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Evaluation of the Biases in the Studies that Assess the Effects of the Great Recession on Health. A Systematic Review

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  • Marc Saez

    (Research Group on Statistics, Econometrics and Health (GRECS), University of Girona, 17003 Girona, Spain
    Network Biomedical Research Center of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain)

  • Maria Antònia Barceló

    (Research Group on Statistics, Econometrics and Health (GRECS), University of Girona, 17003 Girona, Spain
    Network Biomedical Research Center of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain)

  • Carme Saurina

    (Research Group on Statistics, Econometrics and Health (GRECS), University of Girona, 17003 Girona, Spain
    Network Biomedical Research Center of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain)

  • Andrés Cabrera

    (Network Biomedical Research Center of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
    Andalusian School of Public Health, 18080 Granada, Spain
    Instituto de Investigación Biosanitaria (IBS), Hospital Universitario de Granada, Universidad de Granada, 18014 Granada, Spain)

  • Antonio Daponte

    (Network Biomedical Research Center of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
    Andalusian School of Public Health, 18080 Granada, Spain
    Instituto de Investigación Biosanitaria (IBS), Hospital Universitario de Granada, Universidad de Granada, 18014 Granada, Spain
    Observatorio de Salud y Medio Ambiente de Andalucía (OSMAN), 18080 Granada, Spain)

Abstract

Background: Our main objective was to evaluate the fundamental biases detected in studies assessing the effects the Great Recession had on health for the case of Spain. As secondary objectives we presented methods to control these biases and to discuss the results of the studies in question if they had controlled for them. Methods: We carried out a systematic review of the literature published up to June 2018. We evaluated the biases that could have happened in all the eligible studies. Results: From the review, we finally selected 53 studies. Of the studies we reviewed, 60.38% or 32 out of 53, were evaluated as having a high risk of bias. The main biases our review revealed were problems with evaluation, time bias, lack of control of unobserved confounding, and non-exogeneity when defining the onset of the Great Recession. Conclusions: The results from the studies that controlled the biases were quite consistent. Summing up, the studies reviewed found that the Great Recession increased the risk of declaring poor self-rated health and the deterioration of mental health. Both the mortality rate and the suicide rate may well have increased after the Great Recession, probably after a three- to four-year delay.

Suggested Citation

  • Marc Saez & Maria Antònia Barceló & Carme Saurina & Andrés Cabrera & Antonio Daponte, 2019. "Evaluation of the Biases in the Studies that Assess the Effects of the Great Recession on Health. A Systematic Review," IJERPH, MDPI, vol. 16(14), pages 1-20, July.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:14:p:2479-:d:247640
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    References listed on IDEAS

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    1. Berta Rivera & Bruno Casal & Luis Currais, 2017. "Crisis, suicide and labour productivity losses in Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(1), pages 83-96, January.
    2. Rosa Urbanos-Garrido & Beatriz Lopez-Valcarcel, 2015. "The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(2), pages 175-184, March.
    3. Fernando Navarro-Mateu & Mª José Tormo & Diego Salmerón & Gemma Vilagut & Carmen Navarro & Guadalupe Ruíz-Merino & Teresa Escámez & Javier Júdez & Salvador Martínez & Ron C Kessler & Jordi Alonso, 2015. "Prevalence of Mental Disorders in the South-East of Spain, One of the European Regions Most Affected by the Economic Crisis: The Cross-Sectional PEGASUS-Murcia Project," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-22, September.
    4. Lourdes Lostao & Siegfried Geyer & Romana Albaladejo & Almudena Moreno-Lostao & Juana M Santos & Enrique Regidor, 2017. "Socioeconomic position and health services use in Germany and Spain during the Great Recession," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-12, August.
    5. Isabel Aguilar-Palacio & Patricia Carrera-Lasfuentes & M. Rabanaque, 2015. "Youth unemployment and economic recession in Spain: influence on health and lifestyles in young people (16–24 years old)," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(4), pages 427-435, May.
    6. Max Coveney & Pilar García‐Gómez & Eddy Van Doorslaer & Tom Van Ourti, 2016. "Health Disparities by Income in Spain Before and After the Economic Crisis," Health Economics, John Wiley & Sons, Ltd., vol. 25(S2), pages 141-158, November.
    7. repec:wly:hlthec:v:25:y:2016:i::p:141-158 is not listed on IDEAS
    8. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    2. England, Clare & Jarrom, David & Washington, Jennifer & Hasler, Elise & Batten, Leona & Edwards, Adrian & Lewis, Ruth, 2024. "Methodological approaches to measuring mental health in a cost-of-living crisis: A rapid review," Health Policy, Elsevier, vol. 144(C).

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