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The Short-Term Effects of European Integration on Mortality Convergence: A Case Study of European Union’s 2004 Enlargement

Author

Listed:
  • Rok Hrzic

    (Maastricht University
    Max Planck Institute for Demographic Research)

  • Tobias Vogt

    (University of Groningen
    Manipal Academy of Higher Education
    Max Planck Institute for Demographic Research)

  • Helmut Brand

    (Maastricht University
    Manipal Academy of Higher Education)

  • Fanny Janssen

    (University of Groningen
    Netherlands Interdisciplinary Demographic Institute – KNAW / University of Groningen)

Abstract

Although European integration can be expected to result in mortality convergence (reduced mortality differences), a life expectancy divide persists in the European Union (EU) between the old Member States (OMS) in the west and the new Member States (NMS) in the east. Studies investigating the impact of European integration on mortality convergence are rare and did not consider regional differences. We examine the short-term effects of the 2004 enlargement on mortality convergence at the supranational, national, and subnational levels. Using sex-specific life expectancies for 23 Member States (1990–2017) and the NUTS 2 regions in Czechia, Hungary, and Poland for 1992–2016, we examined the trend in sigma and beta mortality convergence measures at the country and regional levels using joinpoint regression. We found no compelling evidence that EU accession influenced the process of mortality convergence between OMS and NMS, or within the three NMS, over the short term. While there was overall beta and sigma convergence at the national level during 1990–2017, no regional convergence showed, and the trends in convergence did not significantly change at the time of EU accession or soon after (2004–2007). The accession in 2004 did not visibly impact the overall process of mortality convergence over the short term, likely because of the greater influence of country and region-specific policies and characteristics. The interaction of Member State and regional contexts with the mechanisms of European integration requires further study. Future enlargement procedures should emphasise tailored support to ensure more equitable gains from European integration.

Suggested Citation

  • Rok Hrzic & Tobias Vogt & Helmut Brand & Fanny Janssen, 2021. "The Short-Term Effects of European Integration on Mortality Convergence: A Case Study of European Union’s 2004 Enlargement," European Journal of Population, Springer;European Association for Population Studies, vol. 37(4), pages 909-931, November.
    • Handle: RePEc:spr:eurpop:v:37:y:2021:i:4:d:10.1007_s10680-021-09596-y
    DOI: 10.1007/s10680-021-09596-y
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    1. Konstantin Gluschenko, 2018. "Measuring regional inequality: to weight or not to weight?," Spatial Economic Analysis, Taylor & Francis Journals, vol. 13(1), pages 36-59, January.
    2. Sala-i-Martin, Xavier X, 1996. "The Classical Approach to Convergence Analysis," Economic Journal, Royal Economic Society, vol. 106(437), pages 1019-1036, July.
    3. France Meslé & Jacques Vallin, 2017. "The End of East–West Divergence in European Life Expectancies? An Introduction to the Special Issue," European Journal of Population, Springer;European Association for Population Studies, vol. 33(5), pages 615-627, December.
    4. Vogt, Tobias C. & Kluge, Fanny A., 2015. "Can public spending reduce mortality disparities? Findings from East Germany after reunification," The Journal of the Economics of Ageing, Elsevier, vol. 5(C), pages 7-13.
    5. Simona Iammarino & Andrés Rodriguez-Pose & Michael Storper, 2019. "Regional inequality in Europe: evidence, theory and policy implications," Journal of Economic Geography, Oxford University Press, vol. 19(2), pages 273-298.
    6. Kimberly A. Clausing & Cosmina L. Dorobantu, 2005. "Re‐entering Europe: Does European Union candidacy boost foreign direct investment?," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 13(1), pages 77-103, January.
    7. repec:cai:poeine:pope_201_0157 is not listed on IDEAS
    8. Nolte, Ellen & Scholz, Rembrandt & Shkolnikov, Vladimir & McKee, Martin, 2002. "The contribution of medical care to changing life expectancy in Germany and Poland," Social Science & Medicine, Elsevier, vol. 55(11), pages 1905-1921, December.
    9. Laliotis, Ioannis & Stavropoulou, Charitini, 2018. "Crises and mortality: Does the level of unemployment matter?," Social Science & Medicine, Elsevier, vol. 214(C), pages 99-109.
    10. Verstraeten, Soraya P.A. & van Oers, Hans A.M. & Mackenbach, Johan P., 2016. "Decolonization and life expectancy in the Caribbean," Social Science & Medicine, Elsevier, vol. 170(C), pages 87-96.
    11. Pavel Grigoriev & Markéta Pechholdová, 2017. "Health Convergence Between East and West Germany as Reflected in Long-Term Cause-Specific Mortality Trends: To What Extent was it Due to Reunification?," European Journal of Population, Springer;European Association for Population Studies, vol. 33(5), pages 701-731, December.
    12. Fanny Janssen & Anthe van den Hende & Joop de Beer & Leo van Wissen, 2016. "Sigma and beta convergence in regional mortality: A case study of the Netherlands," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 35(4), pages 81-116.
    13. Martin Gächter & Engelbert Theurl, 2010. "Health Status Convergence at the Local Level: Empirical Evidence from Austria," Working Papers 2010-23, Faculty of Economics and Statistics, Universität Innsbruck, revised Mar 2011.
    14. Laia Maynou & Marc Saez & Jordi Bacaria & Guillem Lopez-Casasnovas, 2015. "Health inequalities in the European Union: an empirical analysis of the dynamics of regional differences," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(5), pages 543-559, June.
    15. Jitka Rychtarikova, 2004. "The case of the Czech Republic," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(5), pages 105-138.
    16. Agnieszka Fihel & Marketa Pechholdová, 2017. "Between ‘Pioneers’ of the Cardiovascular Revolution and Its ‘Late Followers’: Mortality Changes in the Czech Republic and Poland Since 1968," European Journal of Population, Springer;European Association for Population Studies, vol. 33(5), pages 651-678, December.
    17. Jacques Vallin & France Meslé, 2004. "Convergences and divergences in mortality," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(2), pages 11-44.
    18. Allan, Rebecca & Williamson, Paul & Kulu, Hill, 2019. "Gendered mortality differentials over the rural-urban continuum: The analysis of census linked longitudinal data from England and Wales," Social Science & Medicine, Elsevier, vol. 221(C), pages 68-78.
    19. Mackenbach, Johan P., 2013. "Political conditions and life expectancy in Europe, 1900–2008," Social Science & Medicine, Elsevier, vol. 82(C), pages 134-146.
    20. Anthony Shorrocks & Guanghua Wan, 2005. "Spatial decomposition of inequality," Journal of Economic Geography, Oxford University Press, vol. 5(1), pages 59-81, January.
    21. Mills, Jeffrey A & Zandvakili, Sourushe, 1997. "Statistical Inference via Bootstrapping for Measures of Inequality," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 12(2), pages 133-150, March-Apr.
    22. Rumen Dobrinsky & Peter Havlik, 2014. "Economic Convergence and Structural Change: the Role of Transition and EU Accession," wiiw Research Reports 395, The Vienna Institute for International Economic Studies, wiiw.
    23. Joachim Zweynert & Nils Goldschmidt, 2006. "The Two Transitions in Central and Eastern Europe as Processes of Institutional Transplantation," Journal of Economic Issues, Taylor & Francis Journals, vol. 40(4), pages 895-918, December.
    24. Pavel Grigoriev & France Meslé & Vladimir M. Shkolnikov & Evgeny Andreev & Agnieszka Fihel & Marketa Pechholdova & Jacques Vallin, 2014. "The Recent Mortality Decline in Russia: Beginning of the Cardiovascular Revolution?," Population and Development Review, The Population Council, Inc., vol. 40(1), pages 107-129, March.
    25. Christopher J. Gerry & Yulia Raskina & Daria Tsyplakova, 2018. "Convergence or Divergence? Life Expectancy Patterns in Post-communist Countries, 1959–2010," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 140(1), pages 309-332, November.
    26. Pavel Grigoriev & Vladimir Shkolnikov & Evgueni Andreev & Domantas Jasilionis & Dmitri Jdanov & France Meslé & Jacques Vallin, 2010. "Mortality in Belarus, Lithuania, and Russia: Divergence in Recent Trends and Possible Explanations [La mortalité en Biélorussie, Lituanie et Russie: Divergence dans les Tendances Récentes et Explic," European Journal of Population, Springer;European Association for Population Studies, vol. 26(3), pages 245-274, August.
    27. Nina Bandelj, 2010. "How EU Integration and Legacies Mattered for Foreign Direct Investment into Central and Eastern Europe," Europe-Asia Studies, Taylor & Francis Journals, vol. 62(3), pages 481-501.
    28. Takahiro Akita, 2003. "Decomposing regional income inequality in China and Indonesia using two-stage nested Theil decomposition method," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 37(1), pages 55-77, February.
    29. Andrzej Cieslik, 2005. "European integration, national border effects and the location of multinational enterprises in Poland: the case of new Voivodships," Brussels Economic Review, ULB -- Universite Libre de Bruxelles, vol. 48(3), pages 247-260.
    30. Cutrini, Eleonora, 2019. "Economic integration, structural change, and uneven development in the European Union," Structural Change and Economic Dynamics, Elsevier, vol. 50(C), pages 102-113.
    31. Domantas Jasilionis & France Meslé & Vladimir M. Shkolnikov & Jacques Vallin, 2011. "Recent Life Expectancy Divergence in Baltic Countries," European Journal of Population, Springer;European Association for Population Studies, vol. 27(4), pages 403-431, November.
    32. Sergey Timonin & Inna Danilova & Evgeny Andreev & Vladimir M. Shkolnikov, 2017. "Recent Mortality Trend Reversal in Russia: Are Regions Following the Same Tempo?," European Journal of Population, Springer;European Association for Population Studies, vol. 33(5), pages 733-763, December.
    33. Bevan, Alan A. & Estrin, Saul, 2004. "The determinants of foreign direct investment into European transition economies," Journal of Comparative Economics, Elsevier, vol. 32(4), pages 775-787, December.
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