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Impact of the Economic Crisis on Body Mass Index in Spain: An Intersectional Multilevel Analysis Using a Socioeconomic and Regional Perspective

Author

Listed:
  • Aránzazu Hernández-Yumar

    (Universidad de La Laguna (ULL)
    Lund University)

  • Maria Wemrell

    (Lund University
    Lund University)

  • Ignacio Abásolo-Alessón

    (Universidad de La Laguna (ULL)
    Universidad de La Laguna)

  • Beatriz González López-Valcárcel

    (Universidad de Las Palmas de Gran Canaria (ULPGC))

  • Juan Merlo

    (Lund University
    Region Skåne)

Abstract

The Great Recession hit Spain deteriorating the living conditions of many Spanish people, increasing the prevalence of several chronic health issues, including obesity, and affecting health inequalities. We analyse the impact of this economic crisis on body mass index (BMI) disparities in Spain, from two perspectives: the socioeconomic and the territorial, through the application of an intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy. We use data from the Spanish National Health Surveys of 2006/2007, 2011/2012 and 2016/2017 to build multilevel linear regression models and estimate BMI averages and components of variance. We find a greater increase in the overall average BMI and a widening of the socioeconomic disparities during the hardest years of the crisis. However, these differences decreased when the economic situation in the country began to improve. Both socioeconomic and geographical information contribute to mapping the distribution of BMI in the population. However, according to the ICC values, considering the regional perspective provides a better understanding of the distribution of the BMI, during the period of economic crisis, in the Spanish population. Therefore, regional policies can play an important role in counteracting obesity in times of crisis.

Suggested Citation

  • Aránzazu Hernández-Yumar & Maria Wemrell & Ignacio Abásolo-Alessón & Beatriz González López-Valcárcel & Juan Merlo, 2023. "Impact of the Economic Crisis on Body Mass Index in Spain: An Intersectional Multilevel Analysis Using a Socioeconomic and Regional Perspective," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-31, August.
    • Handle: RePEc:kap:poprpr:v:42:y:2023:i:4:d:10.1007_s11113-023-09811-0
    DOI: 10.1007/s11113-023-09811-0
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    1. Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
    2. Costa-Font, Joan & Gil, Joan, 2008. "What lies behind socio-economic inequalities in obesity in Spain A decomposition approach," Food Policy, Elsevier, vol. 33(1), pages 61-73, February.
    3. Raftopoulou, Athina, 2017. "Geographic determinants of individual obesity risk in Spain: A multilevel approach," Economics & Human Biology, Elsevier, vol. 24(C), pages 185-193.
    4. Evans, Clare R. & Erickson, Natasha, 2019. "Intersectionality and depression in adolescence and early adulthood: A MAIHDA analysis of the national longitudinal study of adolescent to adult health, 1995–2008," Social Science & Medicine, Elsevier, vol. 220(C), pages 1-11.
    5. de Goeij, Moniek C.M. & Suhrcke, Marc & Toffolutti, Veronica & van de Mheen, Dike & Schoenmakers, Tim M. & Kunst, Anton E., 2015. "How economic crises affect alcohol consumption and alcohol-related health problems: A realist systematic review," Social Science & Medicine, Elsevier, vol. 131(C), pages 131-146.
    6. 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.
    7. Rosa Urbanos-Garrido & Beatriz Lopez-Valcarcel, 2015. "The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(2), pages 175-184, March.
    8. Costa-Font, Joan & Hernández-Quevedo, Cristina & Jiménez-Rubio, Dolores, 2014. "Income inequalities in unhealthy life styles in England and Spain," Economics & Human Biology, Elsevier, vol. 13(C), pages 66-75.
    9. Matheson, Flora I. & Moineddin, Rahim & Glazier, Richard H., 2008. "The weight of place: A multilevel analysis of gender, neighborhood material deprivation, and body mass index among Canadian adults," Social Science & Medicine, Elsevier, vol. 66(3), pages 675-690, February.
    10. Macintyre, Sally & Ellaway, Anne & Cummins, Steven, 2002. "Place effects on health: how can we conceptualise, operationalise and measure them?," Social Science & Medicine, Elsevier, vol. 55(1), pages 125-139, July.
    11. Seng, Julia S. & Lopez, William D. & Sperlich, Mickey & Hamama, Lydia & Reed Meldrum, Caroline D., 2012. "Marginalized identities, discrimination burden, and mental health: Empirical exploration of an interpersonal-level approach to modeling intersectionality," Social Science & Medicine, Elsevier, vol. 75(12), pages 2437-2445.
    12. Aránzazu Hernández-Yumar & Maria Wemrell & Ignacio Abásolo Alessón & Beatriz González López-Valcárcel & George Leckie & Juan Merlo, 2018. "Socioeconomic differences in body mass index in Spain: An intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-23, December.
    13. Bowleg, L., 2012. "The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1267-1273.
    14. Leckie, George & Charlton, Chris, 2013. "runmlwin: A Program to Run the MLwiN Multilevel Modeling Software from within Stata," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 52(i11).
    15. Aparicio Fenoll, Ainoa, 2010. "High-School Dropouts and Transitory Labor Market Shocks: The Case of the Spanish Housing Boom," IZA Discussion Papers 5139, Institute of Labor Economics (IZA).
    16. Merino Ventosa, María & Urbanos-Garrido, Rosa M.maria.merino.ven@gmail.com, 2016. "Disentangling effects of socioeconomic status on obesity: A cross-sectional study of the Spanish adult population," Economics & Human Biology, Elsevier, vol. 22(C), pages 216-224.
    17. Davillas, Apostolos & Jones, Andrew M., 2020. "Regional inequalities in adiposity in England: distributional analysis of the contribution of individual-level characteristics and the small area obesogenic environment," Economics & Human Biology, Elsevier, vol. 38(C).
    18. Gil, Joan & Mora, Toni, 2011. "The determinants of misreporting weight and height: The role of social norms," Economics & Human Biology, Elsevier, vol. 9(1), pages 78-91, January.
    19. Puhl, R.M. & Heuer, C.A., 2010. "Obesity stigma: Important considerations for public health," American Journal of Public Health, American Public Health Association, vol. 100(6), pages 1019-1028.
    20. Max Coveney & Pilar García‐Gómez & Eddy Van Doorslaer & Tom Van Ourti, 2016. "Health Disparities by Income in Spain Before and After the Economic Crisis," Health Economics, John Wiley & Sons, Ltd., vol. 25(S2), pages 141-158, November.
    21. repec:wly:hlthec:v:25:y:2016:i::p:141-158 is not listed on IDEAS
    22. Zubizarreta, Dougie & Beccia, Ariel L. & Trinh, Mai-Han & Reynolds, Colleen A. & Reisner, Sari L. & Charlton, Brittany M., 2022. "Human papillomavirus vaccination disparities among U.S. college students: An intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA)," Social Science & Medicine, Elsevier, vol. 301(C).
    23. Evans, Clare R. & Williams, David R. & Onnela, Jukka-Pekka & Subramanian, S.V., 2018. "A multilevel approach to modeling health inequalities at the intersection of multiple social identities," Social Science & Medicine, Elsevier, vol. 203(C), pages 64-73.
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