abstract: 'Background: A growing literature investigates health effects of the

  recent economic crisis. This study examines how different economic

  mechanisms affected low self-rated health (SRH) in Europe over the

  crisis period (20082011). We measure changes in low SRH over 2008-2011

  and analyze how they are accounted for by changes in household income

  levels and income distribution (income poverty, income inequality),

  labour market developments (increasing unemployment, falling employment,

  changes in labour market inactivity), and non-income poverty (material

  deprivation).

  Methods: We use balanced panel data for 2008-2011 covering 26 European

  countries and 43,456 participants. The data come from longitudinal 2011

  European Union Statistics on Income and Living Conditions (EU-SILC)

  database. Increases in low SRH incidence over time are decomposed into

  the contributions of changes in the distribution of covariates and

  changes in returns to the covariates. Main covariates include household

  income and its distribution, labour market developments, and non-income

  poverty (material deprivation). The decompositions are performed using a

  detailed non-linear multivariate regression-based decomposition

  methodology.

  Results: Low SRH incidence increased in Europe during the crisis by

  almost 2 percentage points, and by 3.7 percentage points in case of the

  Baltic countries. Decomposition analysis shows that: 1) decreasing

  household incomes and changing income distribution had no impact on low

  SRH incidence, 2) rise of material deprivation accounts for a

  significant portion (12\%) of the overall growth in low SRH rates (27\%

  for the Baltic countries), 3) decreasing levels of full-time and

  part-time employment as well as transitions to unemployment, economic

  inactivity, disability, or retirement account jointly for about 21\% of

  the rise in low SRH in Europe (73\% for Baltic countries).

  Conclusion: Together, the recession-related economic factors account for

  about 33\% of the increase in low SRH incidence in Europe during the

  crisis, and for about 100\% of the increase in the Baltic countries.

  Public health policy during recessions should focus also on reducing

  material deprivation through free or subsidized access to public

  services, public housing, and other means.'
affiliation: 'Brzezinski, M (Corresponding Author), Univ Warsaw, Fac Econ Sci, Dluga
  44-50, PL-00241 Warsaw, Poland.

  Brzezinski, Michal, Univ Warsaw, Fac Econ Sci, Dluga 44-50, PL-00241 Warsaw, Poland.'
article-number: '21'
author: Brzezinski, Michal
author-email: mbrzezinski@wne.uw.edu.pl
author_list:
- family: Brzezinski
  given: Michal
da: '2023-09-28'
doi: 10.1186/s12939-019-0926-1
eissn: 1475-9276
files: []
journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
keywords: 'Self-rated health; Economic crisis; Decomposition; Oaxaca-Blinder;

  Unemployment; Material deprivation'
keywords-plus: 'GREAT RECESSION; INCOME INEQUALITY; FINANCIAL CRISIS; MENTAL-HEALTH;

  IMPACT; GREECE; UNEMPLOYMENT; TRANSITIONS; DISPARITIES; DEPRESSION'
language: English
month: JAN 28
number-of-cited-references: '43'
orcid-numbers: Brzezinski, Michal/0000-0002-7704-3805
papis_id: db47b1f2871d17a0ef7d3652118b3c11
ref: Brzezinski2019whataccounts
researcherid-numbers: Brzezinski, Michal/N-3365-2013
times-cited: '6'
title: What accounts for the rise of low self-rated health during the recent economic
  crisis in Europe?
type: article
unique-id: WOS:000459309500002
usage-count-last-180-days: '2'
usage-count-since-2013: '12'
volume: '18'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2019'