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Demography

, Volume 55, Issue 2, pp 587–615 | Cite as

Maternity Leave and Mothers’ Long-Term Sickness Absence: Evidence From West Germany

  • Nicole Guertzgen
  • Karsten Hank
Article

Abstract

Exploiting unique German administrative data, we estimate the association between an expansion in maternity leave duration from two to six months in 1979 and mothers’ postbirth long-term sickness absence over a period of three decades after childbirth. Adopting a difference-in-difference approach, we first assess the reform’s labor market effects and, subsequently, prebirth and postbirth maternal long-term sickness absence, accounting for the potential role of the reform in mothers’ selection into employment. Consistent with previous research, our estimates show that the leave extension caused mothers to significantly delay their return to work within the first year after childbirth. We then provide difference-in-difference estimates for the number and length of spells of long-term sickness absence among returned mothers. Our findings suggest that among those returned, mothers subject to the leave extension exhibit a higher incidence of long-term sickness absence compared with mothers who gave birth before the reform. This also holds true after we control for observable differences in prebirth illness histories. At the same time, we find no pronounced effects on mothers’ medium-run labor market attachment following the short-run delay in return to work, which might rationalize a negative causal health effect. Breaking down the results by mothers’ prebirth health status suggests that the higher incidence of long-term sickness absence among mothers subject to the reform may be explained by the fact that the reform facilitated the reentry of a negative health selection into the labor market.

Keywords

Maternity leave policies Health Administrative data 

Notes

Acknowledgments

We would like to thank Hendrik Jürges, Martin Salm, the anonymous referees, and the editor of this journal for their helpful comments and suggestions.

Supplementary material

13524_2018_654_MOESM1_ESM.pdf (455 kb)
ESM 1 (PDF 455 kb)

References

  1. Aitken, Z., Garrett, C. C., Hewitt, B., Keogh, L., Hocking, J. S., & Kavanagh, A. M. (2015). The maternal health outcomes of paid maternity leave: A systematic review. Social Science & Medicine, 130, 32–41.CrossRefGoogle Scholar
  2. Allen, T. D., Herst, D. E. L., Bruck, C. S., & Sutton, M. (2000). Consequences associated with work-to-family conflict: A review and agenda for future research. Journal of Occupational Health Psychology, 5, 278–308.CrossRefGoogle Scholar
  3. Avendano, M., Berkman, L. F., Brugiavini, A., & Pasini, G. (2015). The long-run effect of maternity leave benefits on mental health: Evidence from European countries. Social Science & Medicine, 132, 45–53.CrossRefGoogle Scholar
  4. Baker, M., & Milligan, K. (2008a). Maternal employment, breastfeeding, and health: Evidence from maternity leave mandates. Journal of Health Economics, 27, 871–887.CrossRefGoogle Scholar
  5. Baker, M., & Milligan, K. (2008b). How does job-protected maternity leave affect mothers’ employment? Journal of Labor Economics, 26, 655–691.CrossRefGoogle Scholar
  6. Baker, M., & Milligan, K. (2010). Evidence from maternity leave expansions of the impact of maternal care on early child development. Journal of Human Resources, 45, 1–32.CrossRefGoogle Scholar
  7. Beuchert, L. V., Humlum, M. K., & Vejlin, R. (2016). The length of maternity leave and family health. Labour Economics, 43, 55–71.CrossRefGoogle Scholar
  8. Buckles, K. S., & Hungerman, D. M. (2013). Season of birth and later outcomes: Old questions, new answers. Review of Economics and Statistics, 95, 711–724.CrossRefGoogle Scholar
  9. Buligescu, B., de Crombrugghe, D., Mentesoglu, G., & Montizaan, R. (2009). Panel estimates of the wage penalty for maternal leave. Oxford Economic Papers, 61, I35–I55.CrossRefGoogle Scholar
  10. Chatterji, P., & Markowitz, S. (2005). Does the length of maternity leave affect maternal health? Southern Economic Journal, 72, 16–41.CrossRefGoogle Scholar
  11. Chatterji, P., & Markowitz, S. (2012). Family leave after childbirth and the mental health of new mothers. Journal of Mental Health Policy and Economics, 15, 61–76.Google Scholar
  12. Chatterji, P., Markowitz, S., & Brooks-Gunn, J. (2013). Effects of early maternal employment on maternal health and well-being. Journal of Population Economics, 26, 285–301.CrossRefGoogle Scholar
  13. Dagher, R. K., McGovern, P. M., & Dowd, B. E. (2014). Maternity leave duration and postpartum mental and physical health: Implications for leave policies. Journal of Health Politics, Policy and Law, 39, 369–416.CrossRefGoogle Scholar
  14. Dustmann, C., & Schönberg, U. (2012). Expansions in maternity leave coverage and children’s long-term outcomes. American Economic Journal: Applied Economics, 4(3), 190–224.Google Scholar
  15. Eckl, C. (2015, May 20). So streichen Kassen Langzeitkranken das Krankengeld [How the health insurance cuts the benefits of the long-term sick]. Die Welt. Retrieved from http://www.welt.de/141187095
  16. Frech, A., & Damaske, S. (2012). The relationships between mothers’ work pathways and physical and mental health. Journal of Health and Social Behavior, 53, 396–412.CrossRefGoogle Scholar
  17. Grzywacz, J. G., & Bass, B. L. (2003). Work, family, and mental health: Testing different models of work-family fit. Journal of Marriage and Family, 65, 248–261.CrossRefGoogle Scholar
  18. Haas, S. A. (2008). Trajectories of functional health: The “long arm” of childhood health and socioeconomic factors. Social Science & Medicine, 66, 849–861.CrossRefGoogle Scholar
  19. Hammig, O., Knecht, M., Läubli, T., & Bauer, G. F. (2011). Work-life conflict and musculoskeletal disorders: A cross-sectional study of an unexplored association. BMC Musculoskeletal Disorders, 12, 60.  https://doi.org/10.1186/1471-2474-12-60 CrossRefGoogle Scholar
  20. Hochfellner, D., Müller, D., & Wurdack, A. (2012). Biographical data of social insurance agencies in Germany—Improving the content of administrative data. Schmollers Jahrbuch, 132, 443–451.CrossRefGoogle Scholar
  21. Hoem, J. M. (1993). Public policy as the fuel of fertility: Effects of a policy reform on the pace of childbearing in Sweden in the 1980s. Acta Sociologica, 36, 19–31.CrossRefGoogle Scholar
  22. Hyde, J. S., Klein, M. H., Essex, M. J., & Clark, R. (1995). Maternity leave and women’s mental health. Psychology of Women Quarterly, 19, 257–285.CrossRefGoogle Scholar
  23. Johansson, P., & Palme, M. (2002). Assessing the effect of public policy on worker absenteeism. Journal of Human Resources, 37, 381–409.CrossRefGoogle Scholar
  24. Kreyenfeld, M. R., & Mika, T. (2008). Erwerbstätigkeit und Fertilität: Analysen mit der Versicherungskontenstichprobe der deutschen Rentenversicherung [Employment and fertility: Analyses using German Pension Insurance data]. In German Pension Insurance Federation (Ed.), Die Versicherungskontenstichprobe als Scientific Use File: Workshop des Forschungsdatenzentrums der Rentenversicherung (FDZ-RV) am 30. und 31. Oktober 2007 in Würzburg (pp. 71–95). Berlin, Germany: Deutsche Rentenversicherung Bund.Google Scholar
  25. Labbok, M. H. (1999). Health sequelae of breastfeeding for the mother. Clinics in Perinatology, 26, 491–503.Google Scholar
  26. Lalive, R., & Zweimüller, J. (2009). How does parental leave affect fertility and return to work? Evidence from two natural experiments. Quarterly Journal of Economics, 124, 1363–1402.CrossRefGoogle Scholar
  27. Lawrence, R. A. (2000). Breastfeeding: Benefits, risks and alternatives. Current Opinion in Obstetrics & Gynecology, 12, 519–524.CrossRefGoogle Scholar
  28. Liu, Q., & Skans, O. N. (2010). The duration of paid parental leave and children’s scholastic performance. B.E. Journal of Economic Analysis & Policy, 10, 1–33.  https://doi.org/10.2202/1935-1682.2329 CrossRefGoogle Scholar
  29. Marmot, M., Feeney, A., Shipley, M., North, F., & Syme, S. L. (1995). Sickness absence as a measure of health status and functioning: From the Whitehall II study. Journal of Epidemiology and Community Health, 49, 124–130.CrossRefGoogle Scholar
  30. Ondrich, J., Spiess, C. K., Yang, Q., & Wagner, G. G. (2003). The liberalization of maternity leave policy and the return to work after childbirth in Germany. Review of Economics of the Household, 1, 77–110.CrossRefGoogle Scholar
  31. Puhani, P. A., & Sonderhof, K. (2011). The effects of parental leave extension on training for young women. Journal of Population Economics, 24, 731–760.CrossRefGoogle Scholar
  32. Rasmussen, A. W. (2010). Increasing the length of parents’ birth-related leave: The effect on children’s long-term educational outcomes. Labour Economics, 17, 91–100.CrossRefGoogle Scholar
  33. Roe, B., Whittington, L. A., Fein, S. B., & Teisl, M. F. (1999). Is there competition between breast-feeding and maternal employment? Demography, 36, 157–171.CrossRefGoogle Scholar
  34. Ross, C. E., & Mirowsky, J. (1996). Economic and interpersonal work rewards: Subjective utilities of men’s and women’s compensation. Social Forces, 75, 223–246.CrossRefGoogle Scholar
  35. Rossin, M. (2011). The effects of maternity leave on children’s birth and infant health outcomes in the United States. Journal of Health Economics, 30, 221–239.CrossRefGoogle Scholar
  36. Schnittker, J. (2007). Working more and feeling better: Women’s health, employment, and family life, 1974–2004. American Sociological Review, 72, 221–238.CrossRefGoogle Scholar
  37. Schönberg, U., & Ludsteck, J. (2014). Expansions in maternity leave coverage and mothers’ labor market outcomes after childbirth. Journal of Labor Economics, 32, 469–505.CrossRefGoogle Scholar
  38. Schott, W. (2012). Going back part-time: Family leave legislation and women’s return to work. Population Research and Policy Review, 31, 1–30.CrossRefGoogle Scholar
  39. Staehelin, K., Bertea, P. C., & Stutz, E. Z. (2007). Length of maternity leave and health of mother and child – A review. International Journal of Public Health, 52, 202–209.CrossRefGoogle Scholar
  40. Strandh, M., Winefield, A., Nilsson, K., & Hammarström, A. (2014). Unemployment and mental health scarring during the life course. European Journal of Public Health, 24, 440–445.CrossRefGoogle Scholar
  41. SVR Gesundheit. (2015). Krankengeld - Entwicklung, Ursachen und Steuerungsmöglichkeiten [Sickness benefits – Developments, causes, and opportunities to intervene]. Bonn/Berlin, Germany: Sachverständigenrat Gesundheit.Google Scholar
  42. Tanaka, S. (2005). Parental leave and child health across OECD countries. Economic Journal, 115, F7–F28.CrossRefGoogle Scholar
  43. Tucker, J. N., Grzywacz, J. G., Leng, I., Clinch, C. R., & Arcury, T. A. (2010). Return to work, economic hardship, and women’s postpartum health. Women & Health, 50, 618–638.CrossRefGoogle Scholar
  44. Whitehouse, G., Romaniuk, H., Lucas, N., & Nicholson, J. (2013). Leave duration after childbirth: Impacts on maternal mental health, parenting, and couple relationships on Australian two-parent families. Journal of Family Issues, 34, 1356–1378.CrossRefGoogle Scholar
  45. Ziebarth, N. R. (2013). Long-term absenteeism and moral hazard - Evidence from a natural experiment. Labour Economics, 24, 277–292.CrossRefGoogle Scholar

Copyright information

© Population Association of America 2018

Authors and Affiliations

  1. 1.Department Labor Market Processes and InstitutionsInstitute for Employment ResearchNurembergGermany
  2. 2.University of RegensburgRegensburgGermany
  3. 3.Centre for European Economic ResearchMannheimGermany
  4. 4.Institute of Sociology & Social PsychologyUniversity of CologneCologneGermany

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