The impact of the Great Recession on mental health and its inequalities: the case of a Southern European region, 1997–2013

International Journal for Equity in Health

Research

Santiago Esnaola¹  Amaia Bacigalupe²  Unai Martín² 

[1] Department of Health, Basque Government, Donostia-San Sebastian 1. 01010, Vitoria-Gasteiz, Spain;Department of Sociology 2, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n. 48940, Leioa, Spain;

关键词: Economic recession;    Spain;    Socioeconomic factors;    Mental health;    Unemployment;   

DOI  :  10.1186/s12939-015-0283-7

 received in 2015-10-21, accepted in 2015-12-10,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundNumerous studies have shown that macroeconomic changes have a great influence on health, prompting different concerns in recent literature about the effects of the current recession. The objetive of the study was to assess the changes in the mental health of the working-age population in the Basque Country (Spain) and its social inequalities following the onset of the 2008 recession, with special focus on the role of unemployment.MethodsRepeated cross-sectional study on the population aged 16–64, using four Basque Health Surveys (1997–2013). Age-adjusted prevalences of poor mental health and incremental prevalence ratios (working status and social class adjusted) between years were calculated. Absolute/relative measures of social inequalities were also calculated.ResultsFrom 2008, there was a clear deterioration in the mental health, especially among men. Neither changes in employment status nor social class accounted for these changes. In men, the deterioration affected all working status categories, except the retired but significant changes occurred only among the employed. In women, poor mental health significantly increased among the unemployed. Students were also especially affected. Relative inequalities increased only in men.ConclusionsThe Great Recession is being accompanied by adverse effects on mental health, which cannot be fully explained by the increase of unemployment. Public health professionals should closely monitor the medium and long-term effects of the crisis as these may emerge only many years after the onset of recessions.

【 授权许可】

CC BY   
© Bacigalupe et al. 2016