RT Journal Article
SR Electronic
T1 The Impact of Violence on Labour Force Participation and Income in Canada: A Cross-sectional Study with Linked Survey and Tax Data
JF medRxiv
FD Cold Spring Harbor Laboratory Press
SP 2025.12.12.25342170
DO 10.64898/2025.12.12.25342170
A1 Dusing, Gabriel John
A1 Essue, Beverley M.
A1 Mishra, Sujata
A1 Metheny, Nicholas
A1 Milinkovic, Candace
A1 Knaul, Felicia M.
A1 Duvvury, Nata
YR 2026
UL http://medrxiv.org/content/early/2026/01/19/2025.12.12.25342170.abstract
AB Background Violence across the life course is a persistent global problem with well-documented health and social consequences. Less is known about its relationship with labour market outcomes in high-income countries with strong social protections, such as Canada. This study examines whether lifetime exposure to physical or sexual violence is associated with labour force participation (LFP), reasons for economic inactivity, sectoral and occupational sorting, and income.Methods We analyzed data from the 2018 Canadian Survey on Safety in Public and Private Spaces (SSPPS), a nationally representative cross-sectional survey linked to 2018 administrative tax records. The analytic sample included working-age adults (18–64) with complete data on violence exposure and labour market outcomes. Lifetime violence exposure captured childhood abuse, adulthood non-partner violence, and intimate partner violence. Outcomes included past-year LFP, part- versus full-time work, employment sector and occupation, and annual personal income. We described labour market patterns by gender and exposure and used inverse probability weighted regression adjustment (IPWRA) to estimate average treatment effects (ATEs) on economic inactivity, using unexposed men as the reference group.Results Nearly 62 percent of respondents reported lifetime violence exposure (64.5 percent of women, 59.1 percent of men). Past-year labour force participation was high (85.9 percent overall) and showed minimal differences by exposure status: 82.0 percent of exposed women versus 80.3 percent of unexposed women, and 90.7 percent of exposed men versus 90.1 percent of unexposed men. IPWRA models indicated that, relative to unexposed men, exposed women had small but statistically significant increases in the probability of health-related inactivity (ATE: 0.009; 95%CI: 0.000-0.017) and early retirement (ATE: 0.015; 95%CI: 0.000 to 0.031), whereas ATEs for exposed men were small and non-significant across all outcomes. Sectoral and occupational distributions differed chiefly by gender; within-gender differences by exposure were limited. Income patterns were inconsistent by exposure status. For example, among women with secondary education or less, exposed women earned markedly less than unexposed women ($34,604 vs. $39,913), while differences among men were smaller and uniformly negative (exposed $74,981 vs. unexposed $75,208).Conclusions In Canada’s welfare-state context, lifetime violence exposure shows limited association with labour force participation but may influence specific pathways into inactivity and sectoral sorting. Longitudinal analyses are needed to clarify longer-term economic impacts.Competing Interest StatementThe authors have declared no competing interest.Funding StatementThis research is partially supported by the Fondation Botnar and the Institute of Gender and the Economy.Author DeclarationsI confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.YesThe details of the IRB/oversight body that provided approval or exemption for the research described are given below:Ethical approval was granted by the research ethics board of the University of Toronto.I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.YesI understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).YesI have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.YesThe datasets analysed during the current study are not publicly available. They are housed securely at the McMaster University Statistics Canada Research Data Centre (RDC) and are protected by federal law (the Statistics Act). Access is strictly limited to authorized researchers named on the project contract who have undergone the requisite security vetting.