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Physical activity and healthcare utilization in France: evidence from the European Health Interview Survey (EHIS) 2014

Author

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  • Dănuț-Vasile Jemna

    (Faculty of Economics and Business Administration, “Alexandru Ioan Cuza” University of Iași, Iași, Romania, UAIC - Alexandru Ioan Cuza University of Iași = Universitatea Alexandru Ioan Cuza din Iași)

  • Mihaela David

    (Faculty of Economics and Business Administration, “Alexandru Ioan Cuza” University of Iași, Iași, Romania, UAIC - Alexandru Ioan Cuza University of Iași = Universitatea Alexandru Ioan Cuza din Iași)

  • Marc-Hubert Depret

    (CRIEF [Poitiers] - Centre de recherche sur l'intégration économique et financière - UP - Université de Poitiers = University of Poitiers)

  • Lydie Ancelot

    (CRIEF [Poitiers] - Centre de recherche sur l'intégration économique et financière - UP - Université de Poitiers = University of Poitiers)

Abstract

Background A growing need and focus on preventing and controlling the diseases and promoting a healthier lifestyle is more evident at global, regional, and national levels. In this respect, it is well-known the positive association between physical activity and population's health, but also its negative association with the demand of healthcare, which could lead to lower spending on healthcare systems. In France, a lack of physical activity, a high prevalence of sedentary behaviours, and a continuous deterioration of these behaviours are observed since 2006. Therefore, promoting and increasing physical activities could contribute to major societal issues. Within this context, the study aims to analyse how the use of different healthcare services are related to physical activity in a nationally representative sample of French population. Methods The data used was retrieved from the second wave of the EHIS-ESPS 2014. The relationship between physical activity and healthcare utilization, controlled by a set of socioeconomic, demographic, and health behaviour factors, was explored both at the level of the entire population and separately for two age groups (less than 65 years, 65 years and older), employing probit and recursive multivariate probit models. Results Our findings underline that the relation between healthcare utilization and physical activity depends on the type of healthcare services and age group. In this respect, only among adult respondents, we observe a significant negative association between physical activity and prescribed medicines consumption and day hospitalization, while preventive services use is positively related to physical activity. Common to both age groups, the positive association of physical activity with general physician services and non-prescribed medicines reveal that moderately and highly active adults and elders may be more health conscious and therefore may seek referrals to generalist and other prevention measures more frequently than their inactive counterparts. This explanation is also sustained by the negative association between physical activity and overnight hospitalization or home healthcare services. Conclusions This study highlights the double role of physical activity on health as preventive measure and treatment and thus support the implementation of public health policies aimed at increasing the level of physical activity in French population.

Suggested Citation

  • Dănuț-Vasile Jemna & Mihaela David & Marc-Hubert Depret & Lydie Ancelot, 2022. "Physical activity and healthcare utilization in France: evidence from the European Health Interview Survey (EHIS) 2014," Post-Print hal-04033730, HAL.
    • Handle: RePEc:hal:journl:hal-04033730
    DOI: 10.1186/s12889-022-13479-0
    Note: View the original document on HAL open archive server: https://univ-poitiers.hal.science/hal-04033730
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    References listed on IDEAS

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    1. Nazmi Sari, 2009. "Physical inactivity and its impact on healthcare utilization," Health Economics, John Wiley & Sons, Ltd., vol. 18(8), pages 885-901, August.
    2. Antoine Goujard, 2018. "France: improving the efficiency of the health-care system," OECD Economics Department Working Papers 1455, OECD Publishing.
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