ArticlePublisher preview available

Working Beyond the Traditional Retirement Ages: How does Chronic Health Condition Influence Older Workers in Vietnam

Authors:
To read the full-text of this research, you can request a copy directly from the authors.

Abstract

This paper, using the nationally representative data for older people in Vietnam, namely Vietnam Aging Survey (VNAS) in 2011, was aimed at exploring the current working status of older men and women who were at the ages beyond their respective normal retirement age (i.e., 60 for men and 55 for women) and then estimating how their chronic health conditions influenced on their decision to work. We found that there were significant differences in working rates between various groups of older men and women in terms of age group, living area, marital status, and educational level. The results from logistic models indicated that older persons with at least one chronic health condition had a significant lower probability of participating in the labour workforce than those without chronic health condition. In addition to health conditions, other factors (such as age, living area, and educational level) also implied that more vulnerable and poor older people had higher probabilities (i.e., more advanced ages, living in rural areas, and low educational levels) to work than did their counterparts. These groups of older people must work due to limited access to income security schemes, and thus there would be a great demand for policies supporting these groups of older people.
Working Beyond the Traditional Retirement Ages: How
does Chronic Health Condition Influence Older Workers
in Vietnam
Long Thanh Giang
1
&Dung Duc Le
2
Published online: 29 August 2017
#Springer Science+Business Media, LLC 2017
Abstract This paper, using the nationally representative data for older people in
Vietnam, namely Vietnam Aging Survey (VNAS) in 2011, was aimed at exploring
the current working status of older men and women who were at the ages beyond
their respective normal retirement age (i.e., 60 for men and 55 for women) and
then estimating how their chronic health conditions influenced on their decision to
work. We found that there were significant differences in working rates between
various groups of older men and women in terms of age group, living area, marital
status, and educational level. The results from logistic models indicated that older
persons with at least one chronic health condition had a significant lower proba-
bility of participating in the labour workforce than those without chronic health
condition. In addition to health conditions, other factors (such as age, living area,
and educational level) also implied that more vulnerable and poor older people
had higher probabilities (i.e., more advanced ages, living in rural areas, and low
educational levels) to work than did their counterparts. These groups of older
people must work due to limited access to income security schemes, and thus there
would be a great demand for policies supporting these groups of older people.
Keywords Aging .Health care .Older people .Retirements .Viet nam
Ageing Int (2018) 43:158173
DOI 10.1007/s12126-017-9301-y
*Long Thanh Giang
giang.long@ippm.edu.vn
Dung Duc Le
lddung@isms.org.vn
1
Institute of Public Policy and Management, National Economics University, 207 Giai Phong Street,
Hai Ba Trung District, Hanoi 10000, Vietnam
2
Institute of Social and Medical Studies (ISMS), Hanoi 10000, Vietnam
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
... Health status, number of health problems and number of difficulties with Activities of Daily Living (ADLs) were emphasised in various studies to indicate health characteristics. Poor health discourages older people from participating in the labour market, as do long-term illness and chronic disease (Lixin and Changxin, 2009;Giang and Le, 2018). Similarly, difficulties in performing ADLs, which are usually linked with the increase in age, are also barriers to labour participation as such impairments may reduce an individual's ability to fulfil work commitments (Stamm et al., 2016). ...
... Additionally, a study drawn from the 2007 Survey of Older Persons in Thailand by Adhikari et al. (2011) noted that the number of chronic diseases is a strong predictor of the labour participation decision among elderly people in Thailand, and that multiple functional disabilities can deter older people from participating in the labour market. This is further supported by Giang and Le (2018), using the Vietnam Ageing Survey (VNAS), which found that older people reporting at least one chronic health condition were less likely to participate in the labour market than those without a chronic health condition. There have been a number of longitudinal studies which provided evidence of a strong link between health and labour market status. ...
... As there is no consistent measure of health, previous research uses a variety of concepts and variables to represent health (Banks et al., 2015). Much of the published research on older people used subjective health measures such as perceived or self-reported health status , chronic health condition/illness (Giang and Le, 2018;Hjärtström et al., 2018), health satisfaction (Carter et al., 2013) and health problems (Thakur et al., 2013) from the viewpoint of both mental and physical health (Zimmer et al., 2002;Pharr et al., 2011). Furthermore, literature focusing on the capacity to work in relation to health among older people also includes functional disabilities (Hairi et al., 2010;Gupta et al., 2014), impairment (Cutler et al., 2013;Stamm et al., 2016) and ...
Thesis
Full-text available
The increasing percentage of older people in many countries has aroused interest among policymakers with regard to older people’s well-being, including issues concerning support for older people, their economic security and familial and living arrangements. While some older people support themselves with their own income and savings through wealth accumulation, there are others who remain active in the labour market out of financial necessity. Some older people tend to work as long as they are physically able, especially when support from family members is limited. Using data from the Fifth Malaysian Population and Family Survey 2014 (MPFS-5), this research investigates the relationship between intergenerational transfers, co-residence and labour participation among 4,059 older Malaysians aged 60 years and above. A binary logistic regression was used to identify the significant predictors of older Malaysians participating in the labour market after controlling for key demographic, health and socio-economic, geographical and intergenerational support variables. The results showed that respondents who were older, female, and either married or widowed were less likely to participate in the labour market than their counterparts. On the other hand, those who were of Chinese background, with more income sources, who lived in rural areas and those residing in Sabah, Sarawak and Labuan were more likely to be in the labour market than their comparison groups. Furthermore, respondents with a higher education, those who experienced greater difficulty in daily living and those who lived with more health problems were less likely to be in the labour market than the reference group. In terms of intergenerational support, older people who received support from their adult children more frequently were less likely to participate in the labour market than those who received no support. Surprisingly, co-residence was not a statistically significant factor. This research has offered an insight into the complex relationship between working in later life and supporting one’s family among older people in Malaysia. These findings have important implications for Malaysian old age policy and its effort to promote productive ageing through employment opportunities, which can ensure continued independence in old age, while acknowledging the importance of family support on preserving the welfare of older people in Malaysia.<br/
... There are a number of empirical studies focusing on social structure, family relationship or health status of the elderly in Vietnam, such as their living arrangements, health, intergenerational solidarity, labor force participation and long-term care ( Giang & Le, 2017;Le, Quashie & Prachuabmoh, 2018;Teerawichitchainan, Pothisiri & Long, 2015;Truong, Bui, Goodkind & Knodel, 1997) . However, there is no research at the national level about the elderly' s mental health or its proxy variables, such as their subjective well-being. ...
... In his book on positive psychology, Carr ( 2013) pointed out that life satisfaction is significantly affected by financial satisfaction. In addition, Giang and Le ( 2017) found that workers are more likely to report a healthier condition than those who are unemployed or do not work. Besides, health status has always been shown to have a strong and consistent relationship with subjective well-being. ...
... The respondents had the right to stop or interrupt the interview at any time without any penalty. All personal information, and information provided by the survey is confidential and used only for research purposes (Giang & Le, 2017). ...
Article
Full-text available
Vietnam, like many developing countries, is facing a rapid aging population. Therefore, understanding factors that are important to well-being in old age has become a key public policy concern. Using data from 2011 Vietnam National Aging Survey, the goal of this study was to examine the association between level of education and the subjective well-being of elderly males and females in Vietnam based on two affective domains: happiness and loneliness (N=2,571). Multinomial logistic regression analyses showed level of education was associated with happiness and loneliness of the elderly but there were distinct gender differences. Higher education was positively associated with men’s happiness, but not for women. Regarding loneliness, having university education is associated with a lower level of loneliness for both sexes. The study found those with higher education tended to be happier and less lonely. However, educational level had a stronger effect on males than females. Therefore, raising education level of the next generations is important in improving their subjective well-being during their old age.
... In Vietnam, there is no research at the national level on the relationship between educational background and happiness and loneliness at old age while other studies has confirmed other aspects such as social networks have important relationship with loneliness of older persons (Pinquart & Sorensen, 2001) or education have mostly confirmed to have good relationship with working age population such as advantages in working environment and economic benefits (Cuñado & de Gracia, 2012). Besides, other studies on older population only focused on social structure, living arrangement, the interaction between generations, retirement age or family relationships (Giang & Le, 2017;Le et al., 2018;Teerawichitchainan et al., 2015;Truong et al., 1997). Therefore, the research results are expected to contribute to the gap in literature and propose appropriate policies to improve the mental health of Vietnamese older persons, while affirming the role of education in terms of non-economic aspect through answering research questions: What are the relationships between level of education and subjective well-being of older persons in Vietnam, in terms of the degree of happiness and loneliness, controlling for other factors? ...
... If parents do not have a son, it is considered as not having the next generation because of a lost family name. The son of Vietnam receives more economic and social benefits than daughters, such as inheriting of special assets such as land or house, caring for elderly parents, worshiping or religious roles that only sons can perform, perpetuation of the family name ( Le et al., 2017;UNFPA Vietnam, 2012;Vui LT, Duong DTT, & Hoa DTP, 2012). ...
Conference Paper
Full-text available
This paper aims to analyze the interconnectedness of philosophy and sociology in terms of two newly emergent subdivisions of sociology, namely philosophical sociology and the sociology of philosophy. In the first part, sociology of philosophy is debated based on its strengths and its close relation to the history of philosophy. Especially, as an undisputed pioneer of the field, Collins’ work is being reviewed. In the second part, Chernilo’s project of a new idea of the philosophical sociology is debated by referring to the main discussion on normativity and humanity, highlighting its potential to reflect on the future of the social theory. Thus, in the concluding part, it is stressed that both subdivisions have substantial contributions to the sociology of knowledge but they have quite different positions when compared theoretically. The comparison is based on their epistemological novelty, ontological positions, theoretical and conceptual foundations, methodologies they apply and, in terms of their understanding of universality. Keywords: Philosophical sociology, sociology of philosophy, R. Collins, D. Chernilo, social theory.
... Chronic diseases also make it difficult to raise the retirement age in Vietnam (the current retirement age is 55 for women and 60 for men). It is documented that Vietnamese older persons tend to participate less in the labor force when they have at least one chronic disease (Giang & Le, 2018). Besides, as Confucianism is deeply rooted in Vietnamese society (Knodel et al., 2005), gender differences in older adults' mental health and morbidity are expected. ...
Article
Full-text available
Geriatric depression is a key public health issue, as it leads to many negative health consequences. This study examines the effects of education on depression of older adults in Vietnam, focusing on gender differences. The study utilizes the 2011 Vietnam Aging Survey. The sample consists of individuals aged 60 years and older (N = 2,789, comprising 1,683 females and 1,106 males). Path analysis is used to analyze the direct and indirect effects of education on depression of older males and females. For the indirect effects, the following three channels are investigated: family resources, economic resources, and health status. Education significantly lowers depression for both genders. Education has both direct and indirect effects on the depression of females, but only indirect effects in the case of males. While several channels through which education affects depression are similar for males and females, there are some differences which reflect gender roles in Vietnam. Policies promoting education and gender equality should be strengthened to improve old-age mental health. Specific policies for different groups of older persons are also needed, such as older persons with ADL difficulty and those living alone, as these groups are more likely to suffer from depression.
... Using the nationally representative Vietnam Aging Survey in 2011, health status has been consistently identified as one of the significant factors influencing older adults' decision to work in Viet Nam. For instance, Giang & Nguyen (2016) found that heath status markedly influenced the labor supply choice of older people in rural areas, while Giang & Le (2018) found that older persons with at least one chronic health condition have lower probability of labor force participation relative to those without chronic health conditions. Meanwhile, ill health as a factor for labor market nonparticipation remains low in the Philippines and Thailand during the observed periods, with older men comprising the majority. ...
Article
Full-text available
This paper examines the pattern and prospects of labor force participation of older persons in developing Asia. We review relevant literature and conduct a detailed analysis of descriptive statistics drawn from the labor force survey micro data of selected countries in the region. Evidence suggests that the structure of social security and pensions, education and health status of workers, household structures and gender norms, and technological change and adoption at the workplace explain the observed patterns of labor supply among older persons in advanced economies. Some of these factors are equally relevant in developing Asia, while others seem to pose divergent impacts. The restricted coverage and depth of social security and pension schemes likely have limited effect in many countries of developing Asia to date, except in selected areas and among educated older workers. The lack of career options upon the first retirement can also explain the early exit from the labor market among the skilled group. This paper recommends public and private actions that could promote longer working lives in the region.
... A negative association between poor health condition and labor force participation is well established (Schofield et al., 2008;Leijten et al., 2014;Giang & Nguyen, 2016;Schofield et al., 2017;Giang & Le, 2018). Those with at least one chronic disease (i.e., lung disease, heart disease, bone disease, or diabetes) are 39% less likely to work in India. ...
Article
Full-text available
Using data collected in 2017–18 for the baseline wave of the Longitudinal Ageing Study in India, this paper analyzes labor force participation among older adults (people aged 60 years and older) and their job characteristics, income, and associated social security benefits. Analysis of a cohort of 31,464 older adults shows that although labor force participation declines with age, 36% of older adults in India are working; of these, two-thirds are employed primarily in agriculture and allied services, only 5% have a full-time job, and just 6% are covered by a work-related pension scheme. Older adults who have less education, live alone, do not have a chronic disease, and lack health insurance or pension coverage are more likely to work beyond age 60. The dominant predictor of labor force participation is health status, especially in rural India. Older adults are almost equally likely to work across wealth categories in urban India, rejecting the hypothesis that only the poor work beyond age 60 in India. Vulnerable (i.e., rural, living alone, divorced/separated) females work more than their male counterparts. Older adults continue to work depending on their physical capacity, which is highly age-dependent, across economic categories. Our results provide evidence for the pursuit of an older adult policy in India that focuses on healthy ageing particularly in the context of poor social security coverage and the unorganized nature of work, as healthy populations continue to engage in economic activity.
... In Vietnam, there is no research at the national level on the relationship between educational background and happiness and loneliness at old age while other studies has confirmed other aspects such as social networks have important relationship with loneliness of older persons (Pinquart & Sorensen, 2001) or education have mostly confirmed to have good relationship with working age population such as advantages in working environment and economic benefits (Cuñado & de Gracia, 2012). Besides, other studies on older population only focused on social structure, living arrangement, the interaction between generations, retirement age or family relationships (Giang & Le, 2017;Le et al., 2018;Teerawichitchainan et al., 2015;Truong et al., 1997). Therefore, the research results are expected to contribute to the gap in literature and propose appropriate policies to improve the mental health of Vietnamese older persons, while affirming the role of education in terms of non-economic aspect through answering research questions: What are the relationships between level of education and subjective well-being of older persons in Vietnam, in terms of the degree of happiness and loneliness, controlling for other factors? ...
Conference Paper
Full-text available
Given the trend of demographic transition and population ageing around the world, improving the welfare of older persons has become a key policy issue. This study aimed to investigate the relationship between education and subjective well-being in terms of two affective factors (degree of happiness and loneliness) in later life of Vietnamese. The study employed Vietnam National Ageing Survey 2011, which is the first nationally representative survey of older persons in Vietnam. Both bivariate and multivariate analyses showed that education has a strong positive relationship with happiness and loneliness. In other words, older persons with higher education tend to be happier and less lonely. Other factors, such as gender, marital status, region lived in the most, being member of a poor household, feeling there is sufficient income or material support, total number of daughters, living arrangement, difficulty in daily life activities, and self-rated health compared to other older persons, have strong relationship with these two types of subjective well-being. On the other hand, age group, religion, working status, providing financial support to kin or relatives, being member of Vietnamese Elderly Association, total numbers of sons, place of residence, and having grandchild show insignificant relationship with subjective well-being amongst older persons.
Article
Purpose This study aims to explore the situations and socio-economic and health-related factors associated with employment of older men and women in Vietnam. Design/methodology/approach This study used the nationally representative data in 2019 with a sample size of 3,049 older persons (those aged 60 and over). This study applied logistic regression analyses. Findings This study found that there were significant differences in employment rates between various groups of older men and women in terms of age group, residential place, marital status and educational level. Controlling for age, education, marital status, place of residence and (in) sufficient income for daily living, the results from logistic models indicated that health issues were strongly associated with lower probability to be employed for both genders. In all tests and regression models, that age and health condition were consistently related with lower employment probability of older persons implied an important consideration in raising normal retirement ages for both men and women. Research limitations/implications Due to limitation of the cross-sectional data, this research could not explore how health influences older people’s employment overtime. Practical implications Findings of this research provide important and adaptive policy insights for Vietnam to take advantage of older workers for economic growth under an aging population. Originality/value To the best of the authors’ knowledge, this has been among the first studies exploring the role of health, which was presented by different indicators, determining employment of older men and women in Vietnam.
Article
Objectives: This study compared functional disability in older men and women, and examined the extent to which social determinants contribute to the difference in functional disability between Vietnamese older men and women. Methods: A nationally representative sample of persons aged 60 and older in Vietnam, taken from the 2011 Vietnam Aging Survey, was analyzed (N = 2,693, consisting of 1,622 women and 1,071 men). Ordinary least squares regression (OLS) was used to identify factors associated with functional disability in men and women, while Oaxaca-Blinder decomposition for linear models was applied to examine how much of gender inequality in functional disability was attributed by the distribution of the social determinants. Results: The OLS results showed that functional disability score for women was significantly higher than that for men, and that men and women shared similarity in factors associated with functional disability (e.g., age, educational level, employment status, and perceived sufficiency of income). The decomposition results showed that the distribution of the social determinants explained about 54 per cent of gender inequality in functional disability; among the determinants, age, employment status, and educational level were the major drivers. Approximately 46 per cent of the inequality was explained by unobserved factors. Conclusion: The findings of this study highlight the need for policy to mitigate the social determinants (e.g., education and employment) that contribute to gender inequality in functional disability.
Article
Productive activities are crucial factors leading to an “active aging” population. With the case of Vietnam, this paper aimed to explore the productive activities among Vietnamese older people by using data from the Vietnam Aging Survey (VNAS), which was conducted in 2011 as the first-ever nationally representative survey on persons aged 50 and over in Vietnam and contained 2789 older people (those aged 60 and over) representing all older people living in 6 ecological regions and urban and rural areas in Vietnam. Productive activities included working and/or taking care of any (great)grandchild(ren) in the past 12 months prior to the survey. Using paired t-tests and probit models, we compared the differences in these productive activities among older people in terms of sex and living area. The results from various t-tests showed that educational attainment, health status and poverty status were key factors differentiating older men and women and rural and urban older people in these productive activities. For the probit estimations in terms of both gender and living location, the results indicated that age, education, health status and supportive children were determinants of working decision, while age, marital status and size of household were consistently important factors of taking care of (great)grandchildren. The paper also discussed policy implications for socio-economic and health protection in promoting older people's productive activities as well as protecting them from a variety of risks and vulnerabilities.
Article
Full-text available
The aim of this study was to examine the prevalence and the determining factors of multi-morbidity among older men and women in Vietnam. Data for this study was utilized from a nationally representative survey -that is, Vietnam Ageing Survey (VNAS) in 2011. The study sample was restricted to older people (those aged 60 and over). Multi-morbidity was defined as having at least two presences of chronic diseases. Bivariate, t-test, and multivariable logistic regression analyses were applied to identify potential factors correlated with multi-morbidity among older men and women. The results showed that around 44 per cent of older persons reported having multi-morbidity, in which a higher prevalence was found in women (49.4 per cent than men (36.7 per cent). The results of multivariate analysis indicated that factors associated with multi-morbidity were found to vary by gender, in which advanced age and living alone were the strongest predictive variables in both genders. Therefore, health interventions with regards to gender are increasingly essential to reduce burdens of chronic diseases.
Article
Full-text available
This paper aimed to identify determinants of work decision among older people living in rural Vietnam. We applied a probit regression model with the nationally representative data from Vietnam Aging Survey (VNAS) in 2011. The results show that age, heath status, marital status, number of members aged under 15 and retirement and/or social allowance receipt had markedly impacts on rural older people’s decision to work. Surprisingly, neither educational level nor ethnicity of rural older people had any significant influence on their work decision. Based on these findings, we suggested some policy recommendations to facilitate older people’s work as well as secure their income.
Article
Full-text available
The aim of this study is to investigate the correlates of self-reported health (SRH) among older adults in Malaysia and Singapore. The study uses data collected in the Global Ageing Study (GLAS) 2007, one of the largest surveys of its kind, specially designed to investigate attitudes towards later life, ageing and retirement. Data were collected from 1002 and 1004 respondents from Malaysia and Singapore respectively. The study found that Singaporeans report a healthier life than Malaysians. The two countries have consistent results with regard to the influences of selected covariates on individual health. Poorer health is more prevalent among people with lower education, among those widowed, divorced or separated, and those working in blue-collar occupations. Although social support is found to be an important determinant of SRH, the effects are partially confounded with other covariates. These findings enhance our knowledge about the health status of older people, and in turn will be useful for governments to ensure effective policy making.
Article
This paper examines the relationship between health and workforce participation beyond the age of 65 years in Australia. It found that people with a chronic health condition were less likely to be employed than those without a health condition (OR 0.59, 95% CI: 0.38–0.92). Amongst those with a chronic health condition, those in income quartile 2 (OR 0.27, 95% CI: 0.11–0.67) and 3 (OR 0.38, 95% CI: 0.15–0.93) were significantly less likely to be employed, relative those in income quartile 4. Older workers with a chronic health condition were less likely to work beyond the age of 65, however amongst those with a chronic health condition, those with very high income and those with very low incomes were the most likely to keep working.
Article
As the proportion of older population (those aged 60 and over) keeps increasing quickly in Vietnam, issues related to older individuals’ labor market behavior has drawn a great public attention. This paper aims to identify the determinants of the Vietnamese older people’s decision to be active in the labor force. We used data from the Vietnam Aging Survey (VNAS) in 2011 - the first-ever nationally representative survey on older people - which comprised 2,789 respondents. We employed probit models and other statistical methods in order to ensure the validity of the results. The paper demonstrated that various individual factors (such as age and health status) and household-related factors (such as area of living) significantly contributed to the older people’s decision about participating in the labor force. More interestingly, the effects of the above factors were statistically and significantly different for males and females and those living in urban and rural areas. To reach an 'active aging' in term of work and income security, Vietnam should have some immediate and long-term solutions so as encourage older people's labor force participation and improve their health and living conditions.
Article
This article examines patterns of work and retirement in Vietnam based on two recent surveys of the elderly. Vietnam provides a unique context for addressing elderly labor force participation due to its transition from a socialist to a market economy. As expected, elderly persons are less likely to be working to the extent that they are older or sick, although there is little variation by socioeconomic status. There are, however, distinct patterns of work stoppage across employment sectors (agricultural, state, and nonstate), due in part to the nature of work in these sectors. The data permit measurements across time, including job switches from one sector to another, or to retirement. Most notably, the data demonstrate the strong outflow of elderly employees from the state sector. We discuss explanations for these findings, paying particular attention to Vietnam’s recent history and social policies designed to facilitate the transition toward a market-based economy.
Article
Development is commonly assumed to undermine intergenerational solidarity in developing countries. Evidence from a series of surveys in Thailand calls this assumption into question. Intergenerational support networks have remained intact despite extensive social and economic development. Despite the recent universalisation of the Old Age Allowance Programme (OAA), filial monetary support remains relatively unchanged. Although children are less frequently cited as their main source of income, this likely arises because increased income from other sources, especially OAA payments, has simply displaced children with regards to the largest source. Non-monetary material support and visits and phone calls remain common. In numerous respects parents and adult children adapted to social and economic changes in ways that maintain family relationships and support exchanges. Nevertheless, in the future, older Thais will have fewer and increasingly geographically dispersed children raising important challenges, especially regarding how long-term personal care needs will be met.
Article
Life expectancy has increased over the past few decades. Thus it is necessary to study the issue of labour force participation (LFP) of older persons, given its impact on the welfare of the elderly, households, society and the economy of the nation. This study examines the socio-demographic and socio-economic factors which influence the LFP of elderly persons in one state in Malaysia, i.e., Penang. A logit model is used to analyse the determinants of elderly persons' LFP. The findings in this study indicate that gender, high monthly expenses, previous employment status of the individual and spouse's labour force participation status have a significant positive relationship with LFP. The human capital variables, i.e. education and health, are also positively related to LFP but are statistically insignificant. The factors which have a significant negative relationship with LFP of the elderly are age, spouse's income, financial security and low monthly expenses.