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The health effects of the global financial crisis: can we reconcile the differing views? A network analysis of literature across disciplines

Published online by Cambridge University Press:  21 July 2014

David Stuckler ,
Aaron Reeves ,
Marina Karanikolos  and
Martin McKee
David Stuckler
Affiliation:
Senior Research Leader, Department of Sociology, University of Oxford, UK
Aaron Reeves
Affiliation:
Postdoctoral Researcher in Quantitative Sociology, Department of Sociology, University of Oxford, UK
Marina Karanikolos
Affiliation:
Research Officer, European Observatory on Health Systems and Policies, London School of Hygiene and Tropical Medicine, UK
Martin McKee*
Affiliation:
Professor of European Public Health, European Observatory on Health Systems and Policies, London School of Hygiene and Tropical Medicine, UK
*
*Correspondence to: Martin McKee, Professor of European Public Health, European Observatory on Health Systems and Policies, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK. Email: [email protected]
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Abstract

Why are researchers studying the health effects of economic change reaching markedly varying conclusions? To understand these differences, we first systematically searched Web of Science for the literature on recessions and health yielding 461 articles and 14,401 cited documents. We then undertook a network analysis of co-citation pattern by disciplines, journals and backgrounds of the authors, followed by a chronological review of the literature, to trace the evolution of ideas. We then examined the extent to which earlier literature predicted what has happened in the 2007–2012 crisis. Our analysis finds the literature is dominated by disciplinary silos, with economics studies predominantly citing each other and relative isolation of psychiatry and substance abuse journals. Different philosophical approaches to assessing causality appear to contribute to varying interpretations, a tendency that is unlikely to be resolved without a shift in research norms. We conclude by calling for more inter-disciplinary research that combines empirical findings with a search for plausible mechanisms. This approach would evaluate not only the effects of economic shocks but also the mechanisms that offer protection against them.

Type
Paper
Information
Health Economics, Policy and Law , Volume 10 , Supplement 1: SPECIAL ISSUE: Global Financial Crisis, Health and Health Care , January 2015 , pp. 83 - 99
Copyright
© Cambridge University Press 2014 

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References

Bartley, M. (1992), Authorities and Partisans, Edinburgh: Edinburgh University Press.Google Scholar
Bevan, G. and Skellern, M. (2011), ‘Does competition between hospitals improve clinical quality? A review of evidence from two eras of competition in the English NHS’, British Medical Journal, 343: d6470.CrossRefGoogle ScholarPubMed
Bonovas, S. and Nikolopoulos, G. (2012), ‘High-burden epidemics in Greece in the era of economic crisis. Early signs of a public health tragedy’, Journal of Preventive Medicine and Hygiene, 53(3): 169–171.Google Scholar
Bor, J., Basu, S., Coutts, A., McKee, M. and Stuckler, D. (2013), ‘Alcohol use during the Great Recession of 2008–2009’, Alcohol and Alcoholism, 48(3): 343–348.Google Scholar
Brenner, M. H. (1971), ‘Economic changes and heart disease mortality’, American Journal of Public Health, 61(3): 606–611.Google Scholar
Bunn, A. R. (1979), ‘Ischaemic heart disease mortality and the business cycle in Australia’, American Journal of Public Health, 69(8): 772–781.Google Scholar
Carpenter, L. (1987), ‘Some observations on the healthy worker effect’, British Journal of Industrial Medicine, 44(5): 289–291.Google Scholar
Catalono, R. (1979), ‘Health costs of economic expansion: the case of manufacturing accident injuries’, American Journal of Public Health, 69: 789–794.Google Scholar
Catalano, R., Goldman-Mellor, S., Saxton, K., Margerison-Zilko, C., Subbaraman, M., LeWinn, K. and Anderson, E. (2011), ‘The health effects of economic decline’, Annual Review of Public Health, 32(1): 431–450.CrossRefGoogle ScholarPubMed
Cheng, P. W. (1997), ‘From covariation to causation: a causal power theory’, Psychological Review, 104: 367–405.Google Scholar
Cooper, Z., Gibbons, S., Jones, S. and McGuire, A. (2010), Does Hospital Competition Improve Efficiency? An Analysis of the Recent Market-Based Reforms to the English NHS. CEP Discussion Papers, No. 988, London: Centre for Economic Performance, London School of Economics and Political Science.Google Scholar
Durkheim, E. (1997), Suicide, New York: Free Press.Google Scholar
Eyer, J. (1977), ‘Prosperity as a cause of death’, International Journal of Health Services, 7(1): 125–150.CrossRefGoogle ScholarPubMed
Eyer, J. and Sterling, P. (1977), ‘Stress-related mortality and social organization’, Review of Radical Political Economics, 9(1): 1–44.CrossRefGoogle Scholar
Garfield, R. and Santana, S. (1997), ‘The impact of the economic crisis and the US embargo on health in Cuba’, American Journal of Public Health, 87(1): 15–20.Google Scholar
Gaynor, M. and Propper, C. (2012), Healthcare Competition Saves Lives. http://www.voxeu.org/article/healthcare-competition-saves-lives [24 July 2013].Google Scholar
Gerdtham, U. and Ruhm, C. J. (2006), ‘Deaths rise in good economic times: evidence from the OECD’, Economics and Human Biology, 4(3): 298–316.CrossRefGoogle ScholarPubMed
Gili, M., Roca, M., Basu, S., McKee, M. and Stuckler, D. (2013), ‘The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010’, European Journal of Public Health, 23(1): 103–108.CrossRefGoogle ScholarPubMed
Gravelle, H. S., Hutchinson, G. and Stern, J. (1981), ‘Mortality and unemployment: a critique of Brenner’s time-series analysis’, Lancet, 2(8248): 675–679.CrossRefGoogle ScholarPubMed
Harhay, M. O., Bor, J., Basu, S., McKee, M., Mindell, J. S., Shelton, N. J. and Stuckler, D. (2014), ‘Differential impact of the economic recession on alcohol use among white British adults, 2004–2010’, European Journal of Public Health, 24: 410–415.CrossRefGoogle ScholarPubMed
Hendry, D. F. (1980), ‘Econometrics: alchemy or science?’, Economica, 47(188): 387–406.Google Scholar
Heutel, G. and Ruhm, C. J. (2013), ‘Air pollution and procyclical mortality’, Working Paper No. 18959, Cambridge, MA: NBER.Google Scholar
Hill, A. B. (1965), ‘The Environment and Disease Association or Causation?’, Proceedings of the Royal Society of Medicine, 58(5): 295–300.Google Scholar
Hopkins, S. (2006), ‘Economic stability and health status: evidence from east Asia before and after the 1990s economic crisis’, Health Policy, 75(3): 347–357.Google Scholar
Hume, D. (1896), A Treatise of Human Nature, Oxford: Clarendon Press.Google Scholar
Jäntti, M., Martikainen, P. and Valkonen, T. (2000), ‘When the welfare state works: unemployment and mortality in Finland’, in A. Cornia and R. Paniccia (eds), The mortality crisis in transitional economies, Oxford: Oxford University Press, 351–369.Google Scholar
Jin, R., Shah, C. P. and Svoboda, T. P. (1995), ‘The impact of unemployment on health: a review of the evidence’, Canadian Medical Association Journal, 153(5): 529–540.Google Scholar
Kant, I. (1963), Critique of Pure Reason (translated by N. K. Smith), London: Macmillan.Google Scholar
Karanikolos, M., Rechel, B., Stuckler, D. and McKee, M. (2013a), ‘Financial crisis, austerity, and health in Europe – Authors’ reply’, Lancet, 382(9890): 392.CrossRefGoogle ScholarPubMed
Karanikolos, M., Mladovsky, P., Cylus, J., Thomson, S., Basu, S., Stuckler, D., Mackenbach, J. P. and McKee, M. (2013b), ‘Financial crisis, austerity, and health in Europe’, Lancet, 381(9874): 1323–1331.Google Scholar
Kasl, S. V. (1979), ‘Mortality and the business cycle: some questions about research strategies when utilizing macro-social and ecological data’, American Journal of Public Health, 69(8): 784–788.Google Scholar
Kentikelenis, A., Karanikolos, M., Papanicolas, I., Basu, S., McKee, M. and Stuckler, D. (2011), ‘Health effects of financial crisis: omens of a Greek tragedy’, Lancet, 378(9801): 1457–1458.Google Scholar
Kentikelenis, A., Karanikolos, M., Reeves, A., McKee, M. and Stuckler, D. (2014), ‘Greece’s health crisis: from austerity to denialism’, Lancet, 383(9918): 748–753.Google Scholar
Leamer, E. E. (1983), ‘Let’s take the con out of econometrics’, The American Economic Review, 73(1): 31–43.Google Scholar
Leinsalu, M., Stirbu, I., Vagero, D., Kalediene, R., Kovacs, K., Wojtyniak, B., Wroblewska, W., Mackenbach, J. P. and Kunst, A. E. (2009), ‘Educational inequalities in mortality in four Eastern European countries: divergence in trends during the post-communist transition from 1990 to 2000’, International Journal of Epidemiology, 38(2): 512–525.Google Scholar
Leon, D., Saburova, L., Tomkins, S., Andreev, E., Kiryanov, N., McKee, M. and Shkolnikov, V. M. (2007), ‘Hazardous alcohol drinking and premature mortality in Russia: a population based case-control study’, Lancet, 369(9578): 2001–2009.Google Scholar
Leon, D., Chenet, L., Shkolnikov, V. M., Zakharov, S., Shapiro, J., Rakhmanova, G., Vassin, S. and McKee, M. (1997), ‘Huge variation in Russian mortality rates 1984–94: artefact, alcohol, or what?’ Lancet, 350(9075): 383–388.CrossRefGoogle ScholarPubMed
LeRoy, S. F. (2004), Causality in Economics: Causality: Metaphysics and Methods, Technical Report 20/04, London: Centre for Philosophy of Natural and Social Science, LSE.Google Scholar
Lopez-Bernal, J. A., Gasparrini, A., Artundo, C. M. and McKee, M. (2013), ‘The effect of the late 2000s financial crisis on suicides in Spain: an interrupted time-series analysis’, European Journal of Public Health, 23: 732–736.Google Scholar
McKee-Ryan, M., Song, Z., Wanberg, C. R. and Kinicki, A. J. (2005), ‘Psychological and physical well-being during unemployment: a meta-analytic study’, Journal of Applied Psychology, 90(1): 53–76.Google Scholar
Mill, J. S. (1874), A System of Logic, 8th edition, New York: Harper and Brothers.Google Scholar
Miller, D., Page, M. E., Stevens, A. H. and Filipski, M. (2009), ‘Why are recessions good for your health?’ American Economic Review, 99(2): 122–127.Google Scholar
Modrek, S., Stuckler, D., McKee, M. and Cullen, M. R. (2013), ‘A review of health consequences of recessions internationally and a synthesis of the US response during the Great Recession’, Public Health Reviews, 35(1): 1–35.CrossRefGoogle Scholar
Mulligan, C. (2013), Recessions save lives, New York Times, Economix, Available at http://economix.blogs.nytimes.com/2013/05/29/recessions-save-lives/?_php=true&_type=blogs&_r=0 Google Scholar
Ogburn, W. and Thomas, D. S. (1922), ‘The influence of the business cycle on certain social conditions’, Journal of the American Statistical Association, 18(139): 324–340.Google Scholar
Pearl, R. (1928), The Rate of Living, Being an Account of Some Experimental Studies on the Biology of Life Duration, New York: Alfred A. Knopf.Google Scholar
Platt, S. (1984), ‘Unemployment and suicidal behaviour: a review of the literature’, Social Science & Medicine, 19: 93–115.Google Scholar
Pollock, A., Macfarlane, A., Kirkwood, G., Majeed, F. A., Greener, I., Morelli, C., Boyle, S., Mellett, H., Godden, S., Price, D. and Brhlikova, P. (2011), ‘No evidence that patient choice in the NHS saves lives’, Lancet, 378(9809): 2057–2060.Google Scholar
Propper, C., Burgess, S. and Green, K. (2004), ‘Does competition between hospitals improve the quality of care? Hospital death rates and the NHS internal market’, Journal of Public Economics, 88: 1247–1272.Google Scholar
Reeves, A., McKee, M. and Stuckler, D. (2014), ‘Economic suicides: more than 10,000 preventable tragedies in Europe and North America’s Great Recessions’, British Journal of Psychiatry, doi: 10.1192/bjp.bp.114.144766.Google Scholar
Reisen, W., Takahashi, R. M., Carroll, B. D. and Quiring, R. (2008), ‘Delinquent mortgages, neglected swimming pools, and West Nile virus, California’, Emerging Infectious Diseases, 14(11): 1747–1749.Google Scholar
Ruhm, C. (2000), ‘Are recessions good for your health?’ Quarterly Journal of Economics, 115(2): 617–650.Google Scholar
Ruhm, C. (2003), ‘Good times make you sick’, Journal of Health Economics, 22(3): 637–658.Google Scholar
Ruhm, C. (2006), ‘Macroeconomic Conditions, Health and Mortality’, in A. Jones (ed.), Elgar Companion to Health Economics, Cheltenham, UK: Edward Elgar Publishing, 5–16.Google Scholar
Ruhm, C. (2008a), ‘A healthy economy can break your heart’, Demography, 44(4): 829–848.Google Scholar
Ruhm, C. (2008b), ‘Macroeconomic Conditions, Health and Government Policy. Making Americans Healthier: Social and Economic Policy as Health Policy’, in R. Schoeni, J. S. House, G. A. Kaplan and H. Pollack (eds), New York: Russell Sage, 173–200.Google Scholar
Sims, C. A. (1980), ‘Macroeconomics and reality’, Econometrica, 48: 1–48.CrossRefGoogle Scholar
Smith, G. D. and Phillips, A. (1990), ‘Declaring independence: why we should be cautious’, Journal of Epidemiology and Community Health, 44(4): 257–258.Google Scholar
Smith, R. (1985), ‘“Bitterness, shame, emptiness, waste”: an introduction to unemployment and health’, British Medical Journal, 291: 1024–1027.Google Scholar
Smolina, K., Wright, F. I., Rayner, M. and Goldacre, M. J. (2012), ‘Determinants of decline in mortality from acute myocardial infarction in England between 2002 and 2010: linked national database study’, British Medical Journal, 344: d8059.Google Scholar
Steinwald, B. and Dummit, L. A. (1989), ‘Hospital case-mix change: sicker patients or DRG creep?’ Health Affairs (Millwood), 8(2): 35–47.Google Scholar
Stuckler, D. and Basu, S. (2013), The Body Economic: Why Austerity Kills, London: Penguin.Google Scholar
Stuckler, D., Basu, S., Suhrcke, M., Coutts, A. and McKee, M. (2009), ‘The public health impact of economic crises and alternative policy responses in Europe’, Lancet, 374(9686): 315–323.CrossRefGoogle Scholar
Stuckler, D., Basu, S., Suhrcke, M., Coutts, A. and McKee, M. (2011), ‘Effects of the 2008 financial crisis on health: a first look at European data’, Lancet, 378(9876): 124–125.Google Scholar
Stuckler, D., Basu, S., Meissner, C., Fishback, P. and McKee, M. (2012), ‘Banking crises and mortality during the Great Depression: evidence from U.S. urban populations, 1927–1939’, Journal of Epidemiology & Community Health, 66: 410–419.Google Scholar
Sugihara, G., May, R., Ye, H., Hsieh, C. H., Deyle, E., Fogarty, M. and Munch, S. (2012), ‘Detecting causality in complex ecosystems’, Science, 338(6106): 496–500.Google Scholar
Suhrcke, M., Stuckler, D., Suk, J. E., Desai, M., Senek, M., McKee, M., Tsolova, S., Basu, S., Abubakar, I., Hunter, P., Rechel, B. and Semenza, J. C. (2010), ‘The impact of economic crises on communicable disease transmission and control: a systematic review of the evidence’, PLoS One, 6(6): e20724.Google Scholar
Sydenstricker, E. (1933), ‘Health and the depression’, Milbank Memorial Fund Quarterly Bulletin, 11: 273–280.CrossRefGoogle Scholar
Tapia-Granados, J. (2005), ‘Increasing mortality during the expansions of the US economy, 1900–1996’, International Journal of Epidemiology, 34(6): 1194–1202.Google Scholar
Tapia-Granados, J. (2005), ‘Recessions and mortality in Spain, 1980–1997’, European Journal of Population, 21(4): 393–422.Google Scholar
Tapia-Granados, J. (2008), ‘Macroeconomic fluctuations and mortality in postwar Japan’, Demography, 45(2): 323–343.Google Scholar
Tekin, E., McClellan, C. and Minyard, K. J. (2013), ‘Health and health behaviors during the worst of times: evidence from the Great Recession’, Working Paper No. 19234, Cambridge, MA: NBER.Google Scholar
Thomson, H., Petticrew, M. and Morrison, D. (2002), Housing Improvement and Health Gain: A Summary and Systematic Review, Glasgow: MRC Social & Public Health Sciences Unit.Google Scholar
Walberg, P., McKee, M., Shkolnikov, V., Chenet, L. and Leon, D. A. (1998), ‘Economic change, crime, and mortality crisis in Russia: a regional analysis’, British Medical Journal, 317: 312–318.CrossRefGoogle ScholarPubMed
Waters, H., Saadah, F. and Pradhan, M. (2003), ‘The impact of the 1997–98 East Asian economic crisis on health and healthcare in Indonesia’, Health Policy and Planning, 18(2): 172–181.Google Scholar
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