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The time cost of a disability
Daniel S Hamermesh1, Michał Myck2
1University of Texas at Austin, United States; IZA, United States; NBER, United States.
Journal of Health Economics
|November 4, 2025
Summary
Physical disabilities reduce daily activities and variety for older adults. This loss of activity variety incurs significant economic costs, impacting overall well-being and financial security.
Area of Science:
- Socioeconomics
- Gerontology
- Disability Studies
Background:
- Physical disabilities can significantly impact daily life and activity patterns.
- Understanding these impacts is crucial for public health and economic policy.
- Previous research has explored various aspects of disability, but time-use patterns require further investigation.
Purpose of the Study:
- To investigate how physical disabilities alter time-use patterns in older adults.
- To quantify the reduction in daily activities and variety due to disability.
- To estimate the economic cost associated with this loss of activity variety.
Main Methods:
- Analysis of correlational data from the American Time Use Survey (ATUS) 2008-2022 for non-working respondents aged 70+.
- Validation using data from the 2013 Polish Time Use Survey with medically certified disabilities.
- Cross-country comparisons using homogenized time diaries from British, Canadian, French, Italian, and Spanish datasets.
- Application of a
- sesqui-difference
- test to infer causality.
Main Results:
- Respondents with physical disabilities engaged in over 10% fewer activities daily compared to their non-disabled counterparts.
- Disability was associated with a significant loss of activity variety over multiple days.
- Similar findings were observed across multiple countries, indicating a consistent pattern.
- The economic cost of lost activity variety was estimated to be over twice the average annual income of older individuals in the analyzed countries.
Conclusions:
- Physical disabilities lead to a substantial reduction in the number and variety of daily activities for older adults.
- This reduction in activity represents a significant, quantifiable economic burden.
- The findings highlight the need for policies and support systems to mitigate the time-use and economic consequences of disability in aging populations.
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