108 lines
3.6 KiB
YAML
108 lines
3.6 KiB
YAML
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'
|