L'impact du diagnostic du cancer sur les transitions professionnelles en France. Une étude sur données de panel administratives

Abstract : In this study, we measure the effect of a severe health shock, i.e. a cancer diagnosis, on the mobility of individuals between four professional situations. We estimate the yearly transition matrices between permanent employment, non-permanent employment, unemployment and inactivity to compare mobility experiences for two groups: 1) 3,168 people suffering from a cancer between 2006 and 2009 and 2), 282,035 people selected from the general population, without any chronic illness. This second group was formed using an exact matching algorithm to resolve errors related to the lack of common support between the groups compared. The mobility process determinants are estimated using a dynamic random-effect multinomial logit model on an administrative data panel of professional careers, called Hygie (2005-2011). Several models are estimated, the first by gender-based stratification irrespective of the site of the cancer, the second for the female population suffering from breast cancer and the third, for men suffering from prostate cancer. The findings show that the population with cancer encounters major difficulties to remain in, or return to, employment, particularly permanent employment. This effect is more pronounced for men than for women. Furthermore, women seem to encounter less difficulty in remaining active in the labour market after a health shock. Among the individual characteristics of sick individuals, their age, together with age on entering the labour market (for men), which acts as a proxy for qualification levels, are protective elements against transitions into inactivity. Furthermore, the detrimental consequences of cancer on employment are mitigated by good health before diagnosis and by the length of a stable professional career in employment for male patients. Finally, a long period of sick leave taken after the cancer diagnosis favours transitions into unemployment and inactivity at the expense of employment. Women suffering from breast cancer show no significant differences in terms of career paths compared to the group of women suffering from cancer in general. By contrast, the group of employees with prostate cancer displays a more frequent transition into prolonged unemployment. This is probably due to policies making a gradual exit from employment easier for older employees.
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Bassem Ben Halima, Mohamed Ali Ben Halima, Joseph Lanfranchi, Christine Le Clainche, Camille Regaert. L'impact du diagnostic du cancer sur les transitions professionnelles en France. Une étude sur données de panel administratives. 2016. ⟨hal-02172441⟩

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