Desempleo y saludun análisis de la repercusión de la crisis económica sobre la salud de los españoles

  1. Urbanos Garrido, Rosa María
  2. González López-Valcárcel, Beatriz
Revista:
Estudios de economía aplicada

ISSN: 1133-3197,  1697-5731

Año de publicación: 2013

Título del ejemplar: Economía y Salud: Nuevas Perspectivas

Volumen: 31

Número: 2

Páginas: 303-326

Tipo: Artículo

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Otras publicaciones en: Estudios de economía aplicada

Resumen

En este trabajo se exploran las consecuencias de la crisis económica sobre la salud de los adultos españoles con especial énfasis en los efectos del desempleo, a partir del modelo conceptual de Dahlgren y Whitehead. Se analizan microdatos longitudinales de la Encuesta de Condiciones de Vida (ECV) 2006 a 2011 y los microdatos transversales de la Encuesta Nacional de Salud de España (ENSE) 2011-12, empleando modelos econométricos para explicar el nivel de salud física y mental de los individuos y sus cambios cuando varían los ingresos y la situación laboral. Los análisis de la ECV concluyen que si bien las condiciones de la vivienda y las proxies de necesidades cubiertas influ¬yen significativamente en la salud autovalorada, ni las variaciones en la renta individual ni el paso desde la situación de empleo a estar parado tienen una influencia significativa. Los modelos basados en datos de la ENSE, por el contrario, concluyen que estar parado, una vez se controla por el resto de determinantes de la salud, tiene un impacto negativo particularmente importante sobre la salud mental y más fuerte cuanto más tiempo dura el desempleo.

Referencias bibliográficas

  • BÖCKERMAN P., ILMAKUNNAS P. (2009). Unemployment and self-assessed health: evidence from panel data. Health Economics, 18: 161-179.
  • BOONE J, VAN OURS JC. (2006). Are recessions good for workplace safety? J. Health Econ. 25:1069-93
  • BRENNER, M.H. (1979). “Mortality and the national economy. A review, and the experience of England and Wales, 1936-76”. Lancet, 2(8142): 568-573.
  • BRENNER, M.H. (1983). “Mortality and economic instability: detailed analyses for Britain and comparative analyses for selected industrialized countries”. International Journal of Health Services, 13(4): 563-620.
  • BRENNER, M.H. (1987). “Economic instability, unemployment rates, behavioral risks, and mortality rates in Scotland, 1952-1983”. International Journal of Health Services, 17(3): 475-487.
  • CATALANO, R., DOOLEY, D., ROOK K. (1987). “A test of reciprocal risk between undesirable economic and noneconomic life events”. Am. J. Community Psychol., 15:633-51.
  • CATALANO, R., GOLDMAN-MELLOR, S., SAXTON, K., et al. (2011). “The Health Effects of Economic Decline”. Annual Review of Public Health, 32:431– 50.
  • CLAUSSEN, B. (1999). “Alcohol disorders and re-employment in a 5-year followup of long-term unemployed”. Addiction, 94(1):133-8.
  • DAHLGREN, G., WHITEHEAD, M. (1991). Policies and strategies to promote social equity in health. Institute for Future Studies, Stockholm (Mimeo).
  • DAO, M., LOUNGANI, P. (2010). The Human Cost of Recessions: Assessing It. IMF Staff Position Note, November 11, SPN/10/17.
  • DARMON, N., DREWNOWSKI, A. (2008). “Does social class predict diet quality?”. Am J Clin Nutr.; 87(5):1107-17. Epub 2008/05/13.
  • DAVIES, R., JONES, P., NÚÑEZ, I. (2009). “The impact of the business cycle on occupational injuries in the UK”. Soc. Sci. Med., 69: 178-82.
  • DÁVILA, C.D., GONZÁLEZ, B. (2009). “Crisis económica y salud”. Gaceta Sanitaria, 23, 261-265.
  • DIARIO EXPANSIÓN (2013). Fitch prevé una tasa de paro en España del 28,5% en 2014. Publicado el 3 de mayo de 2013. Disponible en URL: http://www.expansion.com/2013/05/03/economia/1367586803.html
  • DREWNOWSKI, A., SPECTER, S.E. (2004). “Poverty and obesity: the role of energy density and energy costs”. Am J Clin Nutr.;79(1):6-16. Epub 2003/12/20.
  • DOOLEY, D., FIELDING, J., LEVI, L. (1996). “Health and unemployment”. Annual Review of Public Health, 17: 949-965.
  • EGAN MARK, L., MULLIGAN, C.B., PHILIPSON, T.J. (2013). “Adjusting Measures of Economic Output for Health: Is the Business Cycle Countercyclical?”. NBER Working Paper No. 19058, May 2013.
  • EMPLOYMENT CONDITIONS KNOWLEDGE NETWORK (EMCONET) (2007). Employment conditions and health inequalities. Final Report to the WHO Commission on Social Determinants of Health.
  • GERDTHAM, U.G., RUHM, C.J. (2006). “Deaths rise in good economic times: evidence from the OECD”. Economics & Human Biology, 4(3): 298-316.
  • GILI, M., ROCA, M., BASU, S., MCKEE, M., et al., (2013). “The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010”. European Journal of Public Health, 23: 103-08.
  • GOLDBERG, D. (1978). “Mental health priorities in a primary care setting”. Ann N Y Acad Sci; 310: 65-68.
  • GOLDBERG, D.P., GATER, R., et al., (1997). “The validity of two versions of the GHQ in the WHO study of mental illness in general health care”. Psychol Med; 27(1): 191-197.
  • HAMMARSTRÖM, A., JANLERT, U. (2002). “Early unemployment can contribute to adult health problems - results from a longitudinal study of school-leavers”. Int J Epidemiology and Community Health, 56 (8): 624-630.
  • INE (varios años). Encuesta de Condiciones de Vida.
  • INE (2013). Nota de prensa. Encuesta de Población Activa (EPA). Primer trimestre de 2013. Publicada el 25 de abril de 2013. Disponible en URL: http://www.ine.es/daco/daco42/daco4211/epa0113.pdf
  • INE y Ministerio de Sanidad, Servicios Sociales e Igualdad (2013). Encuesta Nacional de Salud de España 2011-12.
  • JANLERT, U. (1991). Work deprivation and health. Consequences of job loss and unemployment. Stockholm:Karolinska Institute.
  • JIN, R.L., SHAH, C.P., et al., (1995). “The impact of unemployment on health: a review of the evidence”. CMAJ;153(5): 529-540.
  • KAGAN, A., LEVI, L. (1975). “Health and environment-psychosocial stimuli. A review”. En: Levi L (Ed). Society stress and disease. Vol II. London: Oxford University Press 241-260.
  • KARANIKOLOS, M., MLADOVSKY, P., CYLUS, J., et al., (2013). “Financial crisis, austerity, and health in Europe”. Lancet, Published online March 27, 2013 http://dx.doi.org/10.1016/S0140-6736(13)60102-6 1.
  • KARASEK, R., THEORELL, T. (1990). Healthy Work: Stress, Productivity, and the Reconstruction of Working Life. New York: Basic Books.
  • KASL, S., JONES, B. (2000). “The impact of job loss and retirement on health”. En: L. Berkman, & I. Kawachi (Eds.), Social epidemiology (pp. 118-136). Oxford: Oxford University Press.
  • LAUFEY, T., CORMAN, H., NOONAN, K., et al., (2012). “Are Recessions Good For Your Health Behaviors? Impacts Of The Economic Crisis In Iceland”. NBER Working Paper 18233.
  • MOSSAKOWSKI, K.N. (2008). “Is the duration of poverty and unemployment a risk factor for heavy drinking?”. Social Science & Medicine, 67: 947-955.
  • NOVO, M. (2000). Young and unemployed - does the trade cycle matter for the health. A study of young men and women during times of prosperity and times of recession. Umeå: Umeå Universitet.
  • PAUL, K.I., MOSER, K. (2009). “Unemployment impairs mental health: Metaanalyses”. Journal of Vocational Behavior, 74: 264-282.
  • PLATT, S., PAVIS, S., AKRAM, G. (1999). Changing labour market conditions and health: A systematic literature review (1993-98). Research Unit in Health and Behavioural Change, University of Edinburgh Medical School, Edinburgh.
  • ROBERTS, H., PEARSON, J.C., MADELEY, R.J., HANFORD, S., MAGOWAN, R. (1997). “Unemployment and health: the quality of social support among residents in the Trent region of England”. J Epidemiol Community Health; 51(1):41-5.
  • ROSS, C., MIROWSKY, J. (1995). “Does employment affect health?”. Journal of Health and Social Behavior, 36: 230-243.
  • RUHM, C.J. (2000). “Are recessions good for your health?”. The Quarterly Journal of Economics, 115(2): 617-650.
  • STEWART, J.M. (2001). “The impact of health status on the duration of unemployment spells and the implications for studies of the impact of unemployment on health status”. Journal of Health Economics, 20: 781-796.
  • STUCKLER, D., BASU, S., SUHRCKE, M., COUTTS, A., MCKEE, M. (2009). “The public health effect of economic crises and alternative policy responses in Europe: an empirical analysis”. Lancet 374: 315-23
  • SUHRCKE, M., STUCKLER, D. (2012). “Will the recession be bad for our health? It depends”. Social Science & Medicine, 74: 647-653.
  • SULLIVAN, D., VON WACHTER, T. (2009). “Job Displacement and mortality: An Analysis using Administrative Data”. Quarterly Journal of Economics, August 2009.
  • TAPIA GRANADOS, J.A. (2005). “Recessions and Mortality in Spain, 1980- 1997”. European Journal of Population, 21: 393-422.
  • VINOKUR, A.D., PRICE, R.H., CAPLAN, R.D. (1996). “Hard times and hurtful partners: how financial strain affects depression and relationship satisfaction of unemployed persons and their spouses”. J. Pers. Soc. Psychol. 71:166-79.
  • WINEFIELD, A.H. (1995). “Unemployment: Its psychological costs”. International Review of Industrial and Organizational Psychology, 10: 169-212.
  • WORLD BANK (2009). Averting A Human Crisis During the Global Downturn. Washington.
Fuente de los datos: Dialnet