Abstract
The relationship between economic fluctuations and mortality is assessed with data from Spain during the years 1980–1997, when national unemployment oscillated between 7% and 24%. Mortality rates of the Spanish provinces are modeled in fixed-effect panel regressions as functions of the demographic structure and the economic conditions. Unemployment effects on general mortality, sex-specific mortality, and mortality for major causes of death are negative, i.e., death rates increase procyclically when joblessness diminishes in an economic expansion. Homicides and female suicides are only weakly related or unrelated to economic fluctuations, but male suicides escalate countercyclically during economic downturns.
Résumé
L’article s’intéresse aux relations entre fluctuations économiques et mortalité en Espagne sur la période 1980–1997, au cours de laquelle le taux de chômage a oscillé entre 7 et 24%. Un modèle de régression à effets constants sur données de panel est appliqué aux taux de mortalité par provinces espagnoles, prenant en compte la structure démographique et les conditions économiques. Le chômage a un effet négatif sur la mortalité totale, la mortalité par sexe et les principales causes de décès. Autrement dit, les taux de mortalité augmentent quand, en phase d’expansion économique, le chômage diminue. Les homicides et les suicides féminins sont faiblement ou pas du tout liés aux fluctuations économiques alors que les suicides masculins augmentent lorsque la situation économique se détériore.
References
F. Abdala R. N. Geldstein S. M. Mychaszula (2000) Economic restructuring and mortality changes in Argentina – Is there any connection? G. A. Cornia R. Paniccià (Eds) The Mortality Crisis in Transitional Economies Oxford University Press Oxford 328–350
K. G. Abraham J. C. Haltiwanger (1995) ArticleTitleReal wages and the business cycle Journal of Economic Literature 33 1215–1264
O. B. Adams (1981) Health and Economic Activity: A Time-series Analysis of Canadian Mortality and Unemployment Rates Health Division Statistics Canada Ottawa
J. Anson O. Anson (2000) ArticleTitleThank God it’s Friday: the weekly cycle of mortality in Israel Population Research and Policy Review 19 143–154 Occurrence Handle10.1023/A:1006483623664
Arno, P. S., 1984. The Political Economy of Industrial Injuries. PhD Dissertation, New School for Social Research, New York
S. Baker B. O’Neill R. Karpf (1984) The Injury Fact Book Lexington Books Lexington, MA
M. Bartlet (1996) ArticleTitleUnemployment and health selection Lancet 348 IssueID9032 904–905
L. F. Berkman S. L. Syme (1979) ArticleTitleSocial networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents American Journal of Epidemiology 109 187–197
J. E. Biddle D. S. Hamermesh (1990) ArticleTitleSleep and the allocation of time Journal of Political Economy 98 922–943 Occurrence Handle10.1086/261713
J. Blake Turner (1995) ArticleTitleEconomic context and the health effects of unemployment Journal of Health & Social Behaviour 36 213–229
D. G. Blanchflower A. J. Oswald (1994) The Wage Curve MIT Press Cambridge, MA
L. Bloomberg J. Meyers M. T. Braverman (1994) ArticleTitleThe importance of social interaction: a new perspective on social epidemiology, social risk factors, and health Health Education Quarterly 21 IssueID4 447–463
P. Boix E. Ors M. J. López F. Rodrigo (1977) ArticleTitleTrabajo temporal y siniestralidad laboral en España en el período 1988–1995 Cuadernos de Relaciones Laborales (Madrid) 11 275–320
K. A. Bollen (1983) ArticleTitleTemporal variation in mortality: a comparison of US suicides and motor vehicle fatalities 1972–1976 Demography 20 45–59
M. Boor (1980) ArticleTitleRelationship between unemployment rates and suicide rates in eight countries, 1962–1976 Psychological Reports 47 1089–1101
M. H. Brenner (1971) ArticleTitleEconomic changes and heart disease mortality American Journal of Public Health 61 IssueID3 606–611
Brenner, M. H., 1976. ‘Estimating the social costs of national economic policy: implications for mental and physical health, and criminal aggression’, Joint Economic Committee of Congress Paper No. 5. Washington, DC: US Government Printing Office
M. H. Brenner (1980) Industrialization and economic growth: estimates of their effects on the health of populations M. H. Brenner A. Mooney T. J. Nagy (Eds) Assessing the Contributions of the Social Sciences to Health Westview Press/AAAS Boulder, CO 65–115
M. H. Brenner (1993) ArticleTitleHealth and the national economy Research in Human Capital and Development 7 369–391
M. H. Brenner (1995) Political economy and health B. C. Amick S. Levine A. R. Tarlov D. C. Walsh (Eds) Society and Health Oxford University Press New York 211–246
A. R. Bunn (1979) ArticleTitleIschaemic heart disease mortality and the business cycle in Australia American Journal of Public Health 69 772–781
A. R. Bunn (1980) ArticleTitleI[schemic]H[eart]D[isease] mortality and the business cycle in Australia [letter] American Journal of Public Health 70 IssueID4 410–414
R. Catalano (1997) ArticleTitleThe effect of deviations from trends in national income on mortality: the Danish and USA data revisited European Journal of Epidemiology 13 737–743 Occurrence Handle10.1023/A:1007408208962
R. Chernomas (1984) ArticleTitleA comparative view of the relationship between the business cycle and mortality, 1871–1900 International Journal of Health Services 14 127–133
C. C. Clogg E. Pretkova A. Haritou (1995) ArticleTitleStatistical methods for comparing regression coefficients between models American Journal of Sociology 100 IssueID5 1261–1293
Cohen, S. and Syme, S. L. (eds), 1985. Social Support and Health. Orlando, FL: Academic Press
D. G. Cook (1986) ArticleTitleCan we detect an effect of unemployment on cardiovascular morbidity or mortality? Postgraduate Medical Journal 62 801–804
Cornia, G. A. and Paniccià, R. (eds), 2000. The Mortality Crisis in Transitional Economies. Oxford: Oxford University Press
G. Davey Smith S. Frankel J. Yarnell (1997) ArticleTitleSex and death: are they related? Findings from the Caerphilly cohort study British Medical Journal 315 1641–1644
D. W. Dockery C. A. Pope SuffixIII X. Xu J. D. Spengler J. H. Ware M. E. Fay B. J. Ferris F. E. Speizer (1993) ArticleTitleAn association between air pollution and mortality in six US cities New England Journal of Medicine 329 1753–1759 Occurrence Handle10.1056/NEJM199312093292401
D. Dooley J. Fielding L. Levi (1996) ArticleTitleHealth and unemployment Annual Review of Public Health 17 449–465 Occurrence Handle10.1146/annurev.pu.17.050196.002313
J. Eyer (1976a) ArticleTitleReview of Mental Illness and the Econom International Journal of Health Services 6 139–147
J. Eyer (1976b) ArticleTitleRejoinder to Dr. Brenner International Journal of Health Services 6 157–168
J. Eyer (1977a) ArticleTitleProsperity as a cause of death International Journal of Health Services 7 125–150
J. Eyer (1977b) ArticleTitleDoes unemployment cause the death rate peak in each business cycle? International Journal of Health Services 7 625–662
J. Eyer (1984) Capitalism, health, and illness J. B. McKinlay (Eds) Issues in the Political Economy of Health Care Tavistock New York 23–59
J. Eyer P. Sterling (1977) ArticleTitleStress-related mortality and social organization Review of Radical Political Economics 9 IssueID1 1–44
A. Falk B. S. Hanson S.-O. Isacsson P.-O. Östergren (1992) ArticleTitleJob strain and mortality in elderly men: social network, support, and influence as buffers American Journal of Public Health 82 1136–1139
J. B. Forbes A. McGregor (1984) ArticleTitleUnemployment and mortality in post-war Scotland Journal of Health Economics 2 239–257
D. G. Freeman (1999) ArticleTitleA note on [Ruhm’s] ‘Economic conditions and alcohol problems Journal of Health Economics 18 661–670 Occurrence Handle10.1016/S0167-6296(99)00005-3
P. R. Galloway (1988) ArticleTitleBasic patterns in annual variations in fertility, nuptiality, mortality, and prices in pre-industrial Europe Population Studies 42 IssueID2 275–302 Occurrence Handle10.1080/0032472031000143366
M. J. Gardner (1973) ArticleTitleUsing the environment to explain and predict mortality Journal of the Royal Statistical Society A 136 IssueIDPart 3 421–440
Gavrilova, N. S., Semyonova, V. G., Evdokushkina, G. N., Gavrilov, L. and Ivanova A. E., 2003. ‘Recent mortality trends in Russia – Differences between younger and older generations’, Paper presented at the 2003 Annual Meeting of the Population Association of America, May 1–3, 2003, Minneapolis
U.-G. Gerdtham J. Johannesson (2005) ArticleTitleBusiness cycles and mortality: results from Swedish microdata Social Science & Medicine 60 205–218 Occurrence Handle10.1016/j.socscimed.2004.05.004
Gerdtham, U.-G. and Ruhm, C., 2002. ‘Death rise in good economic times: evidence from the OECD’, NBER Working Paper Series (No. 9357). Cambridge, MA: NBER
B. L. Goff (1980) ArticleTitleHealth and the economy: exogenous versus choice variables Kyklos 43 437–484
B. Graertz (1993) ArticleTitleHealth consequences of employment and unemployment: longitudinal evidence for young men and women Social Science & Medicine 36 IssueID6 715–724
G. Graham B. Chang J. Evans (1992) ArticleTitlePoorer is riskier Risk Analysis 12 333–337
H. S. E. Gravelle G. Hutchinson J. Stern (1981) ArticleTitleMortality and unemployment: a critique of Brenner’s time series analysis Lancet 16 675–679
D. N. Gujarati (1995) Basic Econometrics EditionNumber3 McGraw-Hill New York
InstitutionalAuthorNameHEI. (2001) Particulate Air Pollution and Daily Mortality: Analyses of the Effects of Weather and Multiple Air Pollutants – The Phase I.B Report of the Particle Epidemiology Evaluation Project Health Effects Institute Cambridge, MA 26
M. B. Hexter (1925) Social Consequences of Business Cycles Hougton Mifflin Boston, MA
R. Higgs (1979) ArticleTitleCycles and trends of mortality in 18 large American cities, 1871–1900 Explorations in Economic History 16 381–408 Occurrence Handle10.1016/0014-4983(79)90028-7
J. A. Hobson (1914) Work and Wealth: A Human Valuation Macmillan London
S. M. Hunt (1989) The public health implications of private cars C. J. Martin D. V. McQueen (Eds) Readings for a New Public Health Edinburgh University Press Edinburgh 100–115
M. Jäntti P. Martikainen T. Valkonen (2000) When the welfare state works: unemployment and mortality in Finland G. A. Cornia R. Paniccià (Eds) The Mortality Crisis in Transitional Economies Oxford University Press New York 351–369
R. L. Jin C. P. Shah T. J. Svovoda (1995) ArticleTitleThe impact of unemployment on health: a review of the evidence Canadian Medical Association Journal 153 529–540
J. Johnson E. M. Hall (1995) Class, work, and health B. C. Amick S. Levine A. R. Tarlov D. C. Walsh (Eds) Society and Health Oxford University Press New York 247–271
P. N. Junankar (1991) ArticleTitleUnemployment and mortality in England and Wales: a preliminary analysis Oxford Economic Papers 43 305–320
A. R. Kagan (1987) ArticleTitleUnemployment causes ill health: the wrong track Social Science & Medicine 25 217–218 Occurrence Handle10.1016/0277-9536(87)90393-5
E. Kacapyr (1996) Economic Forecasting – The State of the Art M.E. Sharpe Armonk, NY
R. Kalimo M. A. El-Batawi C. L. Cooper (1987) Psychosocial Factors at Work and their Relation to Health World Health Organization Geneva
S. Kasl (1979) ArticleTitleMortality and the business cycle: some questions about research strategies when utilizing macro-social and ecological data American Journal of Public Health 69 784–789
S. V. Kasl J. A. Wells (1985) Social support and health in the middle years: work and the family S. Cohen S. L. Syme (Eds) Social Support and Health Academic Press Orlando, FL 175–198
J. K. Kiecolt-Glaser L. McGuire T. F. Robles R. Glaser (2002) ArticleTitleEmotions, morbidity, and mortality – New perspectives from psychoneuroimmunology Annual Review of Psychology 53 83–107 Occurrence Handle10.1146/annurev.psych.53.100901.135217
M. D. Kossoris (1938) ArticleTitleIndustrial injuries and the business cycle Monthly Labor Review 46 579–575
A. Koutsoyiannis (1977) Theory of Econometrics EditionNumber2 Barnes & Noble Totowa, NJ
LaPlante, M. P., 1985. Mortality and the Business Cycle. PhD dissertation, Stanford, CA: Department of Sociology, Stanford University
A. Laporte (2004) ArticleTitleDo economic cycles have a permanent effect on population health? Revisiting the Brenner hypothesis Health Economics 13 767–779 Occurrence Handle10.1002/hec.854
R. D. Lee (1997) Population dynamics – Equilibrium, disequilibrium, and consequences of fluctuations M. R. Rosenzweig O. Stark (Eds) Handbook of Population Economics. (Vol. 1B) Elsevier Amsterdam 1063–1116
E. A. Lew (1979) ArticleTitleMortality and the business cycle: how far can we push an association? American Journal of Public Health 69 782–783 Occurrence Handle10.2105/AJPH.69.8.782
U. Lundberg B. Hellström (2000) ArticleTitleWorkload and morning salivary cortisol in women Work & Stress 16 IssueID4 356–363
M. Marmot A. Feeney (1996) Work and health: implications for individual and society A. Blane E. Brunner R. Wilkinson (Eds) Health and Social Organization – Towards a Health Policy for the 21st Century Routledge London 235–254
P. T. Martikainen T. Valkonen (1996a) ArticleTitleExcess mortality of unemployed men and women during a period of rapidly increasing unemployment Lancet 348 909–914 Occurrence Handle10.1016/S0140-6736(96)03291-6
P. T. Martikainen T. Valkonen (1996b) ArticleTitleThe effects of differential unemployment rate increases of occupation groups on changes in mortality American Journal of Public Health 88 1859–1861
A. Mason (1997) The response of fertility and mortality to economic crisis and structural adjustment policy during the 1980s – a review G. Tapinos A. Mason J. Bravo (Eds) Demographic Responses to Economic Adjustment in Latin America Clarendon Press Oxford 17–33
C. D. Mathers D. J. Schofield (1998) ArticleTitleThe health consequences of unemployment: the evidence Medical Journal of Australia 168 178–182
I. D. McAvinchey (1984) ArticleTitleEconomic factors and mortality: some aspects of the Scottish case 1950–1978 Scottish Journal of Political Economy 31 1–27
M. McKee (2001) The health consequences of the collapse of the Soviet Union D. A. Leon G. Walt (Eds) Poverty, Inequality, and Health – An International Perspective Oxford University Press New York 17–36
J. Monahan A. Vaux (1980) ArticleTitleTask force report: the macroenvironment and community mental health Community Mental Health Journal 16 14–26 Occurrence Handle10.1007/BF00780664
E. Neumayer (2004a) ArticleTitleRecessions lower (some) mortality rates: evidence from Germany Social Science & Medicine 58 1037–1047 Occurrence Handle10.1016/S0277-9536(03)00276-4
E. Neumayer (2004b) ArticleTitleErratum corrigendum. Recessions lower (some) mortality rates: evidence from Germany Social Science & Medicine 59 1993 Occurrence Handle10.1016/j.socscimed.2004.02.018
NSF, National Safety Council, 1991. Accident Facts – 1991 Edition. Chicago, IL: NSF
W. F. Ogburn D. S. Thomas (1922) ArticleTitleThe influence of the business cycle on certain social conditions Journal of the American Statistical Association 18 324–340
J. A. Ortega-Osona D. Reher (1997) Short-term economic fluctuations and demographic behavior: some examples from 20th century South America G. Tapinos A. Mason J. Bravo (Eds) Demographic Responses to Economic Adjustment in Latin America Clarendon Press Oxford 129–155
A. Palloni K. Hill (1997) The effects of economic changes on mortality by age and cause: Latin America 1950–90 G. Tapinos A. Mason J. Bravo (Eds) Demographic Responses to Economic Adjustment in Latin America Clarendon Press Oxford 75–128
C. L. Peterson (1994) ArticleTitleWork factors and stress: a critical review International Journal of Health Services 24 495–519 Occurrence Handle10.2190/3B3C-XJPP-47LA-XQUJ
D. P. Phillips N. Christenfeld N. M. Ryan (1999) ArticleTitleAn increase in the number of deaths in the US in the first week of the month New England Journal of Medicine 341 93–98 Occurrence Handle10.1056/NEJM199907083410206
E. Rios-Neto J. A. M. Carvalho (1997) Demographic consequences of structural adjustment: the case of Brazil G. Tapinos A. Mason J. Bravo (Eds) Demographic Responses to Economic Adjustment in Latin America Clarendon Press Oxford 174–198
C. Robertson R. Ecob (1999) ArticleTitleSimultaneous modeling of time trends and regional variation in mortality rates International Journal of Epidemiology 28 955–963 Occurrence Handle10.1093/ije/28.5.955
J. C. Robinson (1988) ArticleTitleThe rising long-term trend in occupational injury rates American Journal of Public Health 78 2676–2681
J. C. Robinson G. M. Shor (1989) ArticleTitleBusiness-cycle influences on work-related disability in construction and manufacturing Milbank Quarterly 67 IssueIDSuppl. 2, Pt. 1 92–113
C. J. Ruhm (1995) ArticleTitleEconomic conditions and alcohol problems Journal of Health Economics 14 583–603 Occurrence Handle10.1016/0167-6296(95)00024-0
C. J. Ruhm (2000) ArticleTitleAre recessions good for your health? Quarterly Journal of Economics 115 617–650 Occurrence Handle10.1162/003355300554872
C. J. Ruhm (2003) ArticleTitleGood times make you sick Journal of Health Economics 22 637–658 Occurrence Handle10.1016/S0167-6296(03)00041-9
Ruhm, C. J., 2004. ‘Macroeconomic conditions, health and mortality’, NBER Working Paper 11007. Cambridge, MA: National Bureau of Economic Research
A. Sáez (1975) Población y actividad económica en España Siglo XXI Madrid
Schnall, P., Belkić, K., Landsbergis, P. and Baker, D. (eds), 2000. ‘The workplace and cardiovascular disease’, Occupational Medicine: State of the Art Reviews 15(1): 1–162; 307–322
R. Schofield (1983) The impact of scarcity and plenty on population change in England, 1547–1871 R.␣I. Rotberg T. K. Rabb (Eds) Hunger and History – The Impact of Changing Food Production and Consumption Patterns on Society Cambridge University Press Cambridge 67–94
T. E. Seeman L. F. Berkman (1988) ArticleTitleStructural characteristics of social networks and their relationship with social support in the elderly: who provides support Social Science & Medicine 26 IssueID7 737–749 Occurrence Handle10.1016/0277-9536(88)90065-2
S. Sokejima S. Kagamimori (1998) ArticleTitleWorking hours as a risk factor for acute myocardial infarction in Japan: a case–control study British Medical Journal 317 775–780
J. Søgaard (1992) ArticleTitleEconometric critique of the economic change model of mortality Social Science & Medicine 34 947–957
K. Sparks C. Cooper Y. Fried A. Shirom (1997) ArticleTitleThe effects of hours of work on health: a meta-analytic review Journal of Occupational & Organizational Psychology 70 391–408
K. Spiegel R. Leproult E. Van Cauter (1999) ArticleTitleImpact of sleep debt on metabolic and endocrine function Lancet 354 1435–1439 Occurrence Handle10.1016/S0140-6736(99)01376-8
Steenland, K. 1996. Epidemiology of occupation and coronary heart disease: research agenda. American Journal of Industrial Medicine 30, 495–499
P. Sterling J. Eyer (1981) ArticleTitleBiological basis of stress-related mortality Social Science & Medicine 15E 3–42
J. Stern (1983) ArticleTitleThe relationship between unemployment, morbidity and mortality in Britain Population Studies 37 61–74
J. A. Tapia Granados (1994) ArticleTitleAccidentes de trabajo en España: comentarios a propósito del trabajo de Moncada y Artazcoz Cuadern CAPS (Barcelona) 20 57–60
Tapia Granados, J. A., 2002. Mortality and Economic Fluctuations – Theories and Empirical Results from Spain and Sweden. PhD Dissertation. New York: Graduate Faculty of Political and Social Science, New School University
Tapia Granados, J. A., 2004. ‘Mortality and economic fluctuations in Sweden, 1800–1998’, Paper presented at the 2004 Meeting of the Population Association of America, Boston, MA, April 2004
Tapia Granados, J. A., 2005. ‘Increasing mortality during the expansions of the U.S. economy, 1900–1997’, International Journal of Epidemiology (accepted for publication). http://ije.oxfordjournals.org/cgi/content/abstract/dyi141v1
Tapinos G., Mason, A. and Bravo, J. (eds), 1997. Demographic Responses to Economic Adjustment in Latin America. Oxford: Clarendon Press
D. S. Thomas (1925) Social Aspects of the Business Cycle Routledge London
D. S. Thomas (1941) Social and Economic Aspects of Swedish Population Movements 1750–1993 Macmillan New York
T. Valkonen P. Martikainen (1995) The association between unemployment and mortality: causation or selection? A. D. Lopez G. Caselli T. Valkonen (Eds) Adult Mortality in Developed Countries: From Description to Explanation Clarendon Press Oxford 201–222
A. Wagstaff (1985) ArticleTitleTime series analysis of the relationship between unemployment and mortality: a survey of econometric critiques and replications of Brenner’s studies Social Science & Medicine 21 985–996 Occurrence Handle10.1016/0277-9536(85)90420-4
Walsh, M. W., 2000. ‘As hot economy pushes up overtime, fatigue becomes a labor issue’, The New York Times, Sept. 17, 32
S. Watkins (1985) Recession and health: a literature review G. Wescott P.-G. Svensson H. F. K. Zölner (Eds) Health Policy Implications of Unemployment World Health Organization Regional Office for Europe Copenhagen
InstitutionalAuthorNameWHO (1992) Our Planet, Our Health: Report of the WHO Commission on Health and the Environment World Health Organization Geneve
J. Winter (1983) Unemployment, nutrition and infant mortality in Britain, 1920–50 J. Winter (Eds) The Working Class in Modern British History: Essays in Honour of Henry Pelling Cambridge University Press Cambridge 232–256
S. L. Zeger F. Dominici J. Samet (1999) ArticleTitleHarvesting: Resistant estimates of air pollution effects on mortality. Epidemiology 10 171–175
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Tapia Granados, J.A., 2005, Recessions and Mortality in Spain, 1980–1997, European Journal of Population, 21: 393–422.
Tapia Granados, J.A., 2005, Récession et mortalitéen Espagne, 1980–1997, Revue Européenne de Démographie, 21: 393–422.
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Granados, J.A.T. Recessions and Mortality in Spain, 1980–1997. Eur J Population 21, 393–422 (2005). https://doi.org/10.1007/s10680-005-4767-9
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DOI: https://doi.org/10.1007/s10680-005-4767-9