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Macroeconomic Conditions and Health: Inspecting the Transmission Mechanism

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  • Emilio, Colombo
  • Valentina, Rotondi
  • Luca, Stanca

Abstract

This paper studies the effects of labor market conditions on individual-level health, investigating the factors that moderate and mediate this relationship. Using a large and representative sample of individuals in Italy between 1993 and 2012, we shed light on the transmission mechanism, focusing on the role played by health behaviors (smoking, alcohol consumption, physical activity, eating habits) and economic stress. We find that, overall, higher local unemployment negatively affects health, with a dynamic response that differs across health conditions. Employment status and educational level play a significant role as moderators of these effects. Eating habits, in addition to economic stress, are found to play a key role in the transmission mechanism, while physical activity acts as a buffer against the adverse health effects of unemployment shocks.

Suggested Citation

  • Emilio, Colombo & Valentina, Rotondi & Luca, Stanca, 2016. "Macroeconomic Conditions and Health: Inspecting the Transmission Mechanism," Working Papers 337, University of Milano-Bicocca, Department of Economics, revised 31 Dec 2016.
    • Handle: RePEc:mib:wpaper:337
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    1. Thomas S. Dee, 2001. "Alcohol abuse and economic conditions: Evidence from repeated cross‐sections of individual‐level data," Health Economics, John Wiley & Sons, Ltd., vol. 10(3), pages 257-270, April.
    2. Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
    3. Ann H. Stevens & Douglas L. Miller & Marianne E. Page & Mateusz Filipski, 2015. "The Best of Times, the Worst of Times: Understanding Pro-cyclical Mortality," American Economic Journal: Economic Policy, American Economic Association, vol. 7(4), pages 279-311, November.
    4. Erdal Tekin & Chandler McClellan & Karen Jean Minyard, 2013. "Health and Health Behaviors during the Worst of Times," NBER Working Papers 19234, National Bureau of Economic Research, Inc.
    5. Imai, Kosuke & Keele, Luke & Tingley, Dustin & Yamamoto, Teppei, 2011. "Unpacking the Black Box of Causality: Learning about Causal Mechanisms from Experimental and Observational Studies," American Political Science Review, Cambridge University Press, vol. 105(4), pages 765-789, November.
    6. Chad Cotti & Richard A. Dunn & Nathan Tefft, 2015. "The Dow is Killing Me: Risky Health Behaviors and the Stock Market," Health Economics, John Wiley & Sons, Ltd., vol. 24(7), pages 803-821, July.
    7. Eve Caroli & Mathilde Godard, 2016. "Does job insecurity deteriorate health?," Health Economics, John Wiley & Sons, Ltd., vol. 25(2), pages 131-147, February.
    8. Edvard Johansson & Petri Böckerman & Ritva Prättälä & Antti Uutela, 2006. "Alcohol-related mortality, drinking behavior, and business cycles," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(3), pages 212-217, September.
    9. Giorgio Brunello & Margherita Fort & Nicole Schneeweis & Rudolf Winter‐Ebmer, 2016. "The Causal Effect of Education on Health: What is the Role of Health Behaviors?," Health Economics, John Wiley & Sons, Ltd., vol. 25(3), pages 314-336, March.
    10. Alison L. Booth & Marco Francesconi & Jeff Frank, 2002. "Temporary Jobs: Stepping Stones Or Dead Ends?," Economic Journal, Royal Economic Society, vol. 112(480), pages 189-213, June.
    11. Johnston, David W. & Propper, Carol & Shields, Michael A., 2009. "Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient," Journal of Health Economics, Elsevier, vol. 28(3), pages 540-552, May.
    12. Damon Clark & Heather Royer, 2013. "The Effect of Education on Adult Mortality and Health: Evidence from Britain," American Economic Review, American Economic Association, vol. 103(6), pages 2087-2120, October.
    13. Ásgeirsdóttir, Tinna Laufey & Corman, Hope & Noonan, Kelly & Reichman, Nancy E., 2016. "Lifecycle effects of a recession on health behaviors: Boom, bust, and recovery in Iceland," Economics & Human Biology, Elsevier, vol. 20(C), pages 90-107.
    14. Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September.
    15. Ásgeirsdóttir, Tinna Laufey & Corman, Hope & Noonan, Kelly & Ólafsdóttir, Þórhildur & Reichman, Nancy E., 2014. "Was the economic crisis of 2008 good for Icelanders? Impact on health behaviors," Economics & Human Biology, Elsevier, vol. 13(C), pages 1-19.
    16. Gerdtham, Ulf-G. & Ruhm, Christopher J., 2006. "Deaths rise in good economic times: Evidence from the OECD," Economics & Human Biology, Elsevier, vol. 4(3), pages 298-316, December.
    17. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(2), pages 617-650.
    18. Rosa Urbanos-Garrido & Beatriz Lopez-Valcarcel, 2015. "The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(2), pages 175-184, March.
    19. Charles, Kerwin Kofi & DeCicca, Philip, 2008. "Local labor market fluctuations and health: Is there a connection and for whom?," Journal of Health Economics, Elsevier, vol. 27(6), pages 1532-1550, December.
    20. Ruhm, Christopher J., 2003. "Good times make you sick," Journal of Health Economics, Elsevier, vol. 22(4), pages 637-658, July.
    21. Ruhm, Christopher J. & Black, William E., 2002. "Does drinking really decrease in bad times?," Journal of Health Economics, Elsevier, vol. 21(4), pages 659-678, July.
    22. Douglas L. Miller & Marianne E. Page & Ann Huff Stevens & Mateusz Filipski, 2009. "Why Are Recessions Good for Your Health?," American Economic Review, American Economic Association, vol. 99(2), pages 122-127, May.
    23. Colman, Gregory & Dave, Dhaval, 2013. "Exercise, physical activity, and exertion over the business cycle," Social Science & Medicine, Elsevier, vol. 93(C), pages 11-20.
    24. Ólafsdóttir, Thorhildur & Hrafnkelsson, Birgir & Thorgeirsson, Gudmundur & Ásgeirsdóttir, Tinna Laufey, 2016. "The tax-free year in Iceland: A natural experiment to explore the impact of a short-term increase in labor supply on the risk of heart attacks," Journal of Health Economics, Elsevier, vol. 49(C), pages 14-27.
    25. Dave, Dhaval M. & Kelly, Inas Rashad, 2012. "How does the business cycle affect eating habits?," Social Science & Medicine, Elsevier, vol. 74(2), pages 254-262.
    26. Lance Lochner, 2010. "Non-Production Benefits of Education: Crime, Health and Good Citizenship," University of Western Ontario, Centre for Human Capital and Productivity (CHCP) Working Papers 20107, University of Western Ontario, Centre for Human Capital and Productivity (CHCP).
    27. Svensson, Mikael, 2007. "Do not go breaking your heart: Do economic upturns really increase heart attack mortality?," Social Science & Medicine, Elsevier, vol. 65(4), pages 833-841, August.
    28. Fidel Gonzalez & Troy Quast, 2011. "Macroeconomic changes and mortality in Mexico," Empirical Economics, Springer, vol. 40(2), pages 305-319, April.
    29. Tekin, Erdal & McClellan, Chandler & Minyard, Karen Jean, 2013. "Health and Health Behaviors during the Worst of Times: Evidence from the Great Recession," IZA Discussion Papers 7538, Institute of Labor Economics (IZA).
    30. José Tapia granados, 2008. "Macroeconomic fluctuations and mortality in postwar Japan," Demography, Springer;Population Association of America (PAA), vol. 45(2), pages 323-343, May.
    31. Van de Velde, Sarah & Bracke, Piet & Levecque, Katia, 2010. "Gender differences in depression in 23 European countries. Cross-national variation in the gender gap in depression," Social Science & Medicine, Elsevier, vol. 71(2), pages 305-313, July.
    32. Tinna Laufey Asgeirsdottir & Asgerður Th. Bjornsdottir & Thorhildur Ólafsdóttir, 2017. "Drinking behavior during the Icelandic economic boom, crisis, and recovery," Review of Economics of the Household, Springer, vol. 15(4), pages 1191-1213, December.
    33. Lindo, Jason M., 2015. "Aggregation and the estimated effects of economic conditions on health," Journal of Health Economics, Elsevier, vol. 40(C), pages 83-96.
    34. Edwards, Ryan, 2008. "Who is hurt by procyclical mortality?," Social Science & Medicine, Elsevier, vol. 67(12), pages 2051-2058, December.
    35. Timothy J. Classen & Richard A. Dunn, 2012. "The effect of job loss and unemployment duration on suicide risk in the United States: a new look using mass‐layoffs and unemployment duration," Health Economics, John Wiley & Sons, Ltd., vol. 21(3), pages 338-350, March.
    36. repec:hal:pseose:halshs-01311366 is not listed on IDEAS
    37. Gabriella Conti & James Heckman & Sergio Urzua, 2010. "The Education-Health Gradient," American Economic Review, American Economic Association, vol. 100(2), pages 234-238, May.
    38. Hilary Hoynes & Douglas L. Miller & Jessamyn Schaller, 2012. "Who Suffers during Recessions?," Journal of Economic Perspectives, American Economic Association, vol. 26(3), pages 27-48, Summer.
    39. John Bound, 1991. "Self-Reported Versus Objective Measures of Health in Retirement Models," Journal of Human Resources, University of Wisconsin Press, vol. 26(1), pages 106-138.
    40. Haaland, Venke Furre & Telle, Kjetil, 2015. "Pro-cyclical mortality across socioeconomic groups and health status," Journal of Health Economics, Elsevier, vol. 39(C), pages 248-258.
    41. Xu, Xin, 2013. "The business cycle and health behaviors," Social Science & Medicine, Elsevier, vol. 77(C), pages 126-136.
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    2. Huikari, Sanna & Junttila, Hanna & Ala-Mursula, Leena & Jämsä, Timo & Korpelainen, Raija & Miettunen, Jouko & Svento, Rauli & Korhonen, Marko, 2021. "Leisure-time physical activity is associated with socio-economic status beyond income – Cross-sectional survey of the Northern Finland Birth Cohort 1966 study," Economics & Human Biology, Elsevier, vol. 41(C).
    3. Curtis, Sarah & Pearce, Jamie & Cherrie, Mark & Dibben, Christopher & Cunningham, Niall & Bambra, Clare, 2019. "Changing labour market conditions during the ‘great recession’ and mental health in Scotland 2007–2011: an example using the Scottish Longitudinal Study and data for local areas in Scotland," Social Science & Medicine, Elsevier, vol. 227(C), pages 1-9.
    4. Janke, Katharina & Lee, Kevin & Propper, Carol & Shields, Kalvinder & Shields, Michael A., 2023. "Economic conditions and health: Local effects, national effect and local area heterogeneity," Journal of Economic Behavior & Organization, Elsevier, vol. 214(C), pages 801-828.
    5. Kerry L. Papps & Alex Bryson & James Reade, 2023. "Running Up that Hill: Fitness in the Face of Recession," DoQSS Working Papers 23-03, Quantitative Social Science - UCL Social Research Institute, University College London.
    6. Beleche, Trinidad & Cintina, Inna, 2018. "Fracking and risky behaviors: Evidence from Pennsylvania," Economics & Human Biology, Elsevier, vol. 31(C), pages 69-82.
    7. Federico Belotti & Joanna Kopinska & Alessandro Palma & Andrea Piano Mortari, 2022. "Health status and the Great Recession. Evidence from electronic health records," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1770-1799, August.
    8. Kaiser, Micha & Reutter, Mirjam & Sousa-Poza, Alfonso & Strohmaier, Kristina, 2018. "Smoking and local unemployment: Evidence from Germany," Economics & Human Biology, Elsevier, vol. 29(C), pages 138-147.
    9. Yutian Yang, 2022. "Does economic growth induce smoking?—Evidence from China," Empirical Economics, Springer, vol. 63(2), pages 821-845, August.
    10. Seuring, Till & Serneels, Pieter & Suhrcke, Marc & Bachmann, Max, 2020. "Diabetes, employment and behavioural risk factors in China: Marginal structural models versus fixed effects models," Economics & Human Biology, Elsevier, vol. 39(C).
    11. Takaaki Ikeda & Kemmyo Sugiyama & Jun Aida & Toru Tsuboya & Ken Osaka, 2019. "The Contextual Effect of Area-Level Unemployment Rate on Lower Back Pain: A Multilevel Analysis of Three Consecutive Surveys of 962,586 Workers in Japan," IJERPH, MDPI, vol. 16(20), pages 1-11, October.
    12. Robert J. Kolesar & Rok Spruk, 2024. "Effect of Austerity Measures on Infant Mortality: Evidence from Greece," Papers 2407.17084, arXiv.org.
    13. Giri, Jeeten Krishna & Kumaresan, Talitha, 2021. "The business cycle, health behavior, and chronic disease: A study over Three decades," Economics & Human Biology, Elsevier, vol. 43(C).

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    More about this item

    Keywords

    Economic conditions; unemployment; health behaviors; health outcomes;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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