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Mortality and the business cycle: Evidence from individual and aggregated data

Author

Listed:
  • van den Berg, Gerard J.
  • Gerdtham, Ulf-G.
  • von Hinke, Stephanie
  • Lindeboom, Maarten
  • Lissdaniels, Johannes
  • Sundquist, Jan
  • Sundquist, Kristina

Abstract

There has been much interest recently in the relationship between economic conditions and mortality, with some studies showing that mortality is pro-cyclical, while others find the opposite. Some suggest that the aggregation level of analysis (e.g. individual vs. regional) matters. We use both individual and aggregated data on a sample of 20–64 year-old Swedish men from 1993 to 2007. Our results show that the association between the business cycle and mortality does not depend on the level of analysis: the sign and magnitude of the parameter estimates are similar at the individual level and the aggregate (county) level; both showing pro-cyclical mortality.

Suggested Citation

  • van den Berg, Gerard J. & Gerdtham, Ulf-G. & von Hinke, Stephanie & Lindeboom, Maarten & Lissdaniels, Johannes & Sundquist, Jan & Sundquist, Kristina, 2017. "Mortality and the business cycle: Evidence from individual and aggregated data," Journal of Health Economics, Elsevier, vol. 56(C), pages 61-70.
    • Handle: RePEc:eee:jhecon:v:56:y:2017:i:c:p:61-70
    DOI: 10.1016/j.jhealeco.2017.09.005
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    Cited by:

    1. Haji Mohammad Neshat Ghojagh & Lotfali Agheli & Sajjad Faraji Dizaji & Mohammad Javad Kabir & Vahid Taghvaee, 2024. "Economic instability, income, and unemployment effects on mortality: using SUR panel data in Iran," International Journal of Health Economics and Management, Springer, vol. 24(4), pages 555-570, December.
    2. Janke, Katharina & Lee, Kevin & Propper, Carol & Shields, Kalvinder & Shields, Michael A., 2020. "Macroeconomic Conditions and Health in Britain: Aggregation, Dynamics and Local Area Heterogeneity," IZA Discussion Papers 13091, IZA Network @ LISER.
    3. Guccio, C. & Pignataro, G. & Vidoli, F., 2024. "It never rains but it pours: Austerity and mortality rate in peripheral areas," Economics & Human Biology, Elsevier, vol. 54(C).
    4. Akee, Randall K. Q. & Feir, Donn. L. & Gorzig, Marina Mileo & Myers Jr, Samuel, 2022. "Native American 'Deaths of Despair' and Economic Conditions," IZA Discussion Papers 15546, IZA Network @ LISER.
    5. Sun, Zhen & Cheng, Lei, 2021. "Air pollution and procyclical mortality: Evidence from China," China Economic Review, Elsevier, vol. 68(C).
    6. van den Berg, Gerard J. & Paul, Alexander & Reinhold, Steffen, 2018. "Econometric analysis of the effects of economic conditions on the health of newborns," Working Paper Series 2018:24, IFAU - Institute for Evaluation of Labour Market and Education Policy.
    7. Michael Cauvel & Miguel Alejandro Sanchez, 2023. "Life Expectancy and the Labor Share in the U.S," Working Papers PKWP2308, Post Keynesian Economics Society (PKES).
    8. Antony, Jürgen & Klarl, Torben, 2020. "Estimating the income inequality-health relationship for the United States between 1941 and 2015: Will the relevant frequencies please stand up?," The Journal of the Economics of Ageing, Elsevier, vol. 17(C).
    9. Jing Zhao & Xiaoru Zuo & Chun-Ping Chang, 2023. "More economic growth with the better public health? Evidence from Western China," Economic Change and Restructuring, Springer, vol. 56(2), pages 1083-1112, April.
    10. Gerdtham, Ulf-G. & Heckley, Gawain & Lissdaniels, Johannes, 2020. "Estimating the Causal Impact of Macroeconomic Conditions on Income-Related Mortality," Working Papers 2020:22, Lund University, Department of Economics.
    11. Clifford Afoakwah & Son Nghiem & Paul Scuffham & Quan Huynh & Tom Marwick & Joshua Byrnes, 2020. "Impacts of air pollution on health: evidence from longitudinal cohort data of patients with cardiovascular diseases," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(7), pages 1025-1038, September.
    12. Janke, Katharina & Lee, Kevin & Propper, Carol & Shields, Kalvinder & Shields, Michael A., 2023. "Economic conditions and health: Local effects, national effect and local area heterogeneity," Journal of Economic Behavior & Organization, Elsevier, vol. 214(C), pages 801-828.
    13. Giri, Jeeten Krishna & Kumaresan, Talitha, 2021. "The business cycle, health behavior, and chronic disease: A study over Three decades," Economics & Human Biology, Elsevier, vol. 43(C).
    14. Kerry L. Papps & Alex Bryson & James Reade, 2023. "Running Up that Hill: Fitness in the Face of Recession," DoQSS Working Papers 23-03, Quantitative Social Science - UCL Social Research Institute, University College London.
    15. Cauvel, Michael & Sanchez, Miguel Alejandro, 2025. "The labor share and life expectancy in the U.S.: Suffering from Baumol’s cost disease," Economic Modelling, Elsevier, vol. 151(C).
    16. van den Berg, Gerard J. & Paul, Alexander & Reinhold, Steffen, 2020. "Economic conditions and the health of newborns: Evidence from comprehensive register data," Labour Economics, Elsevier, vol. 63(C).
    17. 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).
    18. Fontana, Stefania & Guccio, Calogero & Pignataro, Giacomo & Romeo, Domenica, 2026. "Cash transfers and health outcomes: Evidence from Italian municipalities," Health Policy, Elsevier, vol. 163(C).
    19. Clifford Afoakwah & Son Nghiem & Paul Scuffham & Joshua Byrnes, 2021. "Rising unemployment reduces the demand for healthcare services among people with cardiovascular disease: an Australian cohort study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(4), pages 643-658, June.
    20. Vinicius Curti Cícero & Lucas Cardoso Corrêa Dias & Sammy Zahran, 2025. "Trade Liberalization and Mortality Rates: Evidence of Pro‐Cyclical Mortality From Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 34(3), pages 392-414, March.
    21. Munford, Luke A. & Fichera, Eleonora & Sutton, Matt, 2020. "Is owning your home good for your health? Evidence from exogenous variations in subsidies in England," Economics & Human Biology, Elsevier, vol. 39(C).
    22. Konstantinos N. Zafeiris, 2020. "Gender differences in life expectancy at birth in Greece 1994–2017," Journal of Population Research, Springer, vol. 37(1), pages 73-89, March.
    23. 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.
    24. van den Berg, Gerard J. & Paul, Alexander & Reinhold, Steffen, 2018. "Economic Conditions, Parental Employment and Health of Newborns," IZA Discussion Papers 11338, IZA Network @ LISER.

    More about this item

    Keywords

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    JEL classification:

    • E3 - Macroeconomics and Monetary Economics - - Prices, Business Fluctuations, and Cycles
    • I1 - Health, Education, and Welfare - - Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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