Effects of the economic crisis and social support on health-related quality of life: first wave of a longitudinal study in Spain

Fernández, Ana; Garcia-Alonso, Judith; Royo-Pastor, Concepción; Garrell-Corbera, Immaculada; Rengel-Chica, Jordi; Agudo-Ugena, Josep; Ovares, Flora; Mendive, Juan Manuel

doi:10.3399/bjgp15x684025

Cited by 28 publications

(21 citation statements)

References 31 publications

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“…Three of the five papers examining non-communicable diseases focused on the incidence of cardiovascular disorders. A spike in emergency room visits with cardiac problems was seen in a week at the peak of economic meltdown in 2008 in Iceland (RR 1.26, 95% CI 1.07–1.49) 96 and an increase in the prevalence of hypertension in males between 2007 and 2009 97 was noted in Iceland. In Greece, incident acute myocardial infarction was higher during the crisis (RR 1.40, 95% CI 1.29–1.51).…”

Section: Resultsmentioning

confidence: 99%

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Effects of the Global Financial Crisis on Health in High-Income Oecd Countries

et al. 2016

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A growing body of evidence documents how economic crises impact aspects of health across countries and over time. We performed a systematic narrative review of the health effects of the latest economic crisis based on studies of high-income countries. Papers published between January 2009 and July 2015 were selected based on review of titles and abstracts, followed by a full text review conducted by two independent reviewers. Ultimately, 122 studies were selected and their findings summarized. The review finds that the 2008 financial crisis had negative effects on mental health, including suicide, and to a varying extent on some non-communicable and communicable diseases and access to care. Although unhealthy behaviors such as hazardous drinking and tobacco use appeared to decline during the crisis, there have been increases in some groups, typically those already at greatest risk. The health impact was greatest in countries that suffered the largest economic impact of the crisis or prolonged austerity. The Great Recessions in high-income countries have had mixed impacts on health. They tend to be worse when economic impacts are more severe, prolonged austerity measures are implemented, and there are pre-existing problems of substance use among vulnerable groups.

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Section: Resultsmentioning

confidence: 99%

“…94 A study using Google Trends found a significant increase in certain health queries during the recession, amounting to more than 200 million excess searches, including stomach ulcer and headache symptoms, hernia, chest pain, and arrhythmia. 95…”

Section: Self-reported Healthmentioning

confidence: 99%

Effects of the Global Financial Crisis on Health in High-Income Oecd Countries

et al. 2016

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“…These practices are consistent with the literature on social support to improve outcomes in a variety of crisis situations. [3][4][5][6][7][8] Well-functioning, close relationships support functions of coping successfully with adversity, and participating in opportunities for growth and fulfillment in the absence of adversity. These support functions are rooted in attachment theory, a theory that proposes that all individuals enter the world with propensities to seek proximity to close others in times of stress and to support the attachment and exploration behavior of close others.…”

Section: Addressing Core Values Of Postgraduate Programsmentioning

confidence: 99%

Maintaining Core Values in Postgraduate Programs During the COVID-19 Pandemic

Persky

Fuller

Jarstfer

et al. 2020

American Journal of Pharmaceutical Education

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The novel coronavirus identified in 2019 (COVID-19) pandemic has impacted pharmacy graduate and postgraduate education. This crisis has resulted in a cosmic shift in the administration of these programs to ensure core values are sustained. Adjustments may be needed at a minimum to ensure that postgraduate trainees complete program requirements while maintaining safety. Moving forward, additional issues may arise that will need to be addressed such as admissions and program onboarding, acclimating students to new training environments, and managing inadequate resources for distance education, distance practice, and remote versus in-person research opportunities.

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“…In Norway, poor social integration among elderly was related to higher mortality [ 15 ], and in the Netherlands poor emotional support was related to higher mortality [ 16 ]. In Spain a study found that among elderly a low social network was related to more hospital admissions [ 17 ] and that social support offered protection against the adverse effect of economic recessions on mental health [ 18 ]. However, most of these studies focused on single factors and single settings and therefore it is unclear what the relative impact of different aspects of support on health is.…”

Section: Introductionmentioning

confidence: 99%

Social Support and Health in Diabetes Patients: An Observational Study in Six European Countries in an Era of Austerity

Koetsenruijter¹,

Lieshout²,

Lionis

et al. 2015

PLoS ONE

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IntroductionSupport from individual social networks, community organizations and neighborhoods is associated with better self-management and health outcomes. This international study examined the relative impact of different types of support on health and health-related behaviors in patients with type 2 diabetes.MethodsObservational study (using interviews and questionnaires) in a sample of 1,692 type 2 diabetes patients with 5,433 connections from Bulgaria, Greece, Netherlands, Norway, Spain, and the United Kingdom. Outcomes were patient-reported health status (SF-12), physical exercise (RAPA), diet and smoking (SDCSCA). Random coefficient regression models were used to examine linkages with individual networks, community organizations, and neighborhood type (deprived rural, deprived urban, or affluent urban).ResultsPatients had a median of 3 support connections and 34.6% participated in community organizations. Controlled for patients’ age, sex, education, income and comorbidities, large emotional support networks were associated with decrease of non-smoking (OR = 0.87). Large practical support networks were associated with worse physical and mental health (B = -0.46 and -0.27 respectively) and less physical activity (OR = 0.90). Participation in community organizations was associated with better physical and mental health (B = 1.39 and 1.22, respectively) and, in patients with low income, with more physical activity (OR = 1.53).DiscussionParticipation in community organizations was most consistently related to better health status. Many diabetes patients have individual support networks, but this study did not provide evidence to increase their size as a public health strategy. The consistent association between participation in community organizations and health status provides a clear target for interventions and policies.

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Effects of the economic crisis and social support on health-related quality of life: first wave of a longitudinal study in Spain

Abstract: BackgroundEconomic recession affects quality of life by increasing rates of mental disorders in particular. Social support can be an important protective factor.

Cited by 28 publications

References 31 publications

Effects of the Global Financial Crisis on Health in High-Income Oecd Countries

Effects of the Global Financial Crisis on Health in High-Income Oecd Countries

Maintaining Core Values in Postgraduate Programs During the COVID-19 Pandemic

Social Support and Health in Diabetes Patients: An Observational Study in Six European Countries in an Era of Austerity

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