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The business cycle and mortality: Urban versus rural counties

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  • Sameem, Sediq
  • Sylwester, Kevin

Abstract

Many studies have found that mortality declines during recessions, but do such results remain consistent in both urban and rural settings? To help uncover explanations for such a pro-cyclical nature of mortality, the present study revisits this topic but allows for associations between unemployment and mortality to differ between urban and rural areas. Using a total of 66 863 observations across 3066 counties of the U.S. from 1990 to 2013, we allow the coefficient on unemployment to differ between urban and rural counties. With an exception of deaths due to external accidents being pro-cyclical in rural settings, we find that the negative association between unemployment and mortality more generally holds for urban areas, particularly for females and the elderly. Moreover, we find death due to circulatory disease or influenza/pneumonia to be especially more prevalent in urban areas. Given that the negative associations between unemployment and mortality are generally stronger in cities, views attempting to explain pro-cyclical mortality should focus on characteristics in urban settings.

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  • Sameem, Sediq & Sylwester, Kevin, 2017. "The business cycle and mortality: Urban versus rural counties," Social Science & Medicine, Elsevier, vol. 175(C), pages 28-35.
    • Handle: RePEc:eee:socmed:v:175:y:2017:i:c:p:28-35
    DOI: 10.1016/j.socscimed.2016.12.023
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    as
    1. French, Michael T. & Gumus, Gulcin, 2014. "Macroeconomic fluctuations and motorcycle fatalities in the U.S," Social Science & Medicine, Elsevier, vol. 104(C), pages 187-193.
    2. Ann H. Stevens & Douglas L. Miller & Marianne E. Page & Mateusz Filipski, 2015. "The Best of Times, the Worst of Times: Understanding Pro-cyclical Mortality," American Economic Journal: Economic Policy, American Economic Association, vol. 7(4), pages 279-311, November.
    3. Matias Fontenla & Fidel Gonzalez & Troy Quast, 2011. "Are recessions good for everyone's health? The association between mortality and the business cycle by race/ethnicity in the US," Applied Economics Letters, Taylor & Francis Journals, vol. 18(3), pages 207-212.
    4. Halliday, Timothy J., 2014. "Unemployment and mortality: Evidence from the PSID," Social Science & Medicine, Elsevier, vol. 113(C), pages 15-22.
    5. Kenneth Y. Chay & Michael Greenstone, 2003. "The Impact of Air Pollution on Infant Mortality: Evidence from Geographic Variation in Pollution Shocks Induced by a Recession," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(3), pages 1121-1167.
    6. Janet Currie & Johannes F. Schmieder, 2009. "Fetal Exposures to Toxic Releases and Infant Health," American Economic Review, American Economic Association, vol. 99(2), pages 177-183, May.
    7. Andrew Foster & Emilio Gutierrez & Naresh Kumar, 2009. "Voluntary Compliance, Pollution Levels, and Infant Mortality in Mexico," American Economic Review, American Economic Association, vol. 99(2), pages 191-197, May.
    8. Gerdtham, Ulf-G. & Ruhm, Christopher J., 2006. "Deaths rise in good economic times: Evidence from the OECD," Economics & Human Biology, Elsevier, vol. 4(3), pages 298-316, December.
    9. Ruhm, Christopher J., 1995. "Economic conditions and alcohol problems," Journal of Health Economics, Elsevier, vol. 14(5), pages 583-603, December.
    10. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(2), pages 617-650.
    11. Daniel Sullivan & Till von Wachter, 2009. "Job Displacement and Mortality: An Analysis Using Administrative Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(3), pages 1265-1306.
    12. Ariizumi, Hideki & Schirle, Tammy, 2012. "Are recessions really good for your health? Evidence from Canada," Social Science & Medicine, Elsevier, vol. 74(8), pages 1224-1231.
    13. Garth Heutel & Christopher J. Ruhm, 2016. "Air Pollution and Procyclical Mortality," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 3(3), pages 667-706.
    14. Shin-Jong Lin, 2009. "Economic fluctuations and health outcome: a panel analysis of Asia-Pacific countries," Applied Economics, Taylor & Francis Journals, vol. 41(4), pages 519-530.
    15. Ruhm, Christopher J., 2015. "Recessions, healthy no more?," Journal of Health Economics, Elsevier, vol. 42(C), pages 17-28.
    16. Lindo, Jason M., 2015. "Aggregation and the estimated effects of economic conditions on health," Journal of Health Economics, Elsevier, vol. 40(C), pages 83-96.
    17. Brenner, M.H., 1975. "Trends in alcohol consumption and associated illnesses. Some effects of economic changes," American Journal of Public Health, American Public Health Association, vol. 65(12), pages 1279-1292.
    18. Janet Currie & Matthew Neidell, 2005. "Air Pollution and Infant Health: What Can We Learn from California's Recent Experience?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(3), pages 1003-1030.
    19. Gonzalez, Fidel & Quast, Troy, 2010. "Mortality and business cycles by level of development: Evidence from Mexico," Social Science & Medicine, Elsevier, vol. 71(12), pages 2066-2073, December.
    20. Gerdtham, Ulf-G. & Johannesson, Magnus, 2005. "Business cycles and mortality: results from Swedish microdata," Social Science & Medicine, Elsevier, vol. 60(1), pages 205-218, January.
    21. Neumayer, Eric, 2004. "Recessions lower (some) mortality rates:: evidence from Germany," Social Science & Medicine, Elsevier, vol. 58(6), pages 1037-1047, March.
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    7. French, Michael T. & Gumus, Gulcin, 2021. "Death on the job: The Great Recession and work-related traffic fatalities," Social Science & Medicine, Elsevier, vol. 280(C).
    8. Dambar Uprety, 2019. "Skilled migration and health outcomes in developing countries," International Journal of Health Economics and Management, Springer, vol. 19(1), pages 1-14, March.
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