Iuga Iulia Cristina, Nerişanu Raluca Andreea, Iuga Horia
Finance and Accounting Department, "1 Decembrie 1918" University from Alba Iulia, Alba Iulia, Romania.
Department of Finance and Accounting, University Lucian Blaga of Sibiu, Sibiu, Romania.
Eur J Health Econ. 2025 Apr 17. doi: 10.1007/s10198-025-01777-4.
This study examines the impact of macroeconomic well-being indicators-GDP, health spending as a percentage of GDP, and the unemployment rate-on the prevalence of chronic diseases, including circulatory and respiratory diseases and diabetes mellitus, across 27 European Union countries over 21 years. Utilizing advanced econometric methods like General Method of Moments, Structural Equation Modeling, and wavelet coherence analysis, the research reveals that higher GDP correlates with increased disease prevalence, while greater health spending reduces it. The unemployment rate significantly affects diabetes prevalence. The study introduces the "Economic Prosperity and Chronic Disease Paradox," theory, which suggests that economic growth, while improving healthcare access and living standards, paradoxically increases chronic disease rates due to lifestyle changes such as unhealthy diets, sedentary behavior, and pollution. This theory highlights the need for strategic public health policies to counteract these adverse effects and promote sustainable health outcomes amidst economic development.
本研究考察了宏观经济福祉指标——国内生产总值(GDP)、卫生支出占GDP的百分比以及失业率——对27个欧盟国家21年间慢性病(包括循环系统疾病、呼吸系统疾病和糖尿病)患病率的影响。利用广义矩估计、结构方程模型和小波相干分析等先进计量方法,研究发现,较高的GDP与疾病患病率上升相关,而更多的卫生支出则会降低患病率。失业率对糖尿病患病率有显著影响。该研究提出了“经济繁荣与慢性病悖论”理论,该理论表明,经济增长虽然改善了医疗保健可及性和生活水平,但由于不健康饮食、久坐不动的行为和污染等生活方式的改变,却反常地提高了慢性病发病率。这一理论凸显了制定战略性公共卫生政策以抵消这些不利影响并在经济发展过程中促进可持续健康成果的必要性。