Maynou Laia, Saez Marc
Center for Research in Health and Economics (CRES), Universitat Pompeu Fabra, C/Ramon Trias Fargas, 25-27, Mercè Rodoreda Building, 08005, Barcelona, Spain.
Research Group on Statistics, Econometrics and Health (GRECS), Universitat de Girona, Campus de Montilivi, 17071, Girona, Spain.
Int J Equity Health. 2016 Sep 1;15(1):135. doi: 10.1186/s12939-016-0425-6.
The recent economic crisis has been a major shock not only to the economic sector, but also to the rest of society. Our main objective in this paper is to show the impact of the economic crisis on convergence, i.e. the reduction or equalising of disparities, among the EU-27 countries in terms of health. The aim is to observe whether the economic crisis (from 2008 onwards) has in fact had an effect on health inequalities within the EU.
We estimate convergence by specifying a dynamic panel model with random-effects (time, regions and countries). We are particularly interested in σ-convergence. As dependent variables, we use life expectancy, total mortality and (cause-specific) mortality in the regions of the EU-27 countries over the period 1995-2011.
The results of the analysis show that, in terms of health, there has been a catching-up process among the EU regions. However, we find no reduction, on average, in dispersion levels as the σ-convergence shows. The main finding of this paper has been the sharp increase in disparities in 2010 for all health outcomes (albeit less abrupt for cancer mortality).
This increase in disparities in 2010 coincides with the austerity measures implemented in the EU countries. Our main conclusion is that these austerity measures have had an impact on socioeconomic inequalities.
近期的经济危机不仅对经济部门造成了重大冲击,也对社会的其他方面产生了影响。本文的主要目的是展示经济危机对欧盟27国在健康方面趋同的影响,即差距的缩小或均等化。目的是观察经济危机(自2008年起)是否实际上对欧盟内部的健康不平等产生了影响。
我们通过指定一个具有随机效应(时间、地区和国家)的动态面板模型来估计趋同情况。我们特别关注σ趋同。作为因变量,我们使用1995 - 2011年期间欧盟27国各地区的预期寿命、总死亡率和(特定原因)死亡率。
分析结果表明,在健康方面,欧盟各地区之间存在追赶过程。然而,正如σ趋同所显示的,我们发现平均而言,离散程度并没有降低。本文的主要发现是,2010年所有健康结果的差距都急剧增加(尽管癌症死亡率的增加没那么突然)。
2010年差距的增加与欧盟国家实施的紧缩措施相吻合。我们的主要结论是,这些紧缩措施对社会经济不平等产生了影响。