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

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Title: Trends in disease mortality before and during the Great Recession in individuals employed in Spain in 2001
Authors: Regidor Poyatos, Enrique | Ronda-Pérez, Elena | Tapia Granados, José A. | Viciana-Fernández, Francisco J. | Fuente, Luis de la | Barrio, Gregorio
Research Group/s: Salud Pública
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia
Keywords: Cancer | Chronic disease | Follow-up | Spain | Economics | Mortality
Knowledge Area: Medicina Preventiva y Salud Pública
Issue Date: Oct-2019
Publisher: Oxford University Press
Citation: European Journal of Public Health. 2019, 29(5): 954-959. doi:10.1093/eurpub/ckz025
Abstract: 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.
Sponsor: This work was supported by a grant from the Instituto de Salud Carlos III (PI16/00455) and the European Regional Development Fund.
URI: http://hdl.handle.net/10045/97114
ISSN: 1101-1262 (Print) | 1464-360X (Online)
DOI: 10.1093/eurpub/ckz025
Language: eng
Type: info:eu-repo/semantics/article
Rights: © The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association
Peer Review: si
Publisher version: https://doi.org/10.1093/eurpub/ckz025
Appears in Collections:INV - SP - Artículos de Revistas

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