The recent economic recession and self-rated health in Estonia, Lithuania and Finland: a comparative cross-sectional study in 2004–2010

Reile, Rainer; Helakorpi, Satu; Klumbienė, Jūratė; Tekkel, Mare; Leinsalu, Mall

doi:10.1136/jech-2014-204196

Cited by 33 publications

(44 citation statements)

References 38 publications

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“…A 2001–2011 US study found a declining HRQoL in younger age groups, whereas the older age groups tended to report higher HRQoL 13. Similar trends have been observed in Estonia, Lithuania and Finland,14 and other studies found unexpected improvements of mentally oriented scales with increasing age 8 15. Various factors may cause such disparities between age groups in both HRQoL and its temporal trends.…”

Section: Discussionmentioning

confidence: 60%

Contrasted trends in health-related quality of life across gender, age categories and work status in France, 1995–2016: repeated population-based cross-sectional surveys using the SF-36

Clause-Verdreau

Audureau

Leplège

et al. 2018

J Epidemiol Community Health

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BackgroundInterest in monitoring health-related quality of life (HRQoL) in general populations has increased in the past 20 years, reinforced by population ageing and repeated economic crises. This study aims to identify temporal trends in HRQoL in France between 1995 and 2016 and to assess disparities according to demographic and socioeconomic characteristics.MethodsData from repeated population-based cross-sectional surveys conducted in 1995, 2003 and 2016 were used. HRQoL was measured using the Medical Outcomes Study 36-item Short Form (SF-36) questionnaire.ResultsA substantial decrease in score was observed between 1995 and 2016 for both genders in almost all subscales of the SF-36, with the largest decrease being in the mental health dimension for men. However, the age group 18–54 years were the most affected with persistent negative or even worsening trends in HRQoL. The largest decreases were among men aged 45–54 years and women aged 35–44 years in most dimensions, and among the age group 18–24 years in vitality. Conversely, an overall improvement was noted among the age group 65–84 years. People in employment were more affected than the unemployed by the decline in several HRQoL dimensions.ConclusionA general decline in HRQoL was found between 1995 and 2016 in the French population, but with wide disparities in trends between age groups. Young and especially middle-aged, employed people exhibited persistent negative and worsening trends. Consistent with evidence from traditional mental health morbidity and mortality indicators, our findings raise questions about the potential influence of macro-socioeconomic factors, especially the 2008 crisis; these observations deserve special attention from health policy-makers.

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Section: Discussionmentioning

confidence: 60%

Contrasted trends in health-related quality of life across gender, age categories and work status in France, 1995–2016: repeated population-based cross-sectional surveys using the SF-36

Clause-Verdreau

Audureau

Leplège

et al. 2018

J Epidemiol Community Health

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“…Multilevel studies also suggested that state-level unemployment as well as census-tract foreclosure risk was associated with declining SRH [26, 28, 29]. Results from most aggregate-level studies suggested a decline in SRH with the Great Recession, as well [25, 30]. The most rigorous aggregate-level study found a long-term decline in SRH after a possible brief period of improvement in the United Kingdom [30].…”

Section: Resultsmentioning

confidence: 99%

Health Impacts of the Great Recession: a Critical Review

et al. 2016

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The severity, sudden onset, and multipronged nature of the Great Recession (2007–2009) provided a unique opportunity to examine the health impacts of macroeconomic downturn. We comprehensively review empirical literature examining the relationship between the Recession and mental and physical health outcomes in developed nations. Overall, studies reported detrimental impacts of the Recession on health, particularly mental health. Macro- and individual-level employment- and housing-related sequelae of the Recession were associated with declining fertility and self-rated health, and increasing morbidity, psychological distress, and suicide, although traffic fatalities and population-level alcohol consumption declined. Health impacts were stronger among men and racial/ethnic minorities. Importantly, strong social safety nets in some European countries appear to have buffered those populations from negative health effects. This literature, however, still faces multiple methodological challenges, and more time may be needed to observe the Recession’s full health impact. We conclude with suggestions for future work in this field.

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“…Despite great harmonisation efforts, we were not able to remove all differences between countries in data collection such as the framing of survey questions, the population coverage or the response rates. The tendency to report less-than-good SAH may differ between countries due to different cultural backgrounds,9 43 for example, persons in Central and Eastern European countries may tend to report their health as less good than persons in other European countries 44 45. However, as we focused on the trends in inequalities in SAH, we retained comparability over time within each country, and therefore consider the risk of bias due to between-country variations in these aspects to be limited.…”

Section: Discussionmentioning

confidence: 99%

Trends in socioeconomic inequalities in self-assessed health in 17 European countries between 1990 and 2010

Lenthe

Borsboom

et al. 2016

J Epidemiol Community Health

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The recent economic recession and self-rated health in Estonia, Lithuania and Finland: a comparative cross-sectional study in 2004–2010

Cited by 33 publications

References 38 publications

Contrasted trends in health-related quality of life across gender, age categories and work status in France, 1995–2016: repeated population-based cross-sectional surveys using the SF-36

Contrasted trends in health-related quality of life across gender, age categories and work status in France, 1995–2016: repeated population-based cross-sectional surveys using the SF-36

Health Impacts of the Great Recession: a Critical Review

Trends in socioeconomic inequalities in self-assessed health in 17 European countries between 1990 and 2010

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