Long-term health conditions and UK labour market outcomes during the COVID-19 pandemic

PLoS One. 2024 May 10;19(5):e0302746. doi: 10.1371/journal.pone.0302746. eCollection 2024.

Abstract

Background: Long-term health conditions can affect labour market outcomes. COVID-19 may have increased labour market inequalities, e.g. due to restricted opportunities for clinically vulnerable people. Evaluating COVID-19's impact could help target support.

Aim: To quantify the effect of several long-term conditions on UK labour market outcomes during the COVID-19 pandemic and compare them to pre-pandemic outcomes.

Methods: The Understanding Society COVID-19 survey collected responses from around 20,000 UK residents in nine waves from April 2020-September 2021. Participants employed in January/February 2020 with a variety of long-term conditions were matched with people without the condition but with similar baseline characteristics. Models estimated probability of employment, hours worked and earnings. We compared these results with results from a two-year pre-pandemic period. We also modelled probability of furlough and home-working frequency during COVID-19.

Results: Most conditions (asthma, arthritis, emotional/nervous/psychiatric problems, vascular/pulmonary/liver conditions, epilepsy) were associated with reduced employment probability and/or hours worked during COVID-19, but not pre-pandemic. Furlough was more likely for people with pulmonary conditions. People with arthritis and cancer were slower to return to in-person working. Few effects were seen for earnings.

Conclusion: COVID-19 had a disproportionate impact on people with long-term conditions' labour market outcomes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • COVID-19* / economics
  • COVID-19* / epidemiology
  • Employment* / statistics & numerical data
  • Female
  • Humans
  • Income / statistics & numerical data
  • Male
  • Middle Aged
  • Pandemics / economics
  • SARS-CoV-2 / isolation & purification
  • Surveys and Questionnaires
  • United Kingdom / epidemiology
  • Young Adult

Grants and funding

EW, PC, CH, SK, TM, RW and AM were supported by the Nuffield Foundation’s Oliver Bird Fund (OBF/44005). PC and SK are funded, in part, through the National Institute for Health and Care Research (NIHR) Leeds Biomedical Research Centre (BRC) (NIHR203331). The views expressed are those of the authors and not necessarily those of the Nuffield Foundation, NHS, NIHR or the Department of Health and Social Care. This paper presents independent research. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.