Impact of economic crisis and other demographic and socio-economic factors on self-rated health in Greece
ABSTRACT BACKGROUND: Financial crisis and worsened socio-economic conditions are associated with greater morbidity, less utilization of health services and deteriorated population's health status. The aim of the present study was to investigate the determinants of self-rated health in Greece. METHODS: Two national cross-sectional surveys conducted in 2006 and 2011 were combined, and their data were pooled giving information for 10 572 individuals. The sample in both studies was random and stratified by gender, age, degree of urbanization and geographic region. Logistic regression analysis was used to determine the impact of several factors on self-rated health. RESULTS: Poor self-rated health was most common in older people, unemployed, pensioners, housewives and those suffering from chronic disease. Men, individuals with higher education and those with higher income have higher probability to report better self-rated health. Furthermore, the probability of reporting poor self-rated health is higher at times of economic crisis. CONCLUSION: Our findings confirm the association of self-rated health with economic crisis and certain demographic and socio-economic factors. Given that the economic recession in Greece deepens, immediate and effective actions targeting health inequalities and improvements in health status are deemed necessary.
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ABSTRACT: IΛΗΨΗ Το 2010, η ελληνική οικονομία εισήλθε σε μια βαθιά, δομική και πολύπλευρη κρίση, τα κύρια χαρακτηριστικά της οποίας είναι το μεγάλο δημο-σιονομικό έλλειμμα και το πολύ υψηλό δημόσιο χρέος. Αρνητικές επιπτώσεις παρατηρούνται και σε κοινωνικό επίπεδο, καθώς όλοι οι κοινωνικοί δείκτες έχουν επιδεινωθεί. Το άρθρο αυτό εξε-τάζει την επίπτωση της οικονομικής κρίσης στην πρόσβαση των υπηρεσιών φροντίδας υγείας ιδι-αίτερα των ευάλωτων ομάδων του πληθυσμού. Οι ανασφάλιστοι, οι άνεργοι, οι ηλικιωμένοι, οι μετανάστες, τα παιδιά και οι πάσχοντες από μα-κροχρόνιες ασθένειες και ψυχικές διαταραχές εί-ναι οι ομάδες που επλήγησαν περισσότερο από την οικονομική κρίση στην Ελλάδα. Το υψηλό κόστος, η χαμηλή εγγύτητα και οι μεγάλες λίστες αναμονής είναι μερικά από τα εμπόδια στην πρό-σβαση των υπηρεσιών υγείας που αντιμετωπί-ζουν οι παραπάνω ομάδες. ΛΕΞΕΙΣ-ΚΛΕΙΔΙΑ: Οικονομική κρίση, ευάλωτες ομάδες, πρόσβαση στις υπηρεσίες φροντίδας υγείας. ABSTRACT In 2010, the Greek economy entered a deep, structural and multi-faceted crisis, the main futures of which are a large fiscal deficit and huge public debt. The negative effects can also be observed at the societal level, as all social indicators have deteriorated. The present paper discusses the impact of economic crisis on access to healthcare services especially for the vulnerable groups. Uninsured, unemployed, older people, migrants, children and those suffering from chronic disease and mental disorders are among the groups most affected by the crisis in Greece. High costs, low proximity and long waiting lists are among the main barriers in accessing health care services.
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ABSTRACT: To explore health status and lifestyles in young Spanish people in 2006 and 2012, the changes between these 2 years and the influence of employment status on health and lifestyles in this period. Cross-sectional analysis of the Spanish National Health Surveys 2006 and 2011/12 in people 16-24 years old (3701). Regression analyses for pooled cross-sectional data were developed. Employment status was considered as explanatory variable of health (self-rated health, diagnosed morbidity and mental disorders) and lifestyles (overweight, tobacco and alcohol consumption). Male unemployment was associated with poor self-rated health (OR 1.88; CI 95 % 1.00-3.53), mental disorders (OR 2.42; CI 95 % 1.02-5.76) and tobacco consumption (OR 1.62; CI 95 % 1.00-2.62). During the economic recession, young people presented better health results than in 2006. Unemployed who had never worked consumed less tobacco and alcohol than short-term unemployed. Unemployment was associated in young men with poor self-rated health, mental illness and tobacco consumption. Despite the economic recession, young people presented better self-rated health, diagnosed morbidity and mental health in 2012 than in 2006, especially in women.
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ABSTRACT: The Great Recession started in Portugal in 2009, coupled with severe austerity. This study examines its impact on hospital care utilization, interpreted as caused by demand-side effects (related to variations in population income and health) and supply-side effects (related to hospitals’ tighter budgets and reduced capacity).Health Policy 12/2014; 119(3). DOI:10.1016/j.healthpol.2014.12.015 · 1.73 Impact Factor