Downward mobility, unemployment and mortality
This research offers fresh evidence 1) on the contribution of social mobility to health differentials by proposing a new link between downward mobility and health: downward mobility itself may have an immediate impact on health, above and beyond selection, origin or destination effects, and 2) on causes behind the mortality crisis in Russia by testing an innovative operationalization of the negative impact of economic crisis and transition. Specifically, downward mobility as well as unemployment are assessed in this study as possible contributors to increased risk of death from 1994-2005 in Russia. Using RLMS data and Cox proportional hazard models, the results demonstrate that men were at greater risk of mortality when they experienced downward mobility, relative to men who did not. Women’s mortality did not appear to be linked to downward mobility. Both men’s and women’s risk of death substantially increased when experiencing unemployment, relative to low-mid grade workers and relative to non-participation in the labor market. Whereas the impact of downward mobility appears immediate and short-term, the impact of unemployment was longer term and not limited to the year in which unemployment occurred for men. All findings were robust to adjustment of other potentially important factors such as alcohol consumption and health status that preceded downward mobility or unemployment. This robustness suggests that selection effect alone may not be a sufficient explanation for a high risk of death.
References listed on IDEAS
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- Brainerd, Elizabeth & Cutler, David M, 2005.
"Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union,"
CEPR Discussion Papers
4900, C.E.P.R. Discussion Papers.
- Elizabeth Brainerd & David M. Cutler, 2005. "Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union," Journal of Economic Perspectives, American Economic Association, vol. 19(1), pages 107-130, Winter.
- Brainerd, Elizabeth & Cutler, David, 2005. "Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union," Scholarly Articles 2640589, Harvard University Department of Economics.
- Elizabeth Brainerd & David M. Cutler, 2005. "Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union," William Davidson Institute Working Papers Series wp740, William Davidson Institute at the University of Michigan.
- Elizabeth Brainerd & David M. Cutler, 2004. "Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union," NBER Working Papers 10868, National Bureau of Economic Research, Inc.
- Brainerd, Elizabeth & Cutler, David M., 2005. "Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union," IZA Discussion Papers 1472, Institute for the Study of Labor (IZA).
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- Shkolnikov, Vladimir M. & Cornia, Giovanni A. & Leon, David A. & Mesle, France, 1998. "Causes of the Russian mortality crisis: Evidence and interpretations," World Development, Elsevier, vol. 26(11), pages 1995-2011, November.
- Riphahn, Regina T. & Zimmermann, Klaus F., 1998. "The Mortality Crisis in East Germany," IZA Discussion Papers 6, Institute for the Study of Labor (IZA).
- Stillman, Steven, 2006. "Health and nutrition in Eastern Europe and the former Soviet Union during the decade of transition: A review of the literature," Economics & Human Biology, Elsevier, vol. 4(1), pages 104-146, January.
- FFF1Vladimir NNN1Shkolnikov & FFF2Valeriy V. NNN2Chervyakov & FFF2David A. NNN2Leon & FFF2Martin NNN2McKee, 2004. "Russian mortality beyond vital statistics," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(4), pages 71-104, April.
- Irina Denisova, 2009. "Mortality in Russia: Microanalysis," Working Papers w0128, Center for Economic and Financial Research (CEFIR).
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