The Best of Times, the Worst of Times: Understanding Pro-cyclical Mortality
AbstractA growing literature documents cyclical movements in mortality and health. We examine this pattern more closely and attempt to identify the mechanisms behind it. Specifically, we distinguish between mechanisms that rely on fluctuations in own employment or time use and those involving factors that are external to the individual. Our investigation suggests that changes in individuals’ own behavior contribute very little to pro-cyclical mortality. Looking across broad age and gender groups, we find that own-group employment rates are not systematically related to own-group mortality. In addition, we find that most of the additional deaths that occur during times of economic growth are among the elderly, particularly elderly women, who have limited labor force attachment. Focusing on mortality among the elderly, we show that cyclicality is especially strong for deaths occurring in nursing homes, and is stronger in states where a higher fraction of the elderly reside in nursing homes. We also demonstrate that staffing in skilled nursing facilities moves counter-cyclically. Taken together, these findings suggest that cyclical fluctuations in the mortality rate may be largely driven by fluctuations in the quality of health care.
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Bibliographic InfoPaper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 17657.
Date of creation: Dec 2011
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Note: AG HC LS
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- I1 - Health, Education, and Welfare - - Health
- J6 - Labor and Demographic Economics - - Mobility, Unemployment, and Vacancies
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- Christopher Ruhm, 2007.
"A healthy economy can break your heart,"
Springer, vol. 44(4), pages 829-848, November.
- Christopher J. Ruhm, 2003.
"Healthy Living in Hard Times,"
NBER Working Papers
9468, National Bureau of Economic Research, Inc.
- Douglas L. Miller & Marianne E. Page & Ann Huff Stevens & Mateusz Filipski, 2009. "Why Are Recessions Good for Your Health?," American Economic Review, American Economic Association, vol. 99(2), pages 122-27, May.
- Miller, Douglas L. & Paxson, Christina, 2006. "Relative income, race, and mortality," Journal of Health Economics, Elsevier, vol. 25(5), pages 979-1003, September.
- Ruhm, Christopher J., 2003. "Good times make you sick," Journal of Health Economics, Elsevier, vol. 22(4), pages 637-658, July.
- Ariizumi, Hideki & Schirle, Tammy, 2011.
"Are Recessions Really Good for Your Health? Evidence from Canada,"
CLSRN Working Papers
clsrn_admin-2011-4, UBC Department of Economics, revised 22 Feb 2011.
- 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.
- Tekin, Erdal & McClellan, Chandler & Minyard, Karen Jean, 2013.
"Health and Health Behaviors during the Worst of Times: Evidence from the Great Recession,"
IZA Discussion Papers
7538, Institute for the Study of Labor (IZA).
- Erdal Tekin & Chandler McClellan & Karen Jean Minyard, 2013. "Health and Health Behaviors during the Worst of Times: Evidence from the Great Recession," NBER Working Papers 19234, National Bureau of Economic Research, Inc.
- Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
- Halliday, Timothy J., 2013.
"Unemployment and Mortality: Evidence from the PSID,"
IZA Discussion Papers
7157, Institute for the Study of Labor (IZA).
- Timothy J. Halliday, 2012. "Unemployment and Mortality: Evidence from the PSID," Working Papers 201214, University of Hawaii at Manoa, Department of Economics.
- 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.
- Lindo, Jason M., 2013.
"Aggregation and the Estimated Effects of Local Economic Conditions on Health,"
IZA Discussion Papers
7396, Institute for the Study of Labor (IZA).
- Jason M. Lindo, 2013. "Aggregation and The Estimated Effects of Local Economic Conditions on Health," NBER Working Papers 19042, National Bureau of Economic Research, Inc.
- Heutel, Garth & Ruhm, Christopher J., 2013.
"Air Pollution and Procyclical Mortality,"
13-7, University of North Carolina at Greensboro, Department of Economics.
- Christopher J. Ruhm, 2013. "Recessions, Healthy No More?," NBER Working Papers 19287, National Bureau of Economic Research, Inc.
- David Simon, 2013. "Does Early Life Exposure to Cigarette Smoke Permanently Harm Childhood Health? Evidence from Cigarette Tax Hikes," Working papers 2013-21, University of Connecticut, Department of Economics.
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