of disability globally, with the vast majority being mild. Thus, it is important to understand the impact of mTBIs on labor market outcomes. We use administrative data on all medically-diagnosed mild traumatic brain injuries (mTBIs) in New Zealand linked to monthly tax records to examine the labor market effects of a mTBI. We use a comparison group of those who suffer a mTBI at a later date to overcome potential endogeneity issues, and employ a doubly-robust difference-in-differences method. We find that suffering a mTBI has negative labor market effects. Rather than dissipating over time, these negative effects grow, representing a decrease in employment of 20 percentage points and earning losses of about a third after 48 months. Our results highlight the need for timely diagnosis and treatment to mitigate the effect of mTBIs to reduce economic and social costs.

Identifiants

pubmed: 39294865
doi: 10.1002/hec.4897
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Author(s). Health Economics published by John Wiley & Sons Ltd.

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Auteurs

Florian Fouquet (F)

LEMNA, Nantes Université & GAINS, Le Mans Université, Nantes, France.

Lisa Meehan (L)

NZ Policy Research Institute, Auckland University of Technology, Auckland, New Zealand.

Gail Pacheco (G)

NZ Policy Research Institute, Auckland University of Technology, Auckland, New Zealand.

Alice Theadom (A)

Traumatic Brain Injury Network, Auckland University of Technology, Auckland, New Zealand.

Classifications MeSH