IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i18p6606-d412115.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/18/6606/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/18/6606/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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).
    5. 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.
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Haji Mohammad Neshat Ghojagh & Lotfali Agheli & Sajjad Faraji Dizaji & Mohammad Javad Kabir & Vahid Taghvaee, 2024. "Economic instability, income, and unemployment effects on mortality: using SUR panel data in Iran," International Journal of Health Economics and Management, Springer, vol. 24(4), pages 555-570, December.
    2. Francová, Olga & Korhonen, Kari & Kovačević, Dušan, 2023. "Quality of life: A way to buttress crisis program evaluations?," Evaluation and Program Planning, Elsevier, vol. 99(C).
    3. Tasuku Okui, 2021. "An Analysis of the Trend of Fetal Mortality Rates among Working and Jobless Households in Japan, 1995–2019," IJERPH, MDPI, vol. 18(9), pages 1-10, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Stefano Cellini & Livia Menezes & Martin Foureaux Koppensteiner, 2022. "Maternal Displacements during Pregnancy and the Health of Newborns," Discussion Papers 22-02, Department of Economics, University of Birmingham.
    2. Miele, Kai R., 2024. "Mental Health and Labor Market Effects of Anticipating Job Loss," CINCH Working Paper Series (since 2020) 82169, Duisburg-Essen University Library, DuEPublico.
    3. Hope Corman & Dhaval Dave & Nancy E. Reichman, 2018. "Evolution of the Infant Health Production Function," Southern Economic Journal, John Wiley & Sons, vol. 85(1), pages 6-47, July.
    4. Tom Hendriks & Tobi Graafsma & Aabidien Hassankhan & Ernst Bohlmeijer & Joop de Jong, 2018. "Strengths and virtues and the development of resilience: A qualitative study in Suriname during a time of economic crisis," International Journal of Social Psychiatry, , vol. 64(2), pages 180-188, March.
    5. Everding, Jakob & Marcus, Jan, 2020. "The effect of unemployment on the smoking behavior of couples," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 29(2), pages 154-170.
    6. 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).
    7. Italo A. Gutierrez & Pierre-Carl Michaud, 2017. "Whistle While You Work: Job Insecurity and Older Workers’ Mental Health in the United States," CIRANO Working Papers 2017s-21, CIRANO.
    8. Amélie Adeline & Ismaël Choinière Crèvecoeur & Raquel Fonseca & Pierre-Carl Michaud, 2019. "Income Volatility, Health and Well-Being," Cahiers de recherche / Working Papers 1906, Chaire de recherche sur les enjeux économiques intergénérationnels / Research Chair in Intergenerational Economics.
    9. Reeves, Aaron & Sochas, Laura, 2022. "When do democratic transitions reduce or increase child mortality? Exploring the role of non-violent resistance," Social Science & Medicine, Elsevier, vol. 314(C).
    10. Devillanova, Carlo & Raitano, Michele & Struffolino, Emanuela, 2019. "Longitudinal employment trajectories and health in middle life: Insights from linked administrative and survey data," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 40, pages 1375-1412.
    11. Naijie Guan & Alessandra Guariglia & Patrick Moore & Fangzhou Xu & Hareth Al-Janabi, 2022. "Financial stress and depression in adults: A systematic review," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-20, February.
    12. Di Nallo, Alessandro & Koksal, Selin, 2022. "Adverse pregnancy outcomes following a job loss in the UK," ISER Working Paper Series 2022-09, Institute for Social and Economic Research.
    13. Thomas F. Crossley & Federico Zilio, 2018. "The health benefits of a targeted cash transfer: The UK Winter Fuel Payment," Health Economics, John Wiley & Sons, Ltd., vol. 27(9), pages 1354-1365, September.
    14. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    15. Nizalova, Olena & Norton, Edward C., 2021. "Long-term effects of job loss on male health: BMI and health behaviors," Economics & Human Biology, Elsevier, vol. 43(C).
    16. Chuard, Caroline, 2020. "Womb at work: The missing impact of maternal employment on newborn health," Journal of Health Economics, Elsevier, vol. 73(C).
    17. Lin Ma & Gil Shapira & Damien de Walque & Quy‐Toan Do & Jed Friedman & Andrei A. Levchenko, 2022. "The Intergenerational Mortality Trade‐Off Of Covid‐19 Lockdown Policies," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 63(3), pages 1427-1468, August.
    18. Kyle Carlson, 2018. "Red Alert: Prenatal Stress and Plans to Close Military Bases," American Journal of Health Economics, MIT Press, vol. 4(3), pages 287-320, Summer.
    19. Ball, Alastair, 2014. "Air pollution, foetal mortality, and long-term health: Evidence from the Great London Smog," MPRA Paper 63229, University Library of Munich, Germany, revised 25 Mar 2015.
    20. Panagiotis Volkos & Emmanouil K Symvoulakis, 2021. "Impact of financial crisis on mental health: A literature review ‘puzzling’ findings from several countries," International Journal of Social Psychiatry, , vol. 67(7), pages 907-919, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6606-:d:412115. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.