Impact of the great recession on self-perceived health in Spain: a longitudinal study with individual data
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- dc.contributor.author Saez, Marc
- dc.contributor.author Vidiella Martin, Joaquim
- dc.contributor.author López i Casasnovas, Guillem
- dc.date.accessioned 2020-05-25T07:13:05Z
- dc.date.available 2020-05-25T07:13:05Z
- dc.date.issued 2019
- dc.description.abstract Objectives: Our objective in this study is to evaluate the impact the Great Recession (2008–2014) had on self-perceived health in Spain. Design: We use a longitudinal database (four waves of the Bank of Spain’s Survey of Household Finances (2005, 2008, 2011 and 2014)) with repeated observations of the same individuals before and after the Great Recession. Interventions: We consider the Great Recession in a natural experiment and we introduce it as an explanatory variable in a mixed logistic regression model in which we explain the probability of a subject declaring poor health (fair, bad and very bad). In the model we control for both observed and unobserved confounders at both individual and family level. Results: We find an average downward trend in self-perceived health during the most severe period of the Great Recession (2009–2011). However, the fact that the adjusted measures are less volatile than the crude ones shows that variation in health status can be captured by either demographic or socioeconomic controls. In fact, there are significant differences in the impact the economic crisis had on health in terms of gender and age group. In particular, the (adjusted) risk of declaring poor health increases after the crisis began but only in those families in which the reference person is a woman younger than 45 years of age or a man aged 75 years or older. Conclusions: Given our results, we discuss the link between financial wealth and self-rated health and how policy-makers could address the health inequalities that arise from adverse economic and financial shocks.
- dc.description.sponsorship This work was partly funded by the University of Girona (MPCUdG2016 and GDRCompetUdG2017) and by an unrestricted grant from Obra Social ‘La Caixa’.
- dc.format.mimetype application/pdf
- dc.identifier.citation Saez M, Vidiella-Martin J, Lopez Casasnovas G. Impact of the great recession on self-perceived health in Spain: a longitudinal study with individual data. BMJ Open. 2019;9(1):e023258. DOI: 10.1136/bmjopen-2018-023258
- dc.identifier.doi http://dx.doi.org/10.1136/bmjopen-2018-023258
- dc.identifier.issn 2044-6055
- dc.identifier.uri http://hdl.handle.net/10230/44657
- dc.language.iso eng
- dc.publisher BMJ Publishing Group
- dc.relation.ispartof BMJ Open. 2019;9(1):e023258
- dc.rights © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
- dc.subject.other Salut -- Espanya
- dc.subject.other Indicadors de salut
- dc.subject.other Salut pública -- Aspectes socials
- dc.subject.other Crisis econòmiques -- Espanya -- S. XXI
- dc.title Impact of the great recession on self-perceived health in Spain: a longitudinal study with individual data
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion