Disentangling occupational and health paths : employment, working conditions and health interactions

Abstract : The objective of this Ph.D. Dissertation is to disentangle some of the many interrelationships between work, employment and health, mostly in a longitudinal approach. Establishing causal relationships between these three concepts is not easy, as many statistical biases generally undermine estimates, including selection biases and the three classical sources of endogeneity. This thesis proposes in a first chapter to study the effect of a mental health shock on workers’ ability to remain in employment. The second chapter explores the possible sources of heterogeneity in the role of working conditions on health status by examining the effects of variable early-career exposures in terms of intensity and nature on the onset of chronic diseases. Finally, the third chapter deals with the end of the career and the decision to retire. The French panel data from the Health and Professional Path (Sip, Santé et Itinéraire Professionnel) survey with more than 13,000 respondents is used in this work, as well as several methodologies in order to take into account endogeneity biases, in particular methods relying on instrumental variables and methods for public policy evaluation (matching and difference-in-differences). The results confirm that employment, health and work are intimately related, with clear consequences of health shocks on employment and, conversely, a preponderant role of work on the determination of health status.
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Éric Defebvre. Disentangling occupational and health paths : employment, working conditions and health interactions. Economies and finances. Université Paris-Est, 2017. English. ⟨NNT : 2017PESC0018⟩. ⟨tel-01760925⟩

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