Trends in disease mortality before and during the Great Recession in individuals employed in Spain in 2001

Enrique Regidor; Elena Ronda; Jose A. Tapia Granados; Francisco J. Viciana-Fernandez; Luis de la Fuente; Gregorio Barrio

doi:10.1093/eurpub/ckz025

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Trends in disease mortality before and during the Great Recession in individuals employed in Spain in 2001

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Trends in disease mortality before and during the Great Recession in individuals employed in Spain in 2001

Enrique Regidor, Elena Ronda, Jose A. Tapia Granados, Francisco J. Viciana-Fernandez, Luis de la Fuente and Gregorio Barrio

European journal of public health, v 29(5), pp 954-959

01 Oct 2019

DOI: https://doi.org/10.1093/eurpub/ckz025

PMID: 30851096

Featured in Collection : UN Sustainable Development Goals @ Drexel

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Abstract

Life Sciences & Biomedicine

Public, Environmental & Occupational Health

Science & Technology

Background: Previous studies on economic recessions and mortality due to cancer and other chronic diseases have yielded inconsistent findings. We investigated the trend in all-disease mortality and mortality due to several specific diseases before and during the Great Recession of 2008 in individuals who were employed in 2001, at the beginning of follow-up. Methods: We follow in a nationwide longitudinal study over 15 million subjects who had a job in Spain in 2001. The analysed outcomes were mortality at ages 25-64 years due to all diseases, cancer and other chronic diseases. We calculated annual mortality rates from 2003 to 2011, and the annual percentage change (APC) in mortality rates during 2003-07 and 2008-11, as well as the effect size, measured by the APC difference between the two periods. Results: All-disease mortality increased from 2003 to 2007 in both men and women; then, between 2008 and 2011, all-disease mortality decreased in men and reached a plateau in women. In men, the APC in the all-disease mortality rate was 1.6 in 2003-07 and -1.4 in 2008-11 [effect size -3.0, 95% confidence interval (CI) -3.7 to -2.2]; in women it was 2.5 and -0.3 (effect size -2.8, 95% CI -4.2 to -1.3), respectively. Cancer mortality and mortality due to other chronic diseases revealed similar trends. Conclusions: In the group of individuals with a job in 2001 the Great Recession reversed or stabilized the upward trend in all-disease mortality.

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Details

Title: Trends in disease mortality before and during the Great Recession in individuals employed in Spain in 2001
Creators: Enrique Regidor - Complutense University of Madrid
Elena Ronda - University of Alicante
Jose A. Tapia Granados - Drexel University
Francisco J. Viciana-Fernandez - Demographic and Social Statistics, Institute of Statistics and Cartography of Andalusia, Seville, Spain.
Luis de la Fuente - Instituto de Salud Carlos III
Gregorio Barrio - Instituto de Salud Carlos III
Publication Details: European journal of public health, v 29(5), pp 954-959
Publisher: Oxford Univ Press
Number of pages: 6
Grant note: European Regional Development Fund; European Commission PI16/00455 / Instituto de Salud Carlos III; European Commission
Resource Type: Journal article
Language: English
Academic Unit: Politics
Web of Science ID: WOS:000491248400028
Scopus ID: 2-s2.0-85072699270
Other Identifier: 991019169516204721