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Don’t Go Breaking your Heart: Do Economic Upturns Really Increase Heart Attack Mortality?

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  • Svensson, Mikael

    (Department of Business, Economics, Statistics and Informatics)

Abstract

Several recent papers in the literature have found that short-term economic upturns are bad for your health (a pro-cyclical effect). In this paper I explore the relationship between business cycles and incidence and mortality in acute myocardial infarction (heart attacks) in Sweden. The sample consists of 21 Swedish regions during the period 1987 to 2003. Results from the panel data estimations indicate that the business cycle effect is insignificant on overall rates of incidence and mortality. However, a counter-cyclical and significant effect is found in most specifications for those in prime working age between 20 and 49. It is also shown that a higher share of women, highly educated and non-foreigners decrease incidence and mortality. Further it is shown that results are sensitive to different business cycle proxies as well as different model specifications and previous results from the literature cannot be taken as universal for other countries or settings.

Suggested Citation

  • Svensson, Mikael, 2006. "Don’t Go Breaking your Heart: Do Economic Upturns Really Increase Heart Attack Mortality?," Working Papers 2006:8, Örebro University, School of Business, revised 01 Nov 2006.
  • Handle: RePEc:hhs:oruesi:2006_008
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    1. Theodore Joyce & Naci Mocan, 1993. "Unemployment and Infant Health: Time-Series Evidence from the State of Tennessee," Journal of Human Resources, University of Wisconsin Press, vol. 28(1), pages 185-203.
    2. Brenner, M.H., 1975. "Trends in alcohol consumption and associated illnesses. Some effects of economic changes," American Journal of Public Health, American Public Health Association, vol. 65(12), pages 1279-1292.
    3. Thomas S. Dee, 2001. "Alcohol abuse and economic conditions: Evidence from repeated cross‐sections of individual‐level data," Health Economics, John Wiley & Sons, Ltd., vol. 10(3), pages 257-270, April.
    4. Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
    5. Clark, Andrew E & Oswald, Andrew J, 1994. "Unhappiness and Unemployment," Economic Journal, Royal Economic Society, vol. 104(424), pages 648-659, May.
    6. Christopher Ruhm, 2007. "A healthy economy can break your heart," Demography, Springer;Population Association of America (PAA), vol. 44(4), pages 829-848, November.
    7. Bunn, A.R., 1979. "Ischaemic heart disease mortality and the business cycle in Australia," American Journal of Public Health, American Public Health Association, vol. 69(8), pages 772-781.
    8. Brenner, M.H., 1971. "Economic changes and heart disease mortality," American Journal of Public Health, American Public Health Association, vol. 61(3), pages 606-611.
    9. Ruhm, Christopher J. & Black, William E., 2002. "Does drinking really decrease in bad times?," Journal of Health Economics, Elsevier, vol. 21(4), pages 659-678, July.
    10. 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.
    11. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, Oxford University Press, vol. 115(2), pages 617-650.
    12. Forbes, John F. & McGregor, Alan, 1984. "Unemployment and mortality in post-war Scotland," Journal of Health Economics, Elsevier, vol. 3(3), pages 239-257, December.
    13. Chou, Shin-Yi & Grossman, Michael & Saffer, Henry, 2004. "An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System," Journal of Health Economics, Elsevier, vol. 23(3), pages 565-587, May.
    14. David M. Cutler & Mary Beth Landrum & Kate A. Stewart, 2009. "Intensive Medical Care and Cardiovascular Disease Disability Reductions," NBER Chapters, in: Health at Older Ages: The Causes and Consequences of Declining Disability among the Elderly, pages 191-222, National Bureau of Economic Research, Inc.
    15. Ruhm, Christopher J., 2003. "Good times make you sick," Journal of Health Economics, Elsevier, vol. 22(4), pages 637-658, July.
    16. Brenner, M. Harvey & Mooney, Anne, 1983. "Unemployment and health in the context of economic change," Social Science & Medicine, Elsevier, vol. 17(16), pages 1125-1138, January.
    17. Biddle, Jeff E & Hamermesh, Daniel S, 1990. "Sleep and the Allocation of Time," Journal of Political Economy, University of Chicago Press, vol. 98(5), pages 922-943, October.
    18. 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.
    19. Daniel Kahneman & Alan B. Krueger, 2006. "Developments in the Measurement of Subjective Well-Being," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 3-24, Winter.
    20. Novo, Mehmed & Hammarström, Anne & Janlert, Urban, 2001. "Do high levels of unemployment influence the health of those who are not unemployed? A gendered comparison of young men and women during boom and recession," Social Science & Medicine, Elsevier, vol. 53(3), pages 293-303, August.
    21. Neumayer, Eric, 2004. "Recessions lower (some) mortality rates:: evidence from Germany," Social Science & Medicine, Elsevier, vol. 58(6), pages 1037-1047, March.
    22. Manuel Arellano & Stephen Bond, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," Review of Economic Studies, Oxford University Press, vol. 58(2), pages 277-297.
    23. Wagstaff, Adam, 1985. "Time series analysis of the relationship between unemployment and mortality: A survey of econometric critiques and replications of Brenner's studies," Social Science & Medicine, Elsevier, vol. 21(9), pages 985-996, January.
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    More about this item

    Keywords

    Mortality; Incidence; Heart attacks; Business cycles; Health;
    All these keywords.

    JEL classification:

    • E32 - Macroeconomics and Monetary Economics - - Prices, Business Fluctuations, and Cycles - - - Business Fluctuations; Cycles
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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