IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v32y2023i7p1550-1560.html
   My bibliography  Save this article

Economic uncertainty and cardiovascular disease mortality

Author

Listed:
  • Ichiro Kawachi
  • Ilias Kyriopoulos
  • Sotiris Vandoros

Abstract

Previous studies have found a link between economic conditions, such as recessions and unemployment, and cardiovascular disease as well as other health outcomes. More recent research argues that economic uncertainty—independently of unemployment—can affect health outcomes. Using data from England and Wales, we study the association between fluctuations in economic uncertainty and cardiovascular disease mortality in the short term for the period 2001–2019. Controlling for several economic indicators (including unemployment), we find that economic uncertainty alone is strongly associated with deaths attributed to diseases of the circulatory system, ischemic heart disease and cerebrovascular disease. Our findings highlight the short‐term link between economic conditions and cardiovascular health and reveal yet another health outcome that is associated with uncertainty.

Suggested Citation

  • Ichiro Kawachi & Ilias Kyriopoulos & Sotiris Vandoros, 2023. "Economic uncertainty and cardiovascular disease mortality," Health Economics, John Wiley & Sons, Ltd., vol. 32(7), pages 1550-1560, July.
    • Handle: RePEc:wly:hlthec:v:32:y:2023:i:7:p:1550-1560
    DOI: 10.1002/hec.4678
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4678
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hec.4678?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Hualiang Lin & Yonghui Zhang & Yanjun Xu & Tao Liu & Jianpeng Xiao & Yuan Luo & Xiaojun Xu & Yanhui He & Wenjun Ma, 2013. "Large Daily Stock Variation Is Associated with Cardiovascular Mortality in Two Cities of Guangdong, China," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-8, July.
    2. Spiteri, Jonathan & von Brockdorff, Philip, 2019. "Economic development and health outcomes: Evidence from cardiovascular disease mortality in Europe," Social Science & Medicine, Elsevier, vol. 224(C), pages 37-44.
    3. Burgard, Sarah A. & Brand, Jennie E. & House, James S., 2009. "Perceived job insecurity and worker health in the United States," Social Science & Medicine, Elsevier, vol. 69(5), pages 777-785, September.
    4. Birgisdóttir, Kristín Helga & Hauksdóttir, Arna & Ruhm, Christopher & Valdimarsdóttir, Unnur Anna & Ásgeirsdóttir, Tinna Laufey, 2020. "The effect of the economic collapse in Iceland on the probability of cardiovascular events," Economics & Human Biology, Elsevier, vol. 37(C).
    5. Eve Caroli & Mathilde Godard, 2016. "Does job insecurity deteriorate health?," Health Economics, John Wiley & Sons, Ltd., vol. 25(2), pages 131-147, February.
    6. Georgios Kavetsos & Ichiro Kawachi & Ilias Kyriopoulos & Sotiris Vandoros, 2021. "The effect of the Brexit referendum result on subjective well‐being," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 184(2), pages 707-731, April.
    7. Giulietti, Corrado & Tonin, Mirco & Vlassopoulos, Michael, 2020. "When the market drives you crazy: Stock market returns and fatal car accidents," Journal of Health Economics, Elsevier, vol. 70(C).
    8. Svensson, Mikael, 2007. "Do not go breaking your heart: Do economic upturns really increase heart attack mortality?," Social Science & Medicine, Elsevier, vol. 65(4), pages 833-841, August.
    9. McInerney, Melissa & Mellor, Jennifer M., 2012. "Recessions and seniors’ health, health behaviors, and healthcare use: Analysis of the Medicare Current Beneficiary Survey," Journal of Health Economics, Elsevier, vol. 31(5), pages 744-751.
    10. José A. Tapia Granados & Edward L. Ionides, 2017. "Population health and the economy: Mortality and the Great Recession in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 219-235, December.
    11. 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.
    12. 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.
    13. Nikolaos Antonakakis & Rangan Gupta, 2017. "Is Economic Policy Uncertainty Related to Suicide Rates? Evidence from the United States," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 133(2), pages 543-560, September.
    14. Scott R. Baker & Nicholas Bloom & Steven J. Davis, 2016. "Measuring Economic Policy Uncertainty," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1593-1636.
    15. Kyriopoulos, I. & Nikoloski, Zlatko & Mossialos, E., 2019. "Does economic recession impact newborn health? Evidence from Greece," LSE Research Online Documents on Economics 101587, London School of Economics and Political Science, LSE Library.
    16. Bradford, W. David & Dolan, Paul, 2010. "Getting used to it: The adaptive global utility model," Journal of Health Economics, Elsevier, vol. 29(6), pages 811-820, December.
    17. Kyriopoulos, Ilias & Nikoloski, Zlatko & Mossialos, Elias, 2019. "Does economic recession impact newborn health? Evidence from Greece," Social Science & Medicine, Elsevier, vol. 237(C), pages 1-1.
    18. Robert Metcalfe & Nattavudh Powdthavee & Paul Dolan, 2011. "Destruction and Distress: Using a Quasi‐Experiment to Show the Effects of the September 11 Attacks on Mental Well‐Being in the United Kingdom," Economic Journal, Royal Economic Society, vol. 121(550), pages 81-103, February.
    19. 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.
    20. Chen, Chun-Chih & Chen, Chin-Shyan & Liu, Tsai-Ching & Lin, Ying-Tzu, 2012. "Stock or stroke? Stock market movement and stroke incidence in Taiwan," Social Science & Medicine, Elsevier, vol. 75(11), pages 1974-1980.
    21. Antonakakis, Nikolaos & Collins, Alan, 2015. "The impact of fiscal austerity on suicide mortality: Evidence across the ‘Eurozone periphery’," Social Science & Medicine, Elsevier, vol. 145(C), pages 63-78.
    22. Noelke, Clemens & Avendano, Mauricio, 2015. "Who suffers during recessions? Economic downturns, job loss, and cardiovascular disease in older Americans," LSE Research Online Documents on Economics 64691, London School of Economics and Political Science, LSE Library.
    23. W. David Bradford & William D. Lastrapes, 2014. "A Prescription For Unemployment? Recessions And The Demand For Mental Health Drugs," Health Economics, John Wiley & Sons, Ltd., vol. 23(11), pages 1301-1325, November.
    24. Vandoros, Sotiris & Avendano, Mauricio & Kawachi, Ichiro, 2019. "The association between economic uncertainty and suicide in the short-run," Social Science & Medicine, Elsevier, vol. 220(C), pages 403-410.
    25. Aleksandra Torbica & Aldo Pietro Maggioni & Simone Ghislandi, 2015. "The Economic Crisis and Acute Myocardial Infarction: New Evidence Using Hospital-Level Data," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-13, November.
    26. Neumayer, Eric, 2004. "Recessions lower (some) mortality rates:: evidence from Germany," Social Science & Medicine, Elsevier, vol. 58(6), pages 1037-1047, March.
    27. Christian Bünnings & Jan Kleibrink & Jens Weßling, 2017. "Fear of Unemployment and its Effect on the Mental Health of Spouses," Health Economics, John Wiley & Sons, Ltd., vol. 26(1), pages 104-117, January.
    28. Ruhm, Christopher J., 2015. "Recessions, healthy no more?," Journal of Health Economics, Elsevier, vol. 42(C), pages 17-28.
    29. Jofre-Bonet, Mireia & Serra-Sastre, Victoria & Vandoros, Sotiris, 2018. "The impact of the Great Recession on health-related risk factors, behaviour and outcomes in England," Social Science & Medicine, Elsevier, vol. 197(C), pages 213-225.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kanavos, Panos & Vandoros, Sotiris, 2023. "Road traffic mortality and economic uncertainty: Evidence from the United States," Social Science & Medicine, Elsevier, vol. 326(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jofre-Bonet, Mireia & Serra-Sastre, Victoria & Vandoros, Sotiris, 2018. "The impact of the Great Recession on health-related risk factors, behaviour and outcomes in England," Social Science & Medicine, Elsevier, vol. 197(C), pages 213-225.
    2. Vandoros, Sotiris & Avendano, Mauricio & Kawachi, Ichiro, 2019. "The association between economic uncertainty and suicide in the short-run," Social Science & Medicine, Elsevier, vol. 220(C), pages 403-410.
    3. Kyriopoulos, Ilias & Nikoloski, Zlatko & Mossialos, Elias, 2019. "Does economic recession impact newborn health? Evidence from Greece," Social Science & Medicine, Elsevier, vol. 237(C), pages 1-1.
    4. Federico Belotti & Joanna Kopinska & Alessandro Palma & Andrea Piano Mortari, 2022. "Health status and the Great Recession. Evidence from electronic health records," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1770-1799, August.
    5. Propper, Carol & Janke, Katharina & Lee, Kevin & Shields, Kalvinder & Shields, Michael A, 2020. "Macroeconomic Conditions and Health in Britain: Aggregation, Dynamics and Local Area Heterogeneity," CEPR Discussion Papers 14507, C.E.P.R. Discussion Papers.
    6. Ruhm, Christopher J., 2015. "Recessions, healthy no more?," Journal of Health Economics, Elsevier, vol. 42(C), pages 17-28.
    7. Christopher J. Ruhm, 2016. "Health Effects of Economic Crises," Health Economics, John Wiley & Sons, Ltd., vol. 25(S2), pages 6-24, November.
    8. María Cervini-Plá & Judit Vall-Castelló, 2021. "Business cycle and mortality in Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(8), pages 1289-1299, November.
    9. Birgisdóttir, Kristín Helga & Hauksdóttir, Arna & Ruhm, Christopher & Valdimarsdóttir, Unnur Anna & Ásgeirsdóttir, Tinna Laufey, 2020. "The effect of the economic collapse in Iceland on the probability of cardiovascular events," Economics & Human Biology, Elsevier, vol. 37(C).
    10. Cristina Bellés‐Obrero & Sergi Jiménez‐Martín & Judit Vall‐Castello, 2016. "Bad Times, Slimmer Children?," Health Economics, John Wiley & Sons, Ltd., vol. 25(S2), pages 93-112, November.
    11. Nizalova, Olena Y. & Norton, Edward C., 2017. "Long-Run Effects of Severe Economic Recessions on Male BMI Trajectories and Health Behaviors," IZA Discussion Papers 10776, Institute of Labor Economics (IZA).
    12. Nizalova, Olena & Norton, Edward C., 2021. "Long-term effects of job loss on male health: BMI and health behaviors," Economics & Human Biology, Elsevier, vol. 43(C).
    13. Ólafsdóttir, Thorhildur & Hrafnkelsson, Birgir & Thorgeirsson, Gudmundur & Ásgeirsdóttir, Tinna Laufey, 2016. "The tax-free year in Iceland: A natural experiment to explore the impact of a short-term increase in labor supply on the risk of heart attacks," Journal of Health Economics, Elsevier, vol. 49(C), pages 14-27.
    14. Jofre-Bonet, M. & Serra-Sastre, V. & Vandoros, S., 2016. "Better Health in Times of Hardship?," Working Papers 16/09, Department of Economics, City University London.
    15. Halliday, Timothy J., 2014. "Unemployment and mortality: Evidence from the PSID," Social Science & Medicine, Elsevier, vol. 113(C), pages 15-22.
    16. Sarah A. Burgard & Jennifer A. Ailshire & Lucie Kalousova, 2013. "The Great Recession and Health," The ANNALS of the American Academy of Political and Social Science, , vol. 650(1), pages 194-213, November.
    17. Kristín Helga Birgisdóttir & Tinna Laufey Ásgeirsdóttir, 2017. "Macroeconomic conditions and population health in Iceland," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 37(25), pages 769-852.
    18. Ferreira, Ernesto R. & Monteiro, João D. & Manso, José R. Pires, 2018. "Are economic crises age and gender neutral? Evidence from European Union mortality data," Economic Analysis and Policy, Elsevier, vol. 60(C), pages 69-77.
    19. José A. Tapia Granados & Edward L. Ionides, 2017. "Population health and the economy: Mortality and the Great Recession in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 219-235, December.
    20. Kanavos, Panos & Vandoros, Sotiris, 2023. "Road traffic mortality and economic uncertainty: Evidence from the United States," Social Science & Medicine, Elsevier, vol. 326(C).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:32:y:2023:i:7:p:1550-1560. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.