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Recessions, Healthy No More?

  • Christopher J. Ruhm

Using data from multiple sources, over the 1976-2009 period, I show that total mortality has shifted over time from strongly procyclical to being essentially unrelated to macroeconomic conditions. The relationship also shows some instability over time and is likely to be poorly measured when using short (less than 15 or 20 year) analysis periods. The secular change in the association between macroeconomic conditions and overall mortality primarily reflects trends in effects for specific causes of death, rather than changes in the composition of total mortality across causes. Deaths due to cardiovascular disease and transport accidents continue to be procyclical (although possibly less so than in the past), whereas strong countercyclical patterns of cancer fatalities and some external sources of death (particularly those due to accidental poisoning) have emerged over time. The changing effect of macroeconomic conditions on cancer deaths may partially reflect the increasing protective influence of financial resources, perhaps because these can be used to obtain sophisticated (and expensive) treatments that have become available in recent years. That observed for accidental poisoning probably has occurred because declines in mental health during economic downturns are increasingly associated with the use of prescribed or illicitly obtained medications that carry risks of fatal overdoses.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 19287.

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Date of creation: Aug 2013
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Handle: RePEc:nbr:nberwo:19287
Note: EFG HC HE PE
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  1. Ariizumi, Hideki & Schirle, Tammy, 2011. "Are Recessions Really Good for Your Health? Evidence from Canada," CLSSRN working papers clsrn_admin-2011-4, Vancouver School of Economics, revised 22 Feb 2011.
  2. Timothy J Halliday, 2005. "Business Cycles, Migration and Health," Working Papers 200504, University of Hawaii at Manoa, Department of Economics.
  3. 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.
  4. Price V. Fishback & Michael R. Haines & Shawn Kantor, 2007. "Births, Deaths, and New Deal Relief during the Great Depression," The Review of Economics and Statistics, MIT Press, vol. 89(1), pages 1-14, February.
  5. Fidel Gonzalez & Troy Quast, 2011. "Macroeconomic changes and mortality in Mexico," Empirical Economics, Springer, vol. 40(2), pages 305-319, April.
  6. Gruber, Jonathan & Frakes, Michael, 2006. "Does falling smoking lead to rising obesity?," Journal of Health Economics, Elsevier, vol. 25(2), pages 183-197, March.
  7. John Gathergood & Eleonora Fichera, . "House Prices, Home Equity and Health," Discussion Papers 12/07, University of Nottingham, School of Economics.
  8. Ronald Oaxaca, 1971. "Male-Female Wage Differentials in Urban Labor Markets," Working Papers 396, Princeton University, Department of Economics, Industrial Relations Section..
  9. Cotti Chad & Tefft Nathan, 2011. "Decomposing the Relationship between Macroeconomic Conditions and Fatal Car Crashes during the Great Recession: Alcohol- and Non-Alcohol-Related Accidents," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 11(1), pages 1-24, August.
  10. 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.
  11. Gregory J. Colman & Dhaval M. Dave, 2011. "Exercise, Physical Activity, and Exertion over the Business Cycle," NBER Working Papers 17406, National Bureau of Economic Research, Inc.
  12. Ruhm, Christopher J., 2003. "Healthy Living in Hard Times," IZA Discussion Papers 711, Institute for the Study of Labor (IZA).
  13. Freeman, Donald G., 1999. "A note on 'Economic conditions and alcohol problems'," Journal of Health Economics, Elsevier, vol. 18(5), pages 659-668, October.
  14. David M. Cutler, 2008. "Are We Finally Winning the War on Cancer?," Journal of Economic Perspectives, American Economic Association, vol. 22(4), pages 3-26, Fall.
  15. 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.
  16. Daniel Sullivan & Till von Wachter, 2009. "Job Displacement and Mortality: An Analysis Using Administrative Data," The Quarterly Journal of Economics, MIT Press, vol. 124(3), pages 1265-1306, August.
  17. Alan S. Blinder, 1973. "Wage Discrimination: Reduced Form and Structural Estimates," Journal of Human Resources, University of Wisconsin Press, vol. 8(4), pages 436-455.
  18. Ann Huff Stevens & Douglas L. Miller & Marianne E. Page & Mateusz Filipski, 2011. "The Best of Times, the Worst of Times: Understanding Pro-cyclical Mortality," NBER Working Papers 17657, National Bureau of Economic Research, Inc.
  19. 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.
  20. Andrew M. Jones (ed.), 2012. "The Elgar Companion to Health Economics, Second Edition," Books, Edward Elgar, number 14021, July.
  21. 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.
  22. Arkes, Jeremy, 2009. "How the economy affects teenage weight," Social Science & Medicine, Elsevier, vol. 68(11), pages 1943-1947, June.
  23. María E. Dávalos & Hai Fang & Michael T. French, 2012. "Easing The Pain Of An Economic Downturn: Macroeconomic Conditions And Excessive Alcohol Consumption," Health Economics, John Wiley & Sons, Ltd., vol. 21(11), pages 1318-1335, November.
  24. Ruhm, Christopher J., 2003. "Good times make you sick," Journal of Health Economics, Elsevier, vol. 22(4), pages 637-658, July.
  25. Jeremy Arkes, 2007. "Does the economy affect teenage substance use?," Health Economics, John Wiley & Sons, Ltd., vol. 16(1), pages 19-36.
  26. Charles, Kerwin Kofi & DeCicca, Philip, 2008. "Local labor market fluctuations and health: Is there a connection and for whom?," Journal of Health Economics, Elsevier, vol. 27(6), pages 1532-1550, December.
  27. William N. Evans & Timothy J. Moore, 2012. "Liquidity, Economic Activity, and Mortality," The Review of Economics and Statistics, MIT Press, vol. 94(2), pages 400-418, May.
  28. Athina Economou & Agelike Nikolaou & Ioannis Theodossiou, 2008. "Are recessions harmful to health after all?: Evidence from the European Union," Journal of Economic Studies, Emerald Group Publishing, vol. 35(5), pages 368-384, October.
  29. Shin-Jong Lin, 2009. "Economic fluctuations and health outcome: a panel analysis of Asia-Pacific countries," Applied Economics, Taylor & Francis Journals, vol. 41(4), pages 519-530.
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