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The risk of developing a work disability across the adulthood years
Mark R Rank1, Thomas A Hirschl2
1Social Welfare, George Warren Brown School of Social Work, Institute of Public Health, Campus Box 1196, Washington University, St. Louis, MO 63130, USA.
Over half of U.S. household heads will experience work disability by age 60. Lower income and education increase this risk, impacting health and social safety net spending.
Area of Science:
- Sociology
- Public Health
- Economics
Background:
- Work disability significantly impacts individual well-being, national healthcare costs, economic productivity, and social safety nets.
- Existing cross-sectional research lacks detailed insights into the population dynamics and risk factors of work disability.
Purpose of the Study:
- To estimate the prospective lifetime risk of work disability among U.S. household heads.
- To identify personal characteristics associated with an increased likelihood of self-reporting work disability.
Main Methods:
- Utilized forty years of longitudinal data from the Panel Study of Income Dynamics (PSID).
- Employed life table methods to calculate lifetime prevalence and logistic regression to analyze covariate effects on self-reported work disability.
Main Results:
- More than half (54.6%) of U.S. household heads aged 25-60 will self-report a work disability.
- Approximately one quarter (24.1%) will report a severe work disability.
- Individuals with incomes below 150% of the federal poverty level or lower educational attainment face a higher likelihood of work disability.
Conclusions:
- The study reveals a higher prevalence of self-reported work disability than previously estimated by cross-sectional studies.
- Work disability is a substantial contributor to healthcare service utilization and social safety net expenditures.
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