IDEAS home Printed from https://ideas.repec.org/p/war/wpaper/2018-16.html
   My bibliography  Save this paper

What accounts for the rise of low self-rated health during the recent economic crisis in Europe?

Author

Listed:
  • Michal Brzezinski

    (Faculty of Economic Sciences, University of Warsaw)

Abstract

This study examines how different economic mechanisms affected low self-rated health (SRH) in Europe over the recent crisis period (2008−2011). We use balanced panel data for covering 26 European countries and 43 456 participants coming from the longitudinal 2011 European Union Statistics on Income and Living Conditions (EU-SILC) database. Over-time increases in low SRH incidence are decomposed into the contributions of changes in the distribution of covariates and changes in returns to the covariates. Results show that low SRH incidence increased in Europe during the crisis by almost 2 percentage points (3.7 percentage points in case of the Baltic countries). Decomposition analysis shows that: 1) decreasing household incomes and changing income distribution had no impact on low SRH incidence, 2) rise of material deprivation accounts for 12% of the overall growth in low SRH rates (27% for the Baltic countries), 3) decreasing levels of full-time and part-time employment as well as transitions to unemployment, economic inactivity, disability, or retirement account jointly for about 21% of the rise in low SRH in Europe (73% for Baltic countries).

Suggested Citation

  • Michal Brzezinski, 2018. "What accounts for the rise of low self-rated health during the recent economic crisis in Europe?," Working Papers 2018-16, Faculty of Economic Sciences, University of Warsaw.
    • Handle: RePEc:war:wpaper:2018-16
    as

    Download full text from publisher

    File URL: https://www.wne.uw.edu.pl/index.php/download_file/4528/
    File Function: First version, 2018
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Myeong-Su Yun, 2005. "A Simple Solution to the Identification Problem in Detailed Wage Decompositions," Economic Inquiry, Western Economic Association International, vol. 43(4), pages 766-772, October.
    2. Vincent Hildebrand & Philippe Kerm, 2009. "Income inequality and self-rated health status: Evidence from the european community household panel," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 805-825, November.
    3. Ulf-G. Gerdtham & Magnus Johannesson, 2004. "Absolute Income, Relative Income, Income Inequality, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 39(1).
    4. Drydakis, Nick, 2015. "The effect of unemployment on self-reported health and mental health in Greece from 2008 to 2013: A longitudinal study before and during the financial crisis," Social Science & Medicine, Elsevier, vol. 128(C), pages 43-51.
    5. Powell, Lisa M. & Wada, Roy & Krauss, Ramona C. & Wang, Youfa, 2012. "Ethnic disparities in adolescent body mass index in the United States: The role of parental socioeconomic status and economic contextual factors," Social Science & Medicine, Elsevier, vol. 75(3), pages 469-476.
    6. Tøge, Anne Grete & Blekesaune, Morten, 2015. "Unemployment transitions and self-rated health in Europe: A longitudinal analysis of EU-SILC from 2008 to 2011," Social Science & Medicine, Elsevier, vol. 143(C), pages 171-178.
    7. Andrew M. Jones & Stefanie Schurer, 2011. "How does heterogeneity shape the socioeconomic gradient in health satisfaction?," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 26(4), pages 549-579, June.
    8. Fiona Imlach Gunasekara & Kristie Carter & Peter Crampton & Tony Blakely, 2013. "Income and individual deprivation as predictors of health over time," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(4), pages 501-511, August.
    9. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications - Books, The World Bank Group, number 6896.
    10. Oaxaca, Ronald, 1973. "Male-Female Wage Differentials in Urban Labor Markets," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 14(3), pages 693-709, October.
    11. Wilkinson, R.G., 1992. "National mortality rates: The impact of inequality?," American Journal of Public Health, American Public Health Association, vol. 82(8), pages 1082-1084.
    12. Roger White (ed.), 2017. "Measuring Multidimensional Poverty and Deprivation," Global Perspectives on Wealth and Distribution, Palgrave Macmillan, number 978-3-319-58368-6.
    13. Rosa Urbanos-Garrido & Beatriz Lopez-Valcarcel, 2015. "The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(2), pages 175-184, March.
    14. Joshua R. Goldstein & Michaela Kreyenfeld & Aiva Jasilioniene & Deniz Dilan Karaman Örsal, 2013. "Fertility Reactions to the "Great Recession" in Europe," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 29(4), pages 85-104.
    15. 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.
    16. Thomas Astell-Burt & Xiaoqi Feng, 2013. "Health and the 2008 Economic Recession: Evidence from the United Kingdom," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-9, February.
    17. Burgard, Sarah A. & Chen, Patricia V., 2014. "Challenges of health measurement in studies of health disparities," Social Science & Medicine, Elsevier, vol. 106(C), pages 143-150.
    18. Yun, Myeong-Su, 2004. "Decomposing differences in the first moment," Economics Letters, Elsevier, vol. 82(2), pages 275-280, February.
    19. Aue, Katja & Roosen, Jutta & Jensen, Helen H., 2016. "Poverty dynamics in Germany: Evidence on the relationship between persistent poverty and health behavior," Social Science & Medicine, Elsevier, vol. 153(C), pages 62-70.
    20. Fiona Imlach Gunasekara & Kristie Carter & Peter Crampton & Tony Blakely, 2013. "Erratum to: Income and individual deprivation as predictors of health over time," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 959-960, December.
    21. Simou, Effie & Koutsogeorgou, Eleni, 2014. "Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review," Health Policy, Elsevier, vol. 115(2), pages 111-119.
    22. Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005. "The causal effect of income on health: Evidence from German reunification," Journal of Health Economics, Elsevier, vol. 24(5), pages 997-1017, September.
    23. Marco Terraneo, 2017. "Material Deprivation, Health and Well-Being in Older Age: A Comparative Analysis of 14 European Countries," Global Perspectives on Wealth and Distribution, in: Roger White (ed.), Measuring Multidimensional Poverty and Deprivation, chapter 0, pages 113-137, Palgrave Macmillan.
    24. Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005. "The causal effect of income on health: Evidence from German reunification," Journal of Health Economics, Elsevier, vol. 24(5), pages 997-1017, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. MAZEIKAITE Gintare & O'DONOGHUE Cathal & SOLOGON Denisa, 2017. "Decomposing health inequality in the EU," LISER Working Paper Series 2017-02, Luxembourg Institute of Socio-Economic Research (LISER).
    2. Powers, Daniel A. & Yun, Myeong-Su, 2009. "Multivariate Decomposition for Hazard Rate Models," IZA Discussion Papers 3971, Institute of Labor Economics (IZA).
    3. Michal Brzezinski, 2019. "Diagnosing Unhappiness Dynamics: Evidence from Poland and Russia," Journal of Happiness Studies, Springer, vol. 20(7), pages 2291-2327, October.
    4. Owen O’Donnell & Eddy van Doorslaer & Adam Wagstaff, 2012. "Decomposition of Inequalities in Health and Health Care," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 17, Edward Elgar Publishing.
    5. Barr, Tavis & Lin, Carl, 2015. "A detailed decomposition of synthetic cohort analysis," Economics Letters, Elsevier, vol. 127(C), pages 76-80.
    6. Paz Rico Belda & Bernardí Cabrer-Borrás, 2018. "Necessity and opportunity entrepreneurs: survival factors," International Entrepreneurship and Management Journal, Springer, vol. 14(2), pages 249-264, June.
    7. Juan Acosta-Ballesteros & María del Pilar Osorno-del Rosal & Olga María Rodríguez-Rodríguez, 2021. "Measuring the effect of gender segregation on the gender gap in time-related underemployment," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 55(1), pages 1-16, December.
    8. Athina Economou & Christos Kollias, 2024. "The 2015 Refugee Crisis and Institutional Trust in European Countries," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 173(2), pages 377-396, June.
    9. Lin, Carl, 2012. "Less Myth, More Measurement: Decomposing Excess Returns from the 1989 Minimum Wage Hike," IZA Discussion Papers 6269, Institute of Labor Economics (IZA).
    10. ChangHwan Kim, 2010. "Decomposing the Change in the Wage Gap Between White and Black Men Over Time, 1980-2005: An Extension of the Blinder-Oaxaca Decomposition Method," Sociological Methods & Research, , vol. 38(4), pages 619-651, May.
    11. Carlos Gradin, 2009. "Why is Poverty So High Among Afro-Brazilians? A Decomposition Analysis of the Racial Poverty Gap," Journal of Development Studies, Taylor & Francis Journals, vol. 45(9), pages 1426-1452.
    12. Boris Kaiser, 2016. "Decomposing differences in arithmetic means: a doubly robust estimation approach," Empirical Economics, Springer, vol. 50(3), pages 873-899, May.
    13. Enrique López-Bazo & Elisabet Motellón, 2013. "The regional distribution of unemployment: What do micro-data tell us?," Papers in Regional Science, Wiley Blackwell, vol. 92(2), pages 383-405, June.
    14. Sharma, Hari & Smieliauskas, Fabrice, 2022. "Undernutrition inequality between Dalits and non-Dalits in Nepal – A decomposition analysis," World Development, Elsevier, vol. 159(C).
    15. Brahim Boudarbat, 2011. "Labour market integration of immigrants in Quebec: a comparison with Ontario and British Columbia," CIRANO Project Reports 2011rp-09, CIRANO.
    16. Gintare Mazeikaite & Cathal O’Donoghue & Denisa M. Sologon, 2021. "What Drives Cross-Country Health Inequality in the EU? Unpacking the Role of Socio-economic Factors," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 155(1), pages 117-155, May.
    17. Stewart Williams, Jennifer Anne, 2009. "Using non-linear decomposition to explain the discriminatory effects of male-female differentials in access to care: A cardiac rehabilitation case study," Social Science & Medicine, Elsevier, vol. 69(7), pages 1072-1079, October.
    18. Patrick Denice, 2017. "Back to School: Racial and Gender Differences in Adults’ Participation in Formal Schooling, 1978–2013," Demography, Springer;Population Association of America (PAA), vol. 54(3), pages 1147-1173, June.
    19. Marco Caliendo & Frank M. Fossen & Alexander Kritikos & Miriam Wetter, 2015. "The Gender Gap in Entrepreneurship: Not just a Matter of Personality," CESifo Economic Studies, CESifo Group, vol. 61(1), pages 202-238.
    20. Ilhom Abdulloev & Ira N Gang & Myeong-Su Yun, 2014. "Migration, Education and the Gender Gap in Labour Force Participation," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 26(4), pages 509-526, September.

    More about this item

    Keywords

    self-rated health; economic crisis; decomposition; Oaxaca-Blinder; unemployment; material deprivation;
    All these keywords.

    JEL classification:

    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • E32 - Macroeconomics and Monetary Economics - - Prices, Business Fluctuations, and Cycles - - - Business Fluctuations; Cycles
    • I1 - Health, Education, and Welfare - - Health
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:war:wpaper:2018-16. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Marcin Bąba (email available below). General contact details of provider: https://edirc.repec.org/data/fesuwpl.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.