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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w27974 |
来源ID | Working Paper 27974 |
Socioeconomic Status and the Experience of Pain: An Example from Knees | |
David M. Cutler; Ellen Meara; Susan Stewart | |
发表日期 | 2020-11-02 |
出版年 | 2020 |
语种 | 英语 |
摘要 | Reports of pain differ markedly across socioeconomic groups and are correlated with outcomes such as functional limitations and disability insurance receipt. This paper examines the differential experience of pain by education. We focus on knee pain, the most common musculoskeletal complaint. Comparing clinical interpretation of knee x-rays of people with and without pain, there are few differences in presence or clinical severity of arthritis across education groups. In contrast, less educated people report more pain for any given objective measure of arthritis. After confirming that reported pain maps to objective measures like walking speed and range of motion, we test four theories for differential experience of pain: differences in obesity, physically demanding occupations, psychological factors, and medical treatment differences. We find that physical demands on the job and obesity each explain about one-third of the education gradient in knee pain. There is an interaction between the two; physical requirements on the job are associated with knee pain primarily in those who are obese. In contrast, psychological traits and access to medical care explain little of the difference in reported pain by education level. These findings imply that educational gradients in pain are likely to persist or even widen as the need for physically demanding occupations—like home health aides and personal service workers—grows in importance with the aging population, and the working population continues to be obese. |
主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Labor Supply and Demand |
URL | https://www.nber.org/papers/w27974 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/585681 |
推荐引用方式 GB/T 7714 | David M. Cutler,Ellen Meara,Susan Stewart. Socioeconomic Status and the Experience of Pain: An Example from Knees. 2020. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w27974.pdf(1019KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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