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Are some populations resilient to recessions? Economic fluctuations and mortality during a period of economic decline and recovery in Finland
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS). University of Helsinki, Finland; The Max Planck Institute for Demographic Research, Germany.ORCID iD: 0000-0001-9374-1438
Number of Authors: 32017 (English)In: European Journal of Epidemiology, ISSN 0393-2990, E-ISSN 1573-7284, Vol. 32, no 1, p. 77-85Article in journal (Refereed) Published
Abstract [en]

This paper uses individual-level longitudinal data on working-age Finns to examine the health effects of economic fluctuations during a period of economic decline (1989-1996) and recovery (1997-2007) in Finland. We used a nationally representative, longitudinal sample formed by linking population, employment and mortality registers (n = 698,484; 7,719,870 person-years). We implemented a region fixed-effect model that exploits within-regional variations over time in the unemployment rate to identify the effect of economic fluctuations on mortality, controlling for individual employment transitions. Unemployment rates increased from 5.2 % in 1989 to 19.8 % in 1996, declining gradually thereafter and reaching 9.7 % in 2007. Results indicate that these large fluctuations in the economy had no impact on the overall mortality of most working age Finns. The exception was highly educated men, who experienced an increase of 7 % (Rate ratio = 1.07, 95 % confidence interval 1.04, 1.10) for every one-point increase in the regional unemployment rate during the period 1989-1996 due to increased mortality from cardiovascular disease and suicide. This increase, however, was not robust in models that used the employment to population ratio as measure of the economy. Unemployment rates were unrelated to mortality among females, lower educated men, and among any group during economic recovery (1997-2007). For most Finns, we found no consistent evidence of changes in mortality in response to contractions or expansions in the economy. Possible explanations include the weak impact of the recession on wages, as well as the generous unemployment insurance and social benefit system in Finland.

Place, publisher, year, edition, pages
2017. Vol. 32, no 1, p. 77-85
Keywords [en]
Economic recession, Unemployment, Mortality, Educational status, Registries
National Category
Public Health, Global Health, Social Medicine and Epidemiology Economics and Business
Identifiers
URN: urn:nbn:se:su:diva-174668DOI: 10.1007/s10654-016-0152-8ISI: 000395115600008PubMedID: 27730407OAI: oai:DiVA.org:su-174668DiVA, id: diva2:1367600
Available from: 2019-11-04 Created: 2019-11-04 Last updated: 2019-11-04Bibliographically approved

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Avendano, MauricioMoustgaard, HetaMartikainen, Pekka
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