許多研究指出健康狀態對社經地位的正面影響，特別是胎兒和童年時期的健康如何影響未來的勞動表現。然而，文獻上卻鮮有關注於青少年健康的研究。青少年時期是承接孩童與成人的重要時期，屬於一個面臨劇變、快速發展的環境，生理上的改變以及心靈上的成熟，都是為了成年時期做準備，人們於此時遭遇的事件皆可能對未來有深遠的影響。因此本研究欲探討成人前的最後一個階段－青少年時期的健康狀態對未來成年早期勞動表現的影響，提供相關證據補充文獻上不足之處。 由於臺灣的全民健保制度具有強制性，本研究利用「全民健保資料庫」具有全國龐大的樣本和豐富的疾病資訊之優勢，以及青少年時期就醫紀錄早於成年就業之前，避免因工作表現與健康狀況有互為因果的內生性問題，並運用家庭固定效果控制來自同樣家庭背景的因素，消除因父母社經地位或生活環境所導致的差異，探討手足之間健康差異對成年勞動表現的影響。本研究的實證結果指出，青少年時期較差的健康狀態，對成年後勞動表現有負向的影響，多數的負面健康衝擊皆對勞動所得產生負面影響，其中精神疾病的影響最為強烈並且具有一致性，於男性、女性和雙胞胎中皆呈現顯著的負向影響。 ;Many research has revealed the positive effects of health on socio-economic status, especially how the health of the fetus and childhood affect the adult labor market outcomes. However, there is little evidence about the impact of health at adolescents in the literature. Adolescenthood is an important period for the drastic changes and rapid development on the body. Physical development and mental maturity are all prepared for adulthood. The event that people encounter at this time may have a far reaching impact on adulthood outcome. Therefore this paper wants to investigate the effect of the last stage before adult－adolescent health status on labor performance in the early adulthood and provide some evidence to enrich the content in the literature. We contribute to the literature by using“National Health Insurance Research Database” which covers entire national population and have a rich of diagnostic record. Then, we use the medical record of adolescent before entering labor market in adulthood to avoiding simultaneous endogenous problems due to work injuries. Also, we use family fixed effect to control common factor from the same family background and explore the adverse of health shocks between brothers, sisters, and twins. Our result indicates that poor health condition in adolescent has a negative influence on adult performance, and the biggest negative impact on adult income is from mental disease. The results are significant and consistent in brothers subsample, sisters sample, and twins.
