The impacts of the global financial crisis on hospitalizations due to depressive illnesses in Taiwan: A prospective nationwide population-based study

Lee, Chiachi Bonnie; Liao, Chen-Mao; Lin, Chih‐Ming

doi:10.1016/j.jad.2017.06.028

Cited by 7 publications

(9 citation statements)

References 41 publications

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“…Several studies found an increase of hospital admissions for mental disorders during periods of economic crisis (Korkeila et al ., 1998; Modrek et al ., 2015; Bonnie Lee et al ., 2017). In Finland (Korkeila et al ., 1998), the increase of admissions was particularly significant in multiple readmissions among new inpatients (from 0.05 to 0.08, p < 0.001), and in the diagnostic group of mood disorders among first-timers (by 60%) and among patients with previous admissions (by 39%).…”

Section: Resultsmentioning

confidence: 99%

“…Several studies included showed a higher utilisation of mental health care by women (such as access to outpatient visits, emergency department, prescription drugs and hospitalisation) compared with men during the crisis (Buffel et al ., 2015; Chen and Dagher, 2016; Bonnie Lee et al ., 2017). Regarding the risk of attendance of health facilities due to suicidal behaviour, Ostamo and Lönnqvist (2001) showed that there was a convergence of rates between genders, with the men's rates decreasing 15% (trend test χ 2 = 10.45, p ⩽ 0.001) and the women's rates increasing 8% (trend test χ 2 = 2.55, p = 0.11).…”

Section: Resultsmentioning

confidence: 99%

“…Bonnie Lee et al . (2017) suggested low income to be a risk factor for hospitalisation for depressive disorders.…”

Section: Resultsmentioning

confidence: 99%

“…In the studies included, during periods of crisis, women used mental health care more frequently than men (Bidargaddi et al ., 2015; Buffel et al ., 2015; Chen and Dagher, 2016; Bonnie Lee et al ., 2017). This might reflect women's relatively worse mental health status and higher need for care or gender differences in healthcare-seeking behaviour.…”

Section: Discussionmentioning

confidence: 99%

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Impact of economic crises on mental health care: a systematic review

Silva

Resurrección

Antunes

et al. 2018

Epidemiol Psychiatr Sci

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Aims Unmet needs for mental health treatment are large and widespread, and periods of economic crisis may increase the need for care and the treatment gap, with serious consequences for individuals and society. The aim of this systematic review was to summarise the empirical evidence on the association between periods of economic crisis and the use of mental health care. Methods Following the PRISMA statement, MEDLINE, Embase, Scopus, Open Grey and Cochrane Database were searched for relevant publications, published between 1990 and 2018, from inception to June 2018. Search terms included (1) economic crisis, (2) use of mental health services and (3) mental health problems. Study selection, data extraction and the assessment of study quality were performed in duplicate. Results Seventeen studies from different countries met the inclusion criteria. The results from the included articles suggest that periods of economic crisis might be linked to an increase of general help sought for mental health problems, with conflicting results regarding the changes in the use of specialised psychiatric care. The evidence on the use of mental health care specifically due to suicide behaviour is mixed. The results also suggest that economic crises might be associated with a higher use of prescription drugs and an increase in hospital admissions for mental disorders. Conclusions Research on the impact of economic crises on the use of mental health care is scarce, and methodologies of the included papers are prone to substantial bias. More empirical and long-term studies on this topic are needed, in order to adapt mental health care systems to the specific needs of the population in times of economic crisis.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Bonnie Lee et al . (2017) suggested low income to be a risk factor for hospitalisation for depressive disorders.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Impact of economic crises on mental health care: a systematic review

Silva

Resurrección

Antunes

et al. 2018

Epidemiol Psychiatr Sci

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“…This study further found that individuals facing job insecurity had a higher likelihood of developing serious mental illnesses within the past 30 days, with that likelihood being almost five times higher than the likelihood for those who were not dealing with job insecurity [47]. A Taiwanese study found that the 2008 economic recession led to increased rates of hospitalization for depressive illnesses in Taiwan, and the adjusted incidence rates of hospitalizations for depressive illnesses were generally higher in female subgroups than they were in male subgroups from 2007 to 2012, that is, both before and after the financial crisis [48]. Depression is significantly related to an increased risk of IHD [49].…”

Section: Discussionmentioning

confidence: 99%

Economic fluctuations and cardiovascular diseases: A multiple-input time series analysis

Lee¹,

Liao²,

Peng³

et al. 2019

PLoS ONE

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Objectives Little is known about the gender and age differences associated with the effects of economic fluctuations on hospitalization for cardiovascular diseases. This paper investigates the impact of economic fluctuations on hospitalization for ischemic heart disease (IHD), stroke, and hypertension by age and gender between January 1996 and December 2012 in Taiwan. Methods We adopted a multiple-input time series analysis to examine the strength of the immediate and latent effects of the 17-year quarterly unemployment rates (UR), air pollution exposure (APE), gross domestic product (GDP), per capita consumption expenditure in cigarette and alcohol (ECA), and per capita healthcare expenditure (HE) on the adjusted quarterly incidence rate of hospitalization. The data used in this paper were retrieved from the National Health Insurance Research Database and the website of the Directorate-General of Budget, Accounting and Statistics (DGBAS), Executive Yuan. Results Our findings indicate that higher UR increased IHD hospitalization in young men and women and middle-aged women but reduced stroke hospitalization in young men. Higher APE increased IHD hospitalization in young men but reduced it for young women, increased stroke hospitalization in old men and middle-aged women but reduced it for young men, and increased hypertension hospitalization in middle-aged men and young women. Higher ECA reduced IHD hospitalization in middle-aged men, increased stoke hospitalization in middle-aged and old men and middle-aged women. Higher HE reduced IHD hospitalization in old men, young and old women, reduced stroke hospitalization in old women, and reduced hypertension hospitalization in young and middle-aged women. Conclusions Overall, we found that the economic fluctuations caused increased harmful effects in certain population subgroups but also brought some soothing effects to some groups.

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The impact of the great economic crisis on mental health care in Italy

Wang

Fattore

2020

Eur J Health Econ

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The great economic crisis in 2008 has affected the welfare of the population in countries such as Italy. Although there is abundant literature on the impact of the crisis on physical health, very few studies have focused on the causal implications for mental health and health care. This paper, therefore, investigates the impact of the recent economic crisis on hospital admissions for severe mental disorder at small geographic levels in Italy and assesses whether there are heterogeneous effects across areas with distinct levels of income. We exploit 9-year (2007–2015) panel data on hospital discharges, which is merged with employment and income composition at the geographic units that share similar labour market structures. Linear and dynamic panel analysis are used to identify the causal effect of rising unemployment rate on severe mental illness admissions per 100,000 residents to account for time-invariant heterogeneity. We further create discrete income levels to identify the potential socioeconomic gradients behind this effect across areas with different economic characteristics. The results show a significant impact of higher unemployment rates on admissions for severe mental disorders after controlling for relevant economic factors, and the effects are concentrated on the most economically disadvantaged areas. The results contribute to the literature of spatio-temporal variation in the broader determinants of mental health and health care utilisation and shed light on the populations that are most susceptible to the effects of the economic crisis.

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The impacts of the global financial crisis on hospitalizations due to depressive illnesses in Taiwan: A prospective nationwide population-based study

Cited by 7 publications

References 41 publications

Impact of economic crises on mental health care: a systematic review

Impact of economic crises on mental health care: a systematic review

Economic fluctuations and cardiovascular diseases: A multiple-input time series analysis

The impact of the great economic crisis on mental health care in Italy

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