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The Mental Health Effects of Living near Overburdened Hospitals During COVID-19 in Perú

Author

Listed:
  • Galdo, Jose C.

    (Carleton University)

  • Contreras, Cesar

    (Pontificia Universidad Católica del Perú)

  • Horna, Marjorie

    (California State University San Marcos)

Abstract

Perú tops the global ranking in terms of mortality rates from COVID-19. This study explores the effects of geographic proximity to overburdened hospitals on mental health outcomes during the COVID-19 crisis in Perú. By using microdata along with a difference-in-differences approach, the analyses reveal a significant increase in depression symptoms for individuals residing in closer proximity to overwhelmed hospital facilities. Results are consistent regardless of whether we use administrative data or self-reported information from national health surveys. Heterogeneity analyses indicate that women, young adults, and people from relatively more affluent households drive these adverse effects. In line with health and urban economics perspectives, negative externalities, primarily congestion and chaos proxied by in-hospital mortality and hospitalizations, and acoustic pollution from ambulance noise are the channels that explain these adverse effects on mental health.

Suggested Citation

  • Galdo, Jose C. & Contreras, Cesar & Horna, Marjorie, 2025. "The Mental Health Effects of Living near Overburdened Hospitals During COVID-19 in Perú," IZA Discussion Papers 17662, Institute of Labor Economics (IZA).
  • Handle: RePEc:iza:izadps:dp17662
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    1. Gema Zamarro & María J. Prados, 2021. "Gender differences in couples’ division of childcare, work and mental health during COVID-19," Review of Economics of the Household, Springer, vol. 19(1), pages 11-40, March.
    2. Katherine Baicker & Amitabh Chandra, 2010. "Understanding Agglomerations in Health Care," NBER Chapters, in: Agglomeration Economics, pages 211-236, National Bureau of Economic Research, Inc.
    3. Etheridge, Ben & Spantig, Lisa, 2020. "The gender gap in mental well-being during the Covid-19 outbreak: evidence from the UK," ISER Working Paper Series 2020-08, Institute for Social and Economic Research.
    4. Brueckner, Jan K., 2011. "Lectures on Urban Economics," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262016362, December.
    5. Jeffrey R Kling & Jeffrey B Liebman & Lawrence F Katz, 2007. "Experimental Analysis of Neighborhood Effects," Econometrica, Econometric Society, vol. 75(1), pages 83-119, January.
    6. Bertoni, Marco & Cavapozzi, Danilo & Pasini, Giacomo & Pavese, Caterina, 2021. "Remote Working and Mental Health during the First Wave of COVID-19 Pandemic," IZA Discussion Papers 14773, Institute of Labor Economics (IZA).
    7. Minoru Higa & Carlos Ospino & Fernando Aragon, 2023. "The persistent effects of COVID-19 on labour outcomes: evidence from Peru," Applied Economics Letters, Taylor & Francis Journals, vol. 30(8), pages 1065-1076, May.
    8. Quintana-Domeque, Climent & Zeng, Jingya, 2023. "COVID-19 and Mental Health: Natural Experiments of the Costs of Lockdowns," IZA Discussion Papers 16532, Institute of Labor Economics (IZA).
    9. Manuela Angelucci & Daniel Bennett, 2024. "The Economic Impact of Depression Treatment in India: Evidence from Community-Based Provision of Pharmacotherapy," American Economic Review, American Economic Association, vol. 114(1), pages 169-198, January.
    10. Novaco, Raymond W. & Stokols, Daniel & Milanesi, Louis, 1990. "Objective and Subjective Dimensions Of Travel Impedance as Determinants Of Commuting Stress," University of California Transportation Center, Working Papers qt5jq8164z, University of California Transportation Center.
    11. Paola Bertoli & Veronica Grembi, 2017. "The life‐saving effect of hospital proximity," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 78-91, September.
    12. repec:wly:hlthec:v:26:y:2017:i::p:78-91 is not listed on IDEAS
    13. Alexander, Diane & Currie, Janet, 2017. "Is it who you are or where you live? Residential segregation and racial gaps in childhood asthma," Journal of Health Economics, Elsevier, vol. 55(C), pages 186-200.
    14. Novaco, Raymond W. & Stokols, Daniel & Milanesi, Louis, 1990. "Objective and Subjective Dimensions Of Travel Impedance as Determinants Of Commuting and Stress," University of California Transportation Center, Working Papers qt10m3x16k, University of California Transportation Center.
    15. Fabrice Kämpfen & Iliana V Kohler & Alberto Ciancio & Wändi Bruine de Bruin & Jürgen Maurer & Hans-Peter Kohler, 2020. "Predictors of mental health during the Covid-19 pandemic in the US: Role of economic concerns, health worries and social distancing," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-13, November.
    16. Buchmueller, Thomas C. & Jacobson, Mireille & Wold, Cheryl, 2006. "How far to the hospital?: The effect of hospital closures on access to care," Journal of Health Economics, Elsevier, vol. 25(4), pages 740-761, July.
    17. Amitabh Chandra & Douglas O. Staiger, 2007. "Productivity Spillovers in Health Care: Evidence from the Treatment of Heart Attacks," Journal of Political Economy, University of Chicago Press, vol. 115(1), pages 103-140.
    18. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    19. Pedro Bordalo & Katherine B. Coffman & Nicola Gennaioli & Andrei Shleifer, 2020. "Older People are Less Pessimistic about the Health Risks of Covid-19," NBER Working Papers 27494, National Bureau of Economic Research, Inc.
    20. Johannes Haushofer & Robert Mudida & Jeremy P. Shapiro, 2020. "The Comparative Impact of Cash Transfers and a Psychotherapy Program on Psychological and Economic Well-being," NBER Working Papers 28106, National Bureau of Economic Research, Inc.
    21. Francisco Perez-Arce & Marco Angrisani & Daniel Bennett & Jill Darling & Arie Kapteyn & Kyla Thomas, 2021. "COVID-19 vaccines and mental distress," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-11, September.
    22. Abu Bakkar Siddique & Kingsley E. Haynes & Rajendra Kulkarni & Meng-Hao Li, 2023. "Regional poverty and infection disease: early exploratory evidence from the COVID-19 pandemic," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 70(1), pages 209-236, February.
    23. Conley, T. G., 1999. "GMM estimation with cross sectional dependence," Journal of Econometrics, Elsevier, vol. 92(1), pages 1-45, September.
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    More about this item

    Keywords

    mental health; depression; COVID-19; hospitals; differences-in-differences; Peru;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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