A Healthy Economy Can Break Your Heart
Panel data econometric methods are used to investigate how the risk of death from acute myocardial infarction (AMI) varies with macroeconomic conditions after controlling for demographic factors, fixed state characteristics, general time effects and state-specific time trends. The sample includes residents of the 20 largest states over the 1979 to 1998 period. A one percentage point reduction in unemployment is predicted to raise AMI mortality by 1.3 percent, with a larger increase in relative risk for 20-44 year olds than older adults, particularly if the economic upturn is sustained. Nevertheless, the much higher absolute AMI fatality rate of senior citizens implies that they account for most of the additional deaths. This suggests the importance of factors like air pollution and traffic congestion that increase with economic activity, are linked to coronary heart disease and may have particularly strong effects on vulnerable segments of the population, such as the frail elderly. AMI mortality risk quickly rises when the economy strengthens and increases further if the favorable economic conditions persist. This is consistent with strong effects of other short-term factors on heart attack risk and with health being a durable capital stock that is affected by flows of lifestyle behaviors and environmental conditions whose effects accumulate over time.
|Date of creation:||Mar 2006|
|Date of revision:|
|Publication status:||published as Ruhm, Christopher. “A Healthy Economy Can Break Your Heart.” Demography 44, 4 (November 2007): 829-848.|
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- Christopher J. Ruhm & William E. Black, 2001.
"Does Drinking Really Decrease in Bad Times?,"
NBER Working Papers
8511, National Bureau of Economic Research, Inc.
- Christopher J. Ruhm, 2003.
"Healthy Living in Hard Times,"
NBER Working Papers
9468, National Bureau of Economic Research, Inc.
- 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.
- Paul Heidenreich & Mark B. McClellan, 2001. "Trends in Heart Attack Treatment and Outcomes, 1975-1995 -- Literature Review and Synthesis," NBER Chapters, in: Medical Care Output and Productivity, pages 363-410 National Bureau of Economic Research, Inc.
- Gerdtham, Ulf-G. & Johannesson, Magnus, 2003. "A note on the effect of unemployment on mortality," Journal of Health Economics, Elsevier, vol. 22(3), pages 505-518, May.
- 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.
- Neumayer, Eric, 2004. "Recessions lower (some) mortality rates:: evidence from Germany," Social Science & Medicine, Elsevier, vol. 58(6), pages 1037-1047, March.
- Timothy J Halliday, 2005.
"Business Cycles, Migration and Health,"
200504, University of Hawaii at Manoa, Department of Economics.
- 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.
- Shin-Yi Chou & Michael Grossman & Henry Saffer, 2002. "An Economic Analysis of Adult Obesity: Results from the Behavioral Risk Factor Surveillance System," NBER Working Papers 9247, National Bureau of Economic Research, Inc.
- Jones, Andrew M., 2000.
Handbook of Health Economics,
in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 6, pages 265-344
- Johansson, Edvard, 2003. "A Note on Impact of Hours Worked in Mortality in the OECD," Discussion Papers 878, The Research Institute of the Finnish Economy.
- 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.
- Gerdtham, Ulf-G. & Ruhm, Christopher J., 2002. "Deaths Rise in Good Economic Times: Evidence From the OECD," IZA Discussion Papers 654, Institute for the Study of Labor (IZA).
- Ulf-G. Gerdtham & Christopher J. Ruhm, 2002. "Deaths Rise in Good Economic Times: Evidence From the OECD," NBER Working Papers 9357, National Bureau of Economic Research, Inc.
- Edvard Johansson, 2004. "A note on the impact of hours worked on mortality in OECD countries," The European Journal of Health Economics, Springer, vol. 5(4), pages 335-340, November.
- 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 922-43, October.
- 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.
- Theodore J. Joyce & Naci H. Mocan, 1991. "Unemployment and Infant Health: Times-Series Evidence from the State of Tennessee," NBER Working Papers 3694, National Bureau of Economic Research, Inc.
- Christian Dustmann & Frank Windmeijer, 2000.
"Wages and the demand for health - a life cycle analysis,"
IFS Working Papers
W99/20, Institute for Fiscal Studies.
- Dustmann, Christian & Windmeijer, Frank, 2000. "Wages and the Demand for Health - A Life Cycle Analysis," IZA Discussion Papers 171, Institute for the Study of Labor (IZA).
- Christopher J. Ruhm, 1996.
"Are Recessions Good For Your Health?,"
NBER Working Papers
5570, National Bureau of Economic Research, Inc.
- 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.
- Ruhm, Christopher J., 2003. "Good times make you sick," Journal of Health Economics, Elsevier, vol. 22(4), pages 637-658, July.
- Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
- Vistnes, Jessica Primoff & Hamilton, Vivian, 1995. "The Time and Monetary Costs of Outpatient Care for Children," American Economic Review, American Economic Association, vol. 85(2), pages 117-21, May.
- 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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