Why is There so Much Controversy Regarding the Population Health Impact of the Great Recession? Reflections on Three Case Studies

Bacigalupe, Amaia; Shahidi, Faraz Vahid; Muntaner, Carles; Martin, Unai; Borrell, Carme

Abstract

In the aftermath of the Great Recession, public health scholars have grown increasingly interested in studying the health consequences of macroeconomic change. Reflecting existing debates on the nature of this relationship, research on the effects of the recent economic crisis has sparked considerable controversy. On the one hand there is evidence to support the notion that macroeconomic downturns are associated with positive health outcomes. On the other hand, a growing number of studies warn that the current economic crisis can be expected to pose serious problems for the public's health. This article contributes to this debate through a review of recent evidence from three case studies: Iceland, Spain, and Greece. It shows that the economic crisis has negatively impacted some population health indicators (e.g., mental health) in all three countries, but especially in Greece. Available evidence defies deterministic conclusions, including increasingly conventional claims about economic downturns improving life expectancy and reducing mortality. While our results echo previous research in finding that the relationship between economic crises and population health is complex, they also indicate that this complexity is not arbitrary. On the contrary, changing social and political contexts provide meaningful, if partial, explanations for the perplexing nature of recent empirical findings.

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Título según WOS: ID WOS:000368606100001 Not found in local WOS DB
Título de la Revista: INTERNATIONAL JOURNAL OF HEALTH SERVICES
Volumen: 46
Número: 1
Editorial: SAGE PUBLICATIONS LTD
Fecha de publicación: 2016
Página de inicio: 5
Página final: 35
DOI:

10.1177/0020731415611634

Notas: ISI