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Economic Crisis Impact and Social Determinants of Perinatal Outcomes and Infant Mortality in Greece

Author

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  • Christos Zilidis

    (General Department, University of Thessaly, 41100 Larissa, Greece)

  • Christos Hadjichristodoulou

    (Faculty of Medicine, School of Health Sciences, University of Thessaly, 41100 Larissa, Greece)

Abstract

(1) Background: To explore the effects of the 2008 economic crisis on maternal, perinatal and infant mortality in Greece and the socio-economic determinants associated with them; (2) Methods: The annual rates of stillbirth (SBR), perinatal mortality (PMR), infant mortality (IMR), neonatal mortality (NNMR), post-neonatal mortality (PNMR), low birth weight (LBW), and maternal mortality (MMR) were calculated for the years 2000–2016. Average Annual Percent Changes (AAPC) were calculated by the period before and after 2008. The expected rates of 2009–2016 and the observed-to-expected rate ratios (RR) were calculated. Correlation and multiple linear regression analyses were used to test the impact of socio-economic variables on health outcomes; (3) Results: A reverse in downwards trends of PNM, IMR, and NNMR is observed since 2009. All observed values of 2009–2016 were found significantly higher than the expected ones by 12–34%. All indicators except SBR were found negatively correlated with GDP and DHI. A positive correlation was found between IMR, NNMR, and LBW and long-term unemployment, and no association with public health expenditure; (4) Conclusions: Economic crisis was associated with remarkable adverse effects on perinatal outcomes and infant mortality, mainly determined by long-term unemployment and income reduction. The findings stress a need for interventions to protect maternity and child health during crises.

Suggested Citation

  • Christos Zilidis & Christos Hadjichristodoulou, 2020. "Economic Crisis Impact and Social Determinants of Perinatal Outcomes and Infant Mortality in Greece," IJERPH, MDPI, vol. 17(18), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6606-:d:412115
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    References listed on IDEAS

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    1. Michaud, Pierre-Carl & Crimmins, Eileen M. & Hurd, Michael D., 2016. "The effect of job loss on health: Evidence from biomarkers," Labour Economics, Elsevier, vol. 41(C), pages 194-203.
    2. Viluma, Laura, 2020. "Do Cesarean Delivery rates rise when the economy declines? A test of the economic stress hypothesis," Economics & Human Biology, Elsevier, vol. 36(C).
    3. Carlson, Kyle, 2015. "Fear itself: The effects of distressing economic news on birth outcomes," Journal of Health Economics, Elsevier, vol. 41(C), pages 117-132.
    4. Ketevan Glonti & Vladimir S Gordeev & Yevgeniy Goryakin & Aaron Reeves & David Stuckler & Martin McKee & Bayard Roberts, 2015. "A Systematic Review on Health Resilience to Economic Crises," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-22, April.
    5. Baker, Peter & Hone, Thomas & Reeves, Aaron & Avendano, Mauricio & Millett, Christopher, 2019. "Does government expenditure reduce inequalities in infant mortality rates in low- and middle-income countries?: A time-series, ecological analysis of 48 countries from 1993 to 2013," Health Economics, Policy and Law, Cambridge University Press, vol. 14(2), pages 249-273, April.
    6. Cruces, Guillermo & Glüzmann, Pablo & Calva, Luis Felipe López, 2012. "Economic Crises, Maternal and Infant Mortality, Low Birth Weight and Enrollment Rates: Evidence from Argentina’s Downturns," World Development, Elsevier, vol. 40(2), pages 303-314.
    7. Karline Wilson-Mitchell & Joanna Anneke Rummens, 2013. "Perinatal Outcomes of Uninsured Immigrant, Refugee and Migrant Mothers and Newborns Living in Toronto, Canada," IJERPH, MDPI, vol. 10(6), pages 1-16, May.
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