Chronic illness and retirement in Jamaica by Sudhanshu Handa

By Sudhanshu Handa

This paper explores the impression of six noncommunicable continual ailments (NCCDs) on Jamaicans' judgements to retire. utilizing the 1991 and 1992 Survey of residing stipulations database it examines the considerably unfavourable influence that NCCDs have on humans last in employment. Chapters current findings that recommend the necessity to combine healthiness and hard work marketplace rules; talk about healthiness transition and the exertions industry in Jamaica; supply info, samples, and healthiness measures; offer an econometric version; learn NCCDs in admire to gender and different social concerns; and current sensitivity research at the impression of actual future health prestige on employment.

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Thus the self-reported chronic disease measures contained in the 1991 and 1992 Jamaican SLC have a higher content validity than self-reported general health measures including the Activities of Daily Living (ADLs) measures contained in the 1989-II SLC. On the other hand, because the Jamaican SLC measures are binary, they only contain information about the presence or absence of chronic conditions and not about their severity or the degree to which they limit functioning. For this reason, some researchers argue that selfreported measures contain important and independent information about health status.

The impact of health may differ by gender for several reasons. First, there may be systematic differences in reporting or diagnosing (Stewart and Ware 1992). 18 Second, the occupational distribution is different for men and women making it very likely that men and women are employed in jobs with different levels of physical demands. Finally, the occupational structure reflects wage differences between women and men which may affect the relative ability of men and women to finance retirement for health or other reasons.

These researchers found that neither education nor urbanization affect the degree of over reporting but that males tend to under report the presence of lung disease, malignancies, arthritis and stroke while females tend to over report arthritis. Behrman (1990) reports that self assessments of health understate health problems among the poor. On the other hand, Linzer et all (1994), in a study of recurrent syncope (a chronic condition with impairment on par with arthritis), found that physicians involved in the evaluation and management of syncope patients were not able to predict the degree of functional impairment felt by the patient.

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