Robotic Technology
Robotic Technology
Working Paper
Does the Rise of Robotic Technology Make People
Healthier?
Suggested Citation: Gunadi, Christian; Ryu, Hanbyul (2020) : Does the Rise of Robotic
Technology Make People Healthier?, GLO Discussion Paper, No. 600, Global Labor
Organization (GLO), Essen
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Does the Rise of Robotic Technology Make People
Healthier?
July 9, 2020
Abstract
Technological advancements bring changes to our life, altering our behaviors
as well as our role in the economy. In this paper, we examine the potential effect
of the rise of robotic technology on health. The results of the analysis suggest
that higher penetration of industrial robots in the local labor market is posi-
tively related to the health of the low-skilled population. A ten percent increase
in robots per 1,000 workers is associated with an approximately 10% reduction
in the fraction of low-skilled individuals reporting poor health. Further analysis
suggests that reallocation of tasks and reduction in unhealthy behavior partly
explain this finding.
∗
[email protected]. Department of Economics, UC Riverside, CA 92521, USA
†
[email protected]. Department of New Southern Policy, Korea Institute for International Eco-
nomic Policy, Sejong-si 30147, South Korea
1
1 Introduction
The use of industrial robots has been rising rapidly in the United States. Between
2005 and 2017, the number of robots per 1,000 workers increased by about 70% (Fig-
ure 1). At the same time, there are questions about how the rapid implementation of
robots affects society. Most of the recent studies have been focused on the labor mar-
ket effects of robot adoption in the local economy (Acemoglu and Restrepo, 2020a;
Graetz and Michaels, 2018; Acemoglu and Restrepo, 2020b; Giuntella and Wang,
2019). These studies generally found that the rise of robotic technology harms the
labor market prospect of low-skilled workers. Relatively few studies, however, ex-
amine how exposure to robots affect the other aspects of society. An exception is a
work by Anelli et al. (2019), which found that a more intense robot penetration in
the local labor market led to a decline in new marriages and an increase in both
divorce and cohabitation, partly by rising economic uncertainty and lowering the
In this paper, we examine the potential effect of higher robot exposure on the
in a local labor market improves the health of low-skilled individuals in the local-
ity through two channels. First, robots mainly replace the physically demanding
tasks usually done by low-skilled workers, nudging these workers toward occupa-
tions with lower intensity of physical tasks, improving their health. Second, the
such as smoking. Indeed, the literature has documented evidence that mortality
rate is pro-cyclical (Ruhm, 2000; Neumayer, 2004; Gerdtham and Ruhm, 2006),
2
partly because of reductions in job-related stress and individuals adopting healthier
lifestyle during economic downturns (Ruhm and Black, 2002; Ruhm, 2005).
We begin our analysis by examining the relationship between the rise of robotic
technology and health. We found evidence that higher exposure to robots is pos-
itively related to the health of the low-skilled population. A ten percent increase
in robots per 1,000 workers is associated with 0.5, 1.3, and 0.6 percentage points
decline in the fraction of low-skilled population reporting poor health, work disabil-
ity, and ever quit a job because of health reasons. Evaluated at the mean, these
Examining the mechanisms behind these findings, we found evidence of the real-
location of tasks. A ten percent increase in robots per 1,000 workers is associated
employment in risky jobs. The results of the analysis suggest that a ten percent
declines in the fraction of low-skilled workers employed in high fatality rate occu-
pations and high injury rate industries, respectively. We fail to find evidence that
exposure is associated with a lower number of cigarettes per day consumed by ev-
eryday smokers. This finding suggests that the effect of robot exposure on health
3
This paper is related to a growing literature examining the impacts of the indus-
trial robot. Most of these studies have been focused on the labor market effects of
robot exposure. Examining the impacts of robots across U.S. commuting zones, Ace-
moglu and Restrepo (2020a) found strong negative effects of robots on employment
and wages, especially among low skilled workers. Graetz and Michaels (2018) found
that increased robot use is associated with higher labor productivity. However, they
also found evidence that low-skilled workers lose out from the adoption of industrial
robots.2 Analyzing the effect of robots across cities in China, Giuntella and Wang
(2019) found a large negative impact of robot exposure on employment and wages
of Chinese workers, especially those who are low-skilled. Relatively few studies,
however, examine how robots affect the other socio-economic outcomes. An excep-
tion is the work by Anelli et al. (2019), which found that higher adoption of robots
in the local labor market affects the family formation, decreasing new marriages
examining the potential role of robotic technology in improving the health of the
This paper is also related to studies that examine the relationship between eco-
nomic conditions and health. The seminal work by Ruhm (2000) found that mortal-
ity rate in the United States is procyclical.3 Subsequent studies have found that this
and Ruhm, 2006; Lin, 2009). The reason why this is the case, however, is still
inconclusive. Ruhm and Black (2002) and Ruhm (2005) argue that reduction in
2
This is unlike the effect of Information and Communication Technology (ICT), which mainly
adversely affecting workers in the middle of skill distribution (Autor et al., 2003; Goos et al., 2014;
Michaels et al., 2014).
3
It is worth noting that a follow-up study by Ruhm (2015) suggests that mortality has shifted
from strongly procyclical to weakly related to economic conditions in recent years.
4
unhealthy behaviors, such as drinking and smoking, partly explain why mortality
decrease during economic downturns. A more recent study by Stevens et al. (2015)
argues that lower quality of health care during economic expansion may explain the
in health status among the low-skilled population and by offering potential mecha-
The rest of the article is constructed as follows. The next section describes the
data used in the main analysis. Section 3 describes the empirical methodology.
Section 4 documents the main finding. Section 5 explores the potential mechanisms
2 Data
We obtain the statistics on the operational stock of robots from the International
Federation of Robotics (IFR). The statistics come primarily from the information
provided by nearly all industrial robot suppliers to the IFR Statistical Department.
The IFR data has information on the operational stock of “industrial robots” in
which can be either fixed in place or mobile for use in industrial automation appli-
cations.”
5
There are a few limitations of using IFR data. First, the statistics on the oper-
ational stock of robots are only available at the national level across the years. To
obtain a measure of robot exposure at the local level, similar to recent studies (Ace-
moglu and Restrepo, 2020a; Graetz and Michaels, 2018; Giuntella and Wang, 2019),
we use the variation in the initial distribution of industrial employment in U.S. lo-
calities and the difference in robot use across industries over time. The intuition is
that cities that are historically more dependent on robot-intensive industries will
have a higher number of robots per worker compared to other areas. Second, the
IFR industrial classification is coarse, and it is only available since 2004, limiting
our analysis period to 2004 onwards.4 Additionally, not all robots are classified into
one of IFR industry classification. For those that are unclassified, we allocate it to
Using the information available from the IFR data, we constructed the robot
J
X Rjt
Robotsmt = πmj,1960 × (1)
j=1
Lj,1960
the share of industry in 1960 to focus on the city’s specialization in industries that
predates the rise of robots in the early 1990s. Rjt is the total stock of robot employed
in 1960. It follows that the robot exposure measure, Robotsmt , predicts that cities
4
We use the broad IFR industry classification in creating the robot exposure measure:
food/beverages and tobacco products, textiles, wood products, paper products, plastic and chemical
products, glass/ceramics and other mineral products, metal, electronics, automotive, other transport
equipment, other manufacturing branches, agriculture, mining, utilities, construction, education,
and all other non-manufacturing branches.
6
that are more dependent on robot-intensive industries in 1960, partly because these
On average, there are 3.32 robots per 1,000 workers across the cities in our sam-
ple (Table 1). Many of the cities with the highest predicted robot exposure are lo-
cated in the Midwest (Appendix Table 1). This is unsurprising since the automotive
industry, which is the top robot-intensive industry (Appendix Table 2), is mainly
The measures of health used in our analysis are obtained from the Current Popula-
tion Survey (CPS) available on IPUMS (Flood et al., 2020). Administered monthly
to over 65,000 households in the United States, CPS provides information on edu-
cation, labor force status, and other aspects of the U.S. population. Over time, the
CPS has added supplemental information on special topics such as health status
and tobacco use in some months. The health status information, in particular, is
available starting from 1996 in March CPS (CPS-ASEC). Throughout the analysis,
we focus on the sample of individuals between the ages of 25 and 60 to avoid poten-
tial bias associated with changes in perceived/actual health after retirement (Coe
scale (Excellent, Very Good, Good, Fair, or Poor). Specifically, the question is worded
as follows: ”Would you say your health in general is excellent, very good, good, fair,
or poor?” We use this information to construct our main outcome: the share of the
7
population in a city reporting poor health. In addition to health status, the March
CPS also asks additional questions with regards to work disability and whether an
individual ever quit a job because of health reasons. We use this information to
construct additional health outcomes in the analysis. In an average city, the frac-
tion of low-skilled population with no high school diploma reporting poor health is
higher than their high-skilled counterparts: five percent of the low-skilled popula-
tion reports that they are in poor health, while only 2 percent of the high-skilled
population with at least a high school diploma reports that they are in poor health
(Table 1).5 Similar patterns between low- and high-skilled populations are observed
for the fraction of population reporting work disability or ever quit a job because of
health reasons.
3 Empirical Methodology
To examine the effect of robot exposure on health, we estimate the following empir-
ical specifications:
where yct is the outcome for Metropolitan Statistical Area (MSA) c at time t. As
mentioned in the previous section, we consider three health outcomes: the share of
population reporting poor health, the share of population reporting work disability,
and the share of population reporting ever quit a job because of health reasons. Our
8
an increase of one in the natural log of robots per 1,000 workers. We lagged the
effects since it should take some time for individuals to adjust to an increase in robot
exposure. Xct is a vector of city-level control variables which include the population
share of blacks, the population share of females, and the unemployment rate. δc
and δt are MSA and year fixed effects, respectively. All regressions are weighted by
the MSA population in 2000. Unless otherwise specified, our period of the analysis
is 2006 to 2017. This is because the earliest robot by industry data is only available
starting from 2004, and the latest IFR data that we can obtain is 2017. We include
all MSA in IPUMS 5% 1960 Census that can be consistently identified in March
Since we use predicted rather than actual robot exposure, there are fewer con-
cerns that local unobserved factors will bias our estimates. However, to further
address the endogeneity concerns, we use the variation in the robot use across in-
strepo (2020a) and Giuntella and Wang (2019). The main idea is that factors that
contribute to the rise of robots in these other economies are unlikely to be corre-
lated with unobserved factors affecting health in U.S. localities. Specifically, the
J EU
X Rjt
Robotsmt = πmj,1960 × (3)
j=1
Lj,1960
where the definition of the variables is the same as before except for Rjt
EU
, which is
now defined as the total operational stock of industrial robots in European coun-
tries.6
6
We use the sum of operational stock of robot in the United Kingdom, Finland, Denmark, France,
Norway, Spain, and Sweden to construct the instrument.
9
To be valid, this instrument must fulfill two conditions. First, the instrument
must be strongly correlated with the endogenous variable. The first-stage anal-
ysis results suggest that this is indeed the case (Appendix Table 3). The robust
F-statistics are around 27, well above the Staiger and Stock (1994) rule of thumb of
10. The interpretation of the estimate is that a one percent increase in predicted
robot exposure constructed using the variation in the robot use across industries
in the European countries is associated with a roughly 0.5% rise in the predicted
robot exposure in the U.S. cities. Second, the instrument must not be correlated
with unobserved local factors affecting the health of individuals in U.S. localities.
4 Results
Before reporting the results from our main empirical specifications, we present the
visual evidence on the relationship between robot exposure and health in Figures 2
and 3. We separate the analysis by two skill groups: low-skilled is defined as indi-
viduals with no high school diploma, while high-skilled is defined as those with at
least a high school diploma. This is based on our hypothesis that the rise of robotic
technology mainly substitutes for physically demanding tasks that were usually
done by the low-skilled workers, nudging these workers towards occupations that
are less physically demanding. Therefore, we should see that the effect of robots on
10
hypothesis, we see that cities that had a high growth of robots per 1,000 workers
between 2005 and 2017 experienced a decline in the share of low-skilled population
reporting poor health (Figure 2a). The slope of the fitted line implies that a one per-
cent increase in robot exposure is associated with a 1.13% decline in the fraction of
we also see there is a negative relationship between the growth of robots per 1,000
workers with other measures of health outcome such as the share of low-skilled
population reporting work disability or ever quit a job because of health reasons
On the other hand, there is not much evidence that the health outcomes for high-
skilled individuals are affected by the rise of robotic technology (Figure 3). The
slope of the fitted line suggests that there is a positive relationship between the
growth of robot exposure and the fraction of the high-skilled population reporting
poor health, but this estimate is small in magnitude and not statistically significant
(Figure 2a). Qualitatively similar findings are found for the share of high-skilled
population reporting work disability and ever quit a job because of health reasons
We report the results from our main empirical specifications in Table 2. Similar
to visual evidence, the effects of robot exposure are mainly concentrated on the low-
skilled population. A ten percent increase in robots per 1,000 workers is associated
with about 0.3 percentage point decrease in the share of low-skilled population re-
porting poor health (Column 2 of Panel A). The results from the IV model suggest
the sample mean, this estimate corresponds to about a 10% decline. Qualitatively
11
similar findings are found for the other health outcomes: a one percent increase in
robot exposure is associated with approximately 1.3 and 0.6 percentage points de-
cline in the share of low-skilled population reporting work disability and ever quit
magnitude and not statistically different from zero. At a 90% significance level,
evaluated at the sample mean, for a 10% increase in robots per 1,000 workers, we
can rule out an effect size larger than a 4% decline in the fraction of high-skilled
population reporting poor health. The results from the IV model suggest a larger
In sum, the results of the analysis in this section document evidence of a negative
relationship between the rise of robotic technology and the fraction of low-skilled
population reporting poor health. However, the mechanism driving this finding is
still unclear. The next sections are devoted to checking the robustness of this finding
In the main empirical specifications, we choose to measure the two-year lagged ef-
fects of robot exposure, mainly because it should take some time for individuals to
adjust in response to the rise of robotic technology in their locality. However, this
choice may seem arbitrary. Therefore, we check the robustness of our findings when
one- or three-year lagged robot exposures are used in the analysis (Appendix Table
4). Although some of the estimates become imprecisely estimated, the results of this
12
exercise are largely in line with the findings from the main empirical specifications.
Another concern is that our findings may be driven by an outlier city with high
city in the sample one by one and re-estimating the effect. The results of this exer-
cise are reported in Figure 4. For the fraction of the low-skilled population reporting
poor health, the range of the estimates is quite narrow. Most of the estimates lie
between -0.030 and -0.038 (Figure 4a). In Figure 4b, we also report the uncertainty
around the estimates. There is no evidence that the main findings are driven by a
specific city. Similar findings are also found for other health outcome measures.
the rise of robotic technology in the 1990s can be thought of as a ‘policy’ shock, and
the industry shares serve as a proxy for the exposure to the shock. Cities that rely
robotic technology will be more exposed to the shock. In this case, the assumption
for the estimates to be valid is that cities that were experiencing high growth of
robot per 1,000 workers in 2005-2017 period would have a similar change in the
fraction of low-skilled population reporting poor health as cities with low growth of
robot exposure in the absence of the rise of robotic technology in the 1990s. It is not
possible to test for this assumption directly, but we can provide supporting evidence
that this assumption is met by checking the pre-1990 trends. In Figure 5, we graph
the relationship between the 2005-2017 growth of robots per 1,000 workers and the
13
1980-1990 growth of low-skilled population reporting work disability. The slope of
the fitted lines suggests that the pre-1990 trend of work disability rate between
cities that had a high growth of robot exposure in the 2005-2017 period and those
with low growth is similar. Unfortunately, information on poor health status and on
whether an individual ever quit a job for health reasons in 1980 and 1990 IPUMS
5% Census is not available, limiting the analysis only on the work disability rate.
Nonetheless, the finding in Figure 4 further supports the validity of the estimates
5 Potential Mechanisms
ship between robot exposure and the share of low-skilled population reporting poor
health outcomes. However, it is unclear how the rise of robotic technology may
affect health. We hypothesize that robots mainly substitutes for the physically de-
manding tasks usually done by low-skilled workers, nudging these workers towards
occupation with less physical tasks. In this subsection, we examine whether there
a given occupation from the U.S. Department of Labor O*NET dataset. O*NET
tion. Within physical ability group, O*NET measures the importance of the fol-
14
lowing abilities in a standardized scale ranging from 0 (min) to 100 (max): dynamic
flexibility, dynamic strength, explosive strength, extent flexibility, gross body co-
ordination, gross body equilibrium, stamina, static strength, and trunk strength.7
physical abilities score to 315 out of 341 occupations listed in IPUMS OCC1990. We
then took an average of the O*NET physical abilities rating, classifying occupations
physically demanding occupations. There is evidence that the rise of robotic technol-
demanding jobs: a ten percent increase in robots per 1,000 workers is associated
with about 0.7 percentage points decrease in the fraction of low-skilled workers em-
estimate corresponds to a 1.2% decline. Although some of the estimates are impre-
cisely estimated, the results from the IV model suggest a larger magnitude of 2%
reduction.
Another way to examine the reallocation of tasks in response to the rise in robotic
the number of fatalities associated with each occupation from 2000 Census of Fatal
15
consistent occupation codes. Then, we divide the number of fatalities with the
number of workers employed in each occupation obtained from 2000 CPS ASEC
individuals working in occupations with a fatality rate above the median as being
employed in high fatality risk jobs. It should be noted that this is not the only way
obtained the injury rate associated with each industry from 2000 Survey of Occu-
pational Injuries and Illnesses (SOII) and crosswalked it at the two-digit level to
working in industries with injury rate above the median as being employed in a
The results of this exercise are reported in Table 4. Focusing on the IV esti-
mates, there is evidence that the rise in robotic technology is negatively related
with the share of low-skilled workers employed in risky jobs: a ten percent increase
in robots per 1,000 workers is associated with approximately 0.3 and 0.2 percentage
points decrease in the fraction of low-skilled workers employed in high fatality rate
occupations and high injury rate, respectively. The magnitude of the effects is eco-
16
5.2 Changes in Unhealthy Behavior
Reallocation of tasks is not the sole mechanism through which the rise of robotic
technology may affect health. Recent studies have documented evidence that mor-
tality rate is pro-cyclical (Ruhm, 2000; Neumayer, 2004; Gerdtham and Ruhm,
evidence that a change in smoking behavior is one mechanism through which robot
For this analysis, we obtain the CPS supplement on tobacco use from IPUMS.
CPS tobacco use survey is not conducted every year; between 2004 and 2017, we
have data for 2006, 2007, 2010, 2011, 2014, and 2015. In some survey years, CPS
collected tobacco use information twice. In this case, we use both surveys and divide
the survey weights by two to make the sample representative of the U.S. popula-
tion. Similar to Ruhm (2005), we define current smokers as individuals who stated
that they have smoked 100 or more cigarettes in their lifetime and who currently
report smoking some days or every day. To construct additional measures of smok-
smoker, and the average number of cigarettes currently smoked daily if the indi-
population, whose labor market prospects are adversely affected by robot exposure
(Acemoglu and Restrepo, 2020a; Graetz and Michaels, 2018; Giuntella and Wang,
2019) and whom the health outcomes are found to be improved by the rise of robotic
10
Ruhm (2005) argues that reduction in job-related stress and increases in non-market leisure
time incentivize individuals to adopt healthier lifestyle during recessions.
17
technology (Table 2).
The results of this exercise are reported in Table 5. We found no evidence that
the rise in robotic technology has a statistically significant effect on the fraction
the IV estimates suggest that a ten percent increase in robots per 1,000 workers is
associated with one fewer cigarettes per day among everyday smokers. Evaluated at
the sample mean, these estimates correspond to about a 10% reduction in cigarettes
per day among everyday smokers. These findings suggest that the effect of robot
6 Conclusion
The use of industrial robots has increased substantially in the United States. As
such, there are interests in understanding more of how the rise of robotic technology
will affect our behavior and our role in the economy. In this paper, we attempt to
industrial robots in a local economy will improve the health of low-skilled workers
in the locality by nudging these workers toward occupations with lower intensity of
We have reached a few main findings. First, we document evidence that higher
penetration of industrial robots in the local labor market is positively related to the
health status of low-skilled individuals. A ten percent increase in robots per 1,000
workers is associated with 0.5, 1.3, and 0.6 percentage points decline in the share
of low-skilled population reporting poor health, work disability, and ever quit a job
18
because of health reasons. Evaluated at the sample mean, these estimates corre-
that this effect is partly explained by the reallocation of tasks and a reduction in
unhealthy behaviors. A ten percent increase in robots per 1,000 workers is associ-
ated with 2, 9, and 4 percent decline in the share of low-skilled workers employed in
physically demanding occupations, occupations with high fatality rate, and indus-
tries with high injury rates respectively. We fail to find evidence that the fraction
smoker. This finding suggests that the effect of robot exposure on health that is
coming through changing smoking behavior, if there is any, is likely to be the result
19
7 Tables and Figures
Low-skilled
20
High-skilled
Fraction Reporting Poor Health 0.02 0.02 0.00 0.33
Fraction Reporting Work Disability 0.06 0.04 0.00 0.31
Fraction Reporting Ever Quit Job for Health Reasons 0.03 0.03 0.00 0.25
Notes: Estimates are based on International Federation of Robotics (IFR) data and Annual Social and
Economic Supplement (ASEC) of the Current Population Survey obtained from IPUMS.
Table 2: The Effect of Robot Exposure on the Share of Population Reporting Poor Health Outcomes
Poor Health Work Disability Ever Quit Job Because
of Health Reasons
(1) (2) (3) (4) (5) (6)
Panel A (Low-skilled)
OLS: ln (Robot Exposure t-2) -0.029* -0.032** -0.048* -0.048* -0.024* -0.023
(0.016) (0.015) (0.026) (0.026) (0.014) (0.014)
2SLS: ln (Robot Exposure t-2) -0.047* -0.056** -0.132** -0.134** -0.062* -0.059*
(0.027) (0.027) (0.065) (0.066) (0.032) (0.033)
Panel B (High-skilled)
OLS: ln (Robot Exposure t-2) 0.005 0.003 0.002 0.002 0.010 0.009
(0.007) (0.007) (0.013) (0.013) (0.009) (0.009)
21
2SLS: ln (Robot Exposure t-2) 0.025 0.022 -0.023 -0.023 -0.011 -0.012
(0.016) (0.016) (0.021) (0.021) (0.015) (0.015)
Controls:
MSA and Year Fixed Effects Yes Yes Yes Yes Yes Yes
MSA Characteristics No Yes No Yes No Yes
Observations 1584 1584 1584 1584 1584 1584
Notes: Notes: The estimates show the effect of robot exposure on the share of population reporting poor health. Low-skilled
is defined as individuals without a high school diploma. High-skilled is defined as individuals with at least a high school
diploma. Control for MSA characteristics include population share of blacks, population share of female, and unemploy-
ment rate. The instrument in Panel B is constructed based on the number of operational robots in European countries. All
regressions are weighted by MSA population in 2000. Standard errors clustered at the MSA level are reported in paren-
theses. * p < .1, ** p < .05, *** p < .01
Table 3: The Effect of Robot Exposure on
the Fraction of Low-skilled Workers Employed
in Physically Demanding Occupations
(1) (2)
OLS: ln (Robot Exposure t-2) -0.073** -0.066*
(0.035) (0.034)
Controls:
MSA and Year Fixed Effects Yes Yes
MSA Characteristics No Yes
Observations 1584 1584
22
Table 4: The Effect of Robot Exposure on the Fraction of
Low-skilled Workers Employed in Risky Jobs
High Fatality Rate High Injury Rate
Occupations Industries
(1) (2) (3) (4)
OLS: ln (Robot Exposure t-2) -0.190*** -0.178** -0.032 -0.026
(0.072) (0.073) (0.081) (0.082)
Controls:
23
Notes: The estimates show the effect of robot exposure on the share of low-skilled workers
employed in risky jobs. High fatality rate occupations are defined as occupations with fa-
tality rate above median. High injury rate industries are defined as industries with injury
rate above median. Low-skilled is defined as individuals without a high school diploma.
Control for MSA characteristics include population share of blacks, population share of
female, and unemployment rate. The instrument in Panel B is constructed based on the
number of operational robots in European countries. All regressions are weighted by MSA
population. Standard errors clustered at the MSA level are reported in parentheses. *
p < .1, ** p < .05, *** p < .01
Table 5: Exposure to Robot and Smoking Behavior Among Low-skilled Population
Fraction of Fraction of Cigs/Day
Current Smoker Everyday Smoker (Everyday Smoker)
(1) (2) (3) (4) (5) (6)
OLS: ln (Robot Exposure t-2) 0.056 0.052 0.051 0.047 0.892 0.873
(0.056) (0.056) (0.042) (0.041) (1.659) (1.614)
2SLS: ln (Robot Exposure t-2) -0.007 -0.014 0.039 0.033 -9.561* -9.581*
(0.078) (0.075) (0.078) (0.077) (5.722) (5.659)
24
Controls:
MSA and Year Fixed Effects Yes Yes Yes Yes Yes Yes
MSA Characteristics No Yes No Yes No Yes
Observations 840 840 840 840 840 840
Notes: The estimates show the effect of robot exposure on the smoking behavior among low-skilled population.
Low-skilled is defined as individuals without a high school diploma. Control for MSA characteristics include
population share of female, population share of blacks, and unemployment rate. The instrument in Panel B is
constructed based on the number of operational robots in European countries. All regressions are weighted by
MSA population in 2000. Standard errors clustered at the MSA level are reported in parentheses. * p < .1, **
p < .05, *** p < .01
Figure 1: Rise of Robots in the United States
1.8
1.6
Robots per 1,000 Workers
1.4
1.2
25
1
.8
Notes: The estimates are based on IPUMS Annual Social and Economic Supplement of the Current Population Survey (CPS ASEC) and
International Federation of Robotics (IFR) data.
Figure 2: Robot Exposure and Health Outcomes (Low-skilled)
2
Coeff=−1.126, p−value=0.009
1
1
0
0
−1
−1
Coeff=−0.393, p−value=0.174
−2
−2
.4 .6 .8 1 1.2 .4 .6 .8 1 1.2
2005−2017 Growth in Robots per 1,000 Workers 2005−2017 Growth in Robots per 1,000 Workers
Growth in the Share of Low−skilled Population Reporting Ever Quit for Health Reasons
26
2
1
0
−1
−2 Coeff=−0.357. p−value=0.326
.4 .6 .8 1 1.2
2005−2017 Growth in Robots per 1,000 Workers
2
1
1
0
0
−1
−1
−2
Coeff=0.234, p−value=0.623
Coeff=−0.119, p−value=0.652
−3
−2
.4 .6 .8 1 1.2 .4 .6 .8 1 1.2
2005−2017 Growth in Robots per 1,000 Workers 2005−2017 Growth in Robots per 1,000 Workers
Growth in the Share of High−skilled Population Reporting Ever Quit for Health Reasons
27
2
1
0
−1
−2 Coeff=0.077, p−value=0.810
.4 .6 .8 1 1.2
2005−2017 Growth in Robots per 1,000 Workers
0
60
Frequency
−.02
40
Effects
20
−.04
0
−.06
Effects
0 50 100 150
Excluded MSA ID
(a) Distribution of the Estimates (Poor
Health) (b) Leave-one-out Test (Poor Health)
0
60
−.02
Frequency
−.04
40
Effects
−.06
20
−.08
−.1
0
(c) Distribution of the Estimates (Work Dis.) (d) Leave-one-out Test (Work Dis.)
80
0
−.01
60
Frequency
−.02
Effects
40
−.03
20
−.04
−.05
0
Notes: Subfigures on the left show the distribution of the estimates from the leave-one-out
exercise. Subfigures on the right show the estimate of the effect when MSA ID in the cor-
responding x-axis is excluded from the regression. The blue line represents the coefficient
estimates, while the green dash lines represent the 90% confidence interval constructed
based on standard errors clustered at the MSA. All regressions are weighted by MSA pop-
ulation in 2000 and include controls for MSA and year fixed effects.
28
Figure 5: Robustness Check (Checking Pre-trends)
.4
.4
1980−1990 Growth in Work Disability Rate
.2
0
0
−.2
−.2
−.4
−.4
.4 .6 .8 1 1.2 1.4 0 .2 .4 .6 .8 1
29
2005−2017 Growth in Robots per 1,000 Workers (Constructed Using Robot Stock in U.S.) 2005−2017 Growth in Robots per 1,000 Workers (Constructed Using Robot Stock in European Countries)
(a) Constructed Using Robot Stock in the U.S. (b) Constructed Using Robot Stock in European Countries
Notes: Growth rates are calculated by taking first difference of natural log. The estimates for work disability rate among low-skilled workers
are calculated based on 1980 and 1990 IPUMS 5% Census data. Robot exposure measure is constructed based on IPUMS 5% 1980 Census and
2005-2017 International Federation of Robotics (IFR) data. Size of the circle represents the weight assigned to that particular observation.
Each observation is weighted by the MSA population.
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Appendix
33
Appendix Table 2: Highest/Least Robot-Intensive Industries in 2017
MSA Name Robots/1000 Workers
Notes: The estimates are based on International Federation of Robotics (IFR) data. The
number of workers in an industry is obtained from IPUMS CPS ASEC 2017.
34
Appendix Table 3: First Stage Estimates
ln (US Robot Exposure t-2)
(1) (2)
35
Appendix Table 4: Exposure to Robot and Share of Low-Skilled Population
Reporting Poor Health Measures (Robustness – Lagged Effect Choice)
Poor Health Work Disability Quit Job Because of
Health Reasons
(1) (2) (3) (4) (5) (6)
Panel A (Lagged One Year)
OLS: ln (Robot Exposure t-1) -0.030** -0.033** -0.058** -0.057** -0.014 -0.013
(0.014) (0.015) (0.025) (0.025) (0.013) (0.013)
2SLS: ln (Robot Exposure t-1) -0.056** -0.062*** -0.148** -0.150** -0.061** -0.060*
(0.024) (0.024) (0.062) (0.062) (0.030) (0.031)
2SLS: ln (Robot Exposure t-3) -0.046 -0.055* -0.120** -0.122** -0.049* -0.047
(0.031) (0.031) (0.060) (0.062) (0.028) (0.030)
Notes: Notes: The estimates show the effect of robot exposure on the share of population reporting poor health. Low-
skilled is defined as individuals without a high school diploma. High-skilled is defined as individuals with at least a high
school diploma. Control for MSA characteristics include population share of blacks, population share of female, and un-
employment rate. The instrument in Panel B is constructed based on the number of operational robots in European coun-
tries. All regressions are weighted by MSA population in 2000. Standard errors clustered at the MSA level are reported
in parentheses. * p < .1, ** p < .05, *** p < .01
Appendix Table 5: O*NET Physical Abilities
Ability Description
Dynamic Flexibility The ability to quickly and repeatedly bend, stretch, twist, or reach out with your body, arms, and/or legs.
Dynamic Strength The ability to exert muscle force repeatedly or continuously over time.
Explosive Strength The ability to use short bursts of muscle force to propel oneself (as in jumping or sprinting), or to throw an object
Extent Flexibility The ability to bend, stretch, twist, or reach with your body, arms, and/or legs.
Gross Body Coordination The ability to coordinate the movement of your arms, legs, and torso together when the whole body is in motion.
Gross Body Equilibrium The ability to keep or regain your body balance or stay upright when in an unstable position.
Stamina The ability to exert yourself physically over long periods of time without getting winded or out of breath.
Static Strength The ability to exert maximum muscle force to lift, push, pull, or carry objects.
Trunk Strength The ability to use your abdominal and lower back muscles to support part of the body repeatedly or continuously
over time without ’giving out’ or fatiguing.
37
Appendix Table 6: Most/Least Physically Demanding Occupations
ONET Score
Notes: The estimates are based on ONET data. ONET score shows the importance of physi-
cal abilities in a given occupation on a standardized scale ranging from 0 (min) to 100 (max).
38
Appendix Table 7: Fatality Rates Across Occupation
Occupation Title Fatalities per 100,000 Workers IPUMS OCC1990 Codes
Managerial and Professional Specialty
Executive, Administrative, and Managerial 2.00 occ1990>=3 & occ1990<=37
Professional Specialty 1.19 occ1990>=43 & occ1990<=200
Service Occupations
Private Household Service Occupations 0.32 occ1990>=405 & occ1990<=408
Protective Service Occupations 10.57 occ1990>=415 & occ1990<=427
Service Occupations, except protective and household 1.16 occ1990>=434 & occ1990<=469
Notes: The estimates are obtained based on the data published in 2000 Census of Fatal Occupational Injuries (CFOI). CFOI statistics only report
the total number of fatalities by industries. To obtain fatality rate in an industry, we divide the total number of fatalities by the number of workers
employed in the industry obtained from 2000 CPS and multiply it with 100,000.
39
Appendix Table 8: Injury Rates Across Industries
Industry Title Injuries/Illnesses per 100 Workers IPUMS IND1990 Codes
Agriculture, Forestry, and Fishing
Agricultural Production (Crops) 6.70 ind1990==10
Agricultural Production (Livestock) 10.40 ind1990==11
Agricultural Services 6.80 ind1990>=20 & ind1990<=30
Forestry 8.80 ind1990==31
Fishing, Hunting, and Trapping 6.70 ind1990==32
Mining
Metal Mining 4.90 ind1990==40
Coal Mining 7.50 ind1990==41
Oil and Gas Extraction 4.20 ind1990==42
Nonmetallic Minerals, except fuels 4.30 ind1990==50
Manufacturing
Food and Kindred Products 12.40 ind1990>=100 & ind1990<=122
Tobacco 6.20 ind1990==130
Textile Mill Products 6.00 ind1990>=132 & ind1990<=150
Apparel and Other Textile Products 6.10 ind1990>=151 & ind1990<=152
Paper and Allied Products 6.50 ind1990>=160 & ind1990<=162
Printing and Publishing 5.10 ind1990>=171 & ind1990<=172
Chemical and Allied Products 4.20 ind1990>=180 & ind1990<=192
Petroleum and Coal Products 3.70 ind1990>=200 & ind1990<=201
Rubber and Misc. Plastics 10.70 ind1990>=210 & ind1990<=212
Leather and Leather Products 9.00 ind1990>=220 & ind1990<=222
Lumber and Wood Products 12.10 ind1990>=230 & ind1990<=241
Furniture and Fixtures 11.20 ind1990==242
Stone, Clay, and Glass Products 10.40 ind1990>=250 & ind1990<=262
Primary Metal Industries 12.60 ind1990>=270 & ind1990<=280
Fabricated Metal Products 11.90 ind1990>=281 & ind1990<=301
Industrial Machinery and Equipment 8.20 ind1990>=310 & ind1990<=332
Electronic and Other Electric Equipment 5.70 ind1990>=340 & ind1990<=350
Transportation Equipment 13.70 ind1990>=351 & ind1990<=370
Instruments and Related Products 4.50 ind1990>=371 & ind1990<=381
Misc. Manufacturing Industries 7.20 ind1990>=390 & ind1990<=392
Wholesale Trade
Durable Goods 5.10 ind1990>=500 & ind1990<=532
Non-durable Goods 6.90 ind1990>=540 & ind1990<=571
Retail Trade
Building Materials and Garden Supplies 8.20 ind1990>=580 & ind1990<=590
General Merchandise Stores 5.90 ind1990>=591 & ind1990<=600
Food Stores 8.00 ind1990>=601 & ind1990<=611
Automotive Dealers and Service Stations 5.60 ind1990>=612 & ind1990<=622
Apparel and Accessory Stores 3.70 ind1990>=623 & ind1990<=630
Furniture and Homefurnishings Stores 4.70 ind1990>=631 & ind1990<=640
Eating and Drinking Places 5.30 ind1990==641
Miscellaneous Retail 3.90 ind1990>=642 & ind1990<=691
40
Continued – Appendix Table 8: Injury Rates Across Industries
Industry Title Injuries/Illnesses per 100 Workers IPUMS IND1990 Codes
Finance, Insurance, and Real Estate
Depository Institutions 1.40 ind1990>=700 & ind1990<=701
Non-depository Institutions 1.10 ind1990==702
Security and Commodity Brokers 0.60 ind1990==710
Insurance Carriers 1.00 ind1990==711
Real Estate 4.10 ind1990==712
Services
Business Services 3.20 ind1990>=721 & ind1990<=741
Auto Repair, Services, and Parking 5.00 ind1990>=742 & ind1990<=751
Misc. Repair Services 4.90 ind1990>=752 & ind1990<=760
Hotels and Other Lodging Places 6.90 ind1990>=762 & ind1990<=770
Personal Services 3.30 ind1990==761, (ind1990>=771 & ind1990<=791)
Motion Pictures 3.40 ind1990>=800 & ind1990<=801
Amusement and Recreation Services 6.90 ind1990>=802 & ind1990<=810
Health Services 7.40 ind1990>=812 & ind1990<=840
Legal Services 0.70 ind1990==841
Educational Services 3.20 ind1990>=842 & ind1990<=861
Social Services 6.10 ind1990>=862 & ind1990<=871
Museums, Botanical, Zoological Gardens 5.20 ind1990==872
Membership Organizations 3.00 ind1990>=873 & ind1990<=881
Engineering and Management Services 1.70 ind1990>=882 & ind1990<=893
Public Administration 3.20 ind1990>=900 & ind1990<=932
Notes: The injury rates are obtained from 2000 Survey of Occupational Injuries and Illnesses (SOII). SOII incidence rates represent
the number of injuries and illnesses per 100 full-time workers.
41