Impact of economic crisis and other demographic and socio-economic factors on self-rated health in Greece
Department of Health Economics, National School of Public Health, Athens, Greece. The European Journal of Public Health
(Impact Factor: 2.59).
10/2012; 23(2). DOI: 10.1093/eurpub/cks143
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.
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.
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.
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.
Available from: Nikolaos Antonakakis
- "The effects of the economic crisis and the fiscal adjustments have to some limited extent been considered for health in the Eurozone periphery. Preliminary evidence indicates that the economic crisis and the implementation of austerity measures have worsened self-rated health status as well as several other health indicators (Kentikelenis et al., 2011; Vandoros et al., 2013; Zavras et al., 2013), increased the incident of mental disorders and alcohol abuse (Kentikelenis et al., 2011; Gili et al., 2013; Roca et al., 2013) and led to HIV outbreaks (ECDC, 2012). Evidence also suggests that the Eurozone debt crisis and the policy responses disproportionately affected vulnerable populations in society (see, e.g., Schaltegger and Weder, 2014; for the effects of fiscal consolidation on income inequality). "
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ABSTRACT: While linkages between some macroeconomic phenomena and suicides in some countries have been explored, only two studies, hitherto, have established a causal relationship between fiscal austerity and suicide, albeit in a single country. The aim of this study is to provide the first systematic multiple--country evidence of a causal relationship of fiscal austerity on time-, gender-, and age-specific suicide mortality across five Eurozone peripheral countries, namely Greece, Ireland, Italy, Portugal and Spain over the period 1968-2012, while controlling for various socioeconomic differences. The impact of fiscal adjustments is found to be gender--, age- and time-specific. Specifically, fiscal austerity has short-, medium- and long-run suicide increasing effects on the male population in the 65-89 age group. A 1% reduction in government spending is associated with an 1.38%, 2.42% and 3.32% increase in the short-, medium- and long-run, respectively, of male suicides rates in the 65-89 age group in the Eurozone periphery. These results are highly robust to alternative measures of fiscal austerity. Improved labour market institutions help mitigate the negative effects of fiscal austerity on suicide mortality.
Social Science & Medicine 09/2015; 145. DOI:10.1016/j.socscimed.2015.09.033 · 2.89 Impact Factor
Available from: Diana Frasquilho
- "Macroeconomic environmental stress poses significant costs to individuals through reduced employment opportunities, decline in incomes and levels of life-satisfaction (Frank et al., 2013; WHO, 2011). Available evidence shows that people report more health and well-being problems during recession periods (Katikireddi et al., 2012; Zavras et al., 2013). The specific economic crisis that began in 2008 deteriorated labour markets and raised job loss rates. "
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ABSTRACT: Objectives: This study explores the associations between parental employment status and the
future and educational expectations and life satisfaction of a national representative sample of
Methods and analysis: Data were obtained from 5050 adolescents, attending school and with a
mean age of 13.98 years old (SD=1.85). After a descriptive analysis of the sample, Chi-square
tests were used by parental employment status (both parents employed or non-employed) for
adolescents future expectations variables: setting up goals and plans for the future; think about
completing high school /professional education; aspire to go on to university/ further education
upon leaving high school. Moreover, ANOVA was used with life-satisfaction.
Results: Employment of both parents is positively associated with higher future planning and
higher educational expectations compared to parental non-employment. In addition, adolescents
reporting higher future and educational expectations show greater life-satisfaction scores.
Conclusions: This study provides evidence on how adolescents’ future and educational
expectations differs by parental employment status and, in turn, life-satisfaction. The evidence is
relevant given the actual socioeconomic context and can be useful to acknowledge the need to
support research on adolescents’ with non-employed parents
Available from: John Kyriopoulos
- "In Greece, economic crisis and the implementation of austerity measures have worsened the self-rated health status as well as several health indicators
[3,4]. The austerity measures have been associated with hospital mergers and reduction of hospital staff, having a negative impact on accessibility and availability. "
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To investigate the magnitude of barriers in access to health services for chronic patients and the socioeconomic and demographic characteristics that affect them.
A cross-sectional study was conducted in 1,594 chronic patients suffering from diabetes, hypertension, COPD and Alzheimer. Logistic regression analyses were carried out in order to explore the factors related to economic and geographical barriers in access, as well as the determinants of barriers due to waiting lists.
A total of 25% of chronic patients face geographical barriers while 63.5% and 58.5% of them are in front of economic and waiting list barriers, respectively. Unemployed, low-income and low-educated are more likely to face economic barriers in access. Moreover, women, low-income patients, and patients with lower health status are more likely to be in front of geographical barriers. In addition, the probability of waiting lists occurrence is greater for unemployed, employees and low income patients.
Barriers in access can be mainly attributed to income decrease and unemployment. In this context, health policy measures are essential for removing barriers in access. Otherwise, inequalities may increase and chronic patients’ health status will be deteriorated. These consequences imply adverse effects on health expenditure.
International Journal for Equity in Health 07/2014; 13(1):54. DOI:10.1186/1475-9276-13-54 · 1.71 Impact Factor
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