What do we know about the impact of economic recessions on mortality inequalities? A critical review

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• dc.contributor.author Benach, Joan
• dc.contributor.author Padilla-Pozo, Álvaro
• dc.contributor.author Martínez-Herrera, Eliana
• dc.contributor.author Molina-Betancur, Juan Camilo
• dc.contributor.author Gutiérrez, Manuela
• dc.contributor.author Pericàs, Juan
• dc.contributor.author Gutiérrez-Zamora Navarro, Mariana
• dc.contributor.author Zografos, Christos
• dc.date.accessioned 2023-05-17T06:00:10Z
• dc.date.available 2023-05-17T06:00:10Z
• dc.date.issued 2022
• dc.description.abstract Historically, there has been a debate on the effects of recessions on population health, and especially on mortality and its distribution across different social groups. This paper contributes to this discussion by means of a critical review of the research on the impact of economic recessions on mortality inequalities in the period 1980–2020. We analyzed 19 studies according to their mortality outcomes, socioeconomic indicators, design, analysis, and main findings. Twelve studies focused on European countries or urban areas, two on Asian countries, two on Russia, one on Asia and Europe, one on the USA, and one in Somalia. Five articles included cross-country comparisons (four between European countries or cities and one between Asian and European countries). The Great Recession of 2008 was the most researched economic crisis, followed by country-specific crises in the 90s, the fall of the Soviet Union, and some crises during the 80s. Most studies (n = 15) showed an overall or partial increase in mortality inequalities after an economic recession. However, two papers found a decrease in mortality inequalities due to the worsening of the health of the upper and middle classes, one article found a decrease in inequalities due to a general improvement in population health, and a study found a “slow-down” effect of pre-existent mortality inequalities.
• dc.description.sponsorship Support was provided by the Ramón y Cajal Programme (contract number RYC-2015-17372), funded by the Spanish State Research Agency (AEI), the Spanish Ministry of Science, Innovation and Universities, and the European Social Fund (ESF). Support provided by the UPF Planetary Wellbeing initiative project “Low Carbon Health Systems”. Joan Benach gratefully acknowledges the financial support by ICREA under the ICREA Academia programme.
• dc.format.mimetype application/pdf
• dc.identifier.citation Benach J, Padilla-Pozo Á, Martínez-Herrera E, Molina-Betancur JC, Gutiérrez M, Pericàs JM, Gutiérrez-Zamora Navarro M, Zografos C. What do we know about the impact of economic recessions on mortality inequalities? A critical review. Soc Sci Med. 2022;296:114733. DOI: 10.1016/j.socscimed.2022.114733
• dc.identifier.doi http://dx.doi.org/10.1016/j.socscimed.2022.114733
• dc.identifier.issn 0277-9536
• dc.identifier.uri http://hdl.handle.net/10230/56859
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Social Science & Medicine. 2022;296:114733.
• dc.relation.projectID info:eu-repo/grantAgreement/ES/1PE/RYC-2015-17372
• dc.rights © 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Economic recessions
• dc.subject.keyword Mortality inequalities
• dc.subject.keyword Critical review
• dc.subject.keyword Socioeconomic indicators
• dc.title What do we know about the impact of economic recessions on mortality inequalities? A critical review
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion