2023-09-28 14:46:10 +00:00
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abstract: 'Background: A growing literature investigates health effects of the
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recent economic crisis. This study examines how different economic
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mechanisms affected low self-rated health (SRH) in Europe over the
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crisis period (20082011). We measure changes in low SRH over 2008-2011
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and analyze how they are accounted for by changes in household income
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levels and income distribution (income poverty, income inequality),
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labour market developments (increasing unemployment, falling employment,
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changes in labour market inactivity), and non-income poverty (material
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deprivation).
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Methods: We use balanced panel data for 2008-2011 covering 26 European
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countries and 43,456 participants. The data come from longitudinal 2011
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European Union Statistics on Income and Living Conditions (EU-SILC)
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database. Increases in low SRH incidence over time are decomposed into
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the contributions of changes in the distribution of covariates and
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changes in returns to the covariates. Main covariates include household
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income and its distribution, labour market developments, and non-income
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poverty (material deprivation). The decompositions are performed using a
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detailed non-linear multivariate regression-based decomposition
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methodology.
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Results: Low SRH incidence increased in Europe during the crisis by
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almost 2 percentage points, and by 3.7 percentage points in case of the
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Baltic countries. Decomposition analysis shows that: 1) decreasing
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household incomes and changing income distribution had no impact on low
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SRH incidence, 2) rise of material deprivation accounts for a
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significant portion (12\%) of the overall growth in low SRH rates (27\%
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for the Baltic countries), 3) decreasing levels of full-time and
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part-time employment as well as transitions to unemployment, economic
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inactivity, disability, or retirement account jointly for about 21\% of
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the rise in low SRH in Europe (73\% for Baltic countries).
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Conclusion: Together, the recession-related economic factors account for
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about 33\% of the increase in low SRH incidence in Europe during the
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crisis, and for about 100\% of the increase in the Baltic countries.
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Public health policy during recessions should focus also on reducing
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material deprivation through free or subsidized access to public
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services, public housing, and other means.'
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affiliation: 'Brzezinski, M (Corresponding Author), Univ Warsaw, Fac Econ Sci, Dluga
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44-50, PL-00241 Warsaw, Poland.
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Brzezinski, Michal, Univ Warsaw, Fac Econ Sci, Dluga 44-50, PL-00241 Warsaw, Poland.'
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article-number: '21'
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author: Brzezinski, Michal
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author-email: mbrzezinski@wne.uw.edu.pl
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author_list:
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- family: Brzezinski
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given: Michal
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da: '2023-09-28'
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doi: 10.1186/s12939-019-0926-1
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eissn: 1475-9276
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files: []
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journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
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keywords: 'Self-rated health; Economic crisis; Decomposition; Oaxaca-Blinder;
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Unemployment; Material deprivation'
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keywords-plus: 'GREAT RECESSION; INCOME INEQUALITY; FINANCIAL CRISIS; MENTAL-HEALTH;
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IMPACT; GREECE; UNEMPLOYMENT; TRANSITIONS; DISPARITIES; DEPRESSION'
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language: English
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month: JAN 28
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number-of-cited-references: '43'
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orcid-numbers: Brzezinski, Michal/0000-0002-7704-3805
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papis_id: db47b1f2871d17a0ef7d3652118b3c11
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ref: Brzezinski2019whataccounts
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researcherid-numbers: Brzezinski, Michal/N-3365-2013
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times-cited: '6'
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title: What accounts for the rise of low self-rated health during the recent economic
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crisis in Europe?
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000459309500002
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usage-count-last-180-days: '2'
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usage-count-since-2013: '12'
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volume: '18'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2019'
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