IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v65y2007i4p833-841.html
   My bibliography  Save this article

Do not go breaking your heart: Do economic upturns really increase heart attack mortality?

Author

Listed:
  • Svensson, Mikael

Abstract

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

Suggested Citation

  • Svensson, Mikael, 2007. "Do not go breaking your heart: Do economic upturns really increase heart attack mortality?," Social Science & Medicine, Elsevier, vol. 65(4), pages 833-841, August.
  • Handle: RePEc:eee:socmed:v:65:y:2007:i:4:p:833-841
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(07)00205-5
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to look for a different version below or search for a different version of it.

    Other versions of this item:

    References listed on IDEAS

    as
    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. 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.
    6. Clark, Andrew E & Oswald, Andrew J, 1994. "Unhappiness and Unemployment," Economic Journal, Royal Economic Society, vol. 104(424), pages 648-659, May.
    7. 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.
    8. Christopher Ruhm, 2007. "A healthy economy can break your heart," Demography, Springer;Population Association of America (PAA), vol. 44(4), pages 829-848, November.
    9. 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.
    10. 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.
    11. 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.
    12. 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.
    13. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(2), pages 617-650.
    14. 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.
    15. 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.
    16. 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.
    17. 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.
    18. 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.
    19. Neumayer, Eric, 2004. "Recessions lower (some) mortality rates:: evidence from Germany," Social Science & Medicine, Elsevier, vol. 58(6), pages 1037-1047, March.
    20. Manuel Arellano & Stephen Bond, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 58(2), pages 277-297.
    21. 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.
    22. Ruhm, Christopher J., 2003. "Good times make you sick," Journal of Health Economics, Elsevier, vol. 22(4), pages 637-658, July.
    23. 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.
    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. Christopher Ruhm, 2007. "A healthy economy can break your heart," Demography, Springer;Population Association of America (PAA), vol. 44(4), pages 829-848, November.
    2. Christopher J. Ruhm, 2006. "Macroeconomic Conditions, Health and Mortality," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, chapter 1, Edward Elgar Publishing.
    3. Svensson, Mikael, 2006. "Economic Upturns are Good for Your Heart but Watch out for Accidents," Working Papers 2006:9, Örebro University, School of Business, revised 26 Jun 2007.
    4. Mikael Svensson & Niclas Krüger, 2012. "Mortality and economic fluctuations," Journal of Population Economics, Springer;European Society for Population Economics, vol. 25(4), pages 1215-1235, October.
    5. 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.
    6. Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
    7. Christopher J. Ruhm, 2016. "Health Effects of Economic Crises," Health Economics, John Wiley & Sons, Ltd., vol. 25(S2), pages 6-24, November.
    8. Christopher J. Ruhm, 2012. "Understanding the Relationship between Macroeconomic Conditions and Health," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 1, Edward Elgar Publishing.
    9. Petri Böckerman & Edvard Johansson & Satu Helakorpi & Ritva Prättälä & Erkki Vartiainen & Antti Uutela, 2007. "Does a slump really make you thinner? Finnish micro‐level evidence 1978–2002," Health Economics, John Wiley & Sons, Ltd., vol. 16(1), pages 103-107, January.
    10. Propper, Carol & Janke, Katharina & Lee, Kevin & Shields, Kalvinder & Shields, Michael A, 2020. "Macroeconomic Conditions and Health in Britain: Aggregation, Dynamics and Local Area Heterogeneity," CEPR Discussion Papers 14507, C.E.P.R. Discussion Papers.
    11. Kristín Helga Birgisdóttir & Tinna Laufey Ásgeirsdóttir, 2017. "Macroeconomic conditions and population health in Iceland," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 37(25), pages 769-852.
    12. Johansson, Edvard & Böckerman, Petri & Prättälä, Ritva & Uutela, Antti, 2005. "Alcohol Mortality, Drinking Behavior, and Business Cycles: Are Slumps Really Dry Seasons?," Discussion Papers 986, The Research Institute of the Finnish Economy.
    13. Timothy Halliday, 2006. "Income Risk and Health," Working Papers 200612, University of Hawaii at Manoa, Department of Economics.
    14. Timothy Halliday, 2006. "The Impact of Aggregate and Idiosyncratic Income Shocks on Health Outcomes: Evidence from the PSID," Working Papers 200606, University of Hawaii at Manoa, Department of Economics.
    15. Max Brüning & Josselin Thuilliez, 2019. "Mortality and Macroeconomic Conditions: What Can We Learn From France?," Demography, Springer;Population Association of America (PAA), vol. 56(5), pages 1747-1764, October.
    16. Edwards, Ryan, 2008. "Who is hurt by procyclical mortality?," Social Science & Medicine, Elsevier, vol. 67(12), pages 2051-2058, December.
    17. Ruhm, Christopher J., 2003. "Good times make you sick," Journal of Health Economics, Elsevier, vol. 22(4), pages 637-658, July.
    18. Tatiana V. Kossova & Elena V. Kossova & Maria A. Sheluntcova, 2014. "Investigating The Volume And Structure Of Alcohol Consumption And Their Impact On Life Expectancy In Russian Regions," HSE Working papers WP BRP 82/EC/2014, National Research University Higher School of Economics.
    19. Lindo, Jason M., 2015. "Aggregation and the estimated effects of economic conditions on health," Journal of Health Economics, Elsevier, vol. 40(C), pages 83-96.
    20. Wen-Yi Chen, 2016. "Health progress and economic growth in the USA: the continuous wavelet analysis," Empirical Economics, Springer, vol. 50(3), pages 831-855, May.

    More about this item

    Keywords

    Sweden Heart attacks Mortality Incidence Business cycles Economics;

    JEL classification:

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

    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:eee:socmed:v:65:y:2007:i:4:p:833-841. 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    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.