Adolescents’ psychological health during the economic recession: does public spending buffer health inequalities among young people?
Background:
Many OECD countries have replied to economic recessions with an adaption in public spending on social benefits for families and young people in need. So far, no study has examined the impact of public social spending during the recent economic recession on health, and social inequalities in health among young people. This study investigates whether an increase in public spending relates to a lower prevalence in health complaints and buffers health inequalities among adolescents.
Methods:
Data were obtained from the 2009/2010 “Health Behaviour in School-aged Children (HBSC)” study comprising 11 – 15-year-old adolescents from 27 European countries (N = 144,754). Socioeconomic position was measured by the Family Affluence Scale (FAS). Logistic multilevel models were conducted for the association between the absolute rate of public spending on family benefits per capita in 2010 and the relative change rate in family benefits (2006–2010) in relation to adolescent psychological health complaints in 2009/2010.
Results:
The absolute rate of public spending on family benefits in 2010 did not show a significant association with adolescents’ psychological health complaints. Relative change rates of public spending on family benefits (2006–2010) were related to better health. Greater socioeconomic inequalities in psychological health complaints were found for countries with higher change rates in public spending on family benefits (2006–2010).
Conclusions:
The results partially support our hypothesis and highlight that policy initiatives in terms of an increase in family benefits might partially benefit adolescent health, but tend to widen social inequalities in adolescent health during the recent recession.
Keywords:
Health inequalities, Recession, Social spending, Adolescence, Multilevel analysis
Autoři:
Katharina Rathmann 1*; Timo-Kolja Pförtner 1,2; Ana M. Osorio 3; Klaus Hurrelmann 4; Frank J. Elgar 5; Lucia Bosakova 6,7,8; Matthias Richter 1
Působiště autorů:
Institute of Medical Sociology, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Str. , 0611 Halle, Germany.
1; Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Human Sciences and the Faculty of Medicine, University of Cologne, Cologne, Germany.
2; Pontificia Universidad Javeriana Cali, Cali, Colombia.
3; Hertie School of Governance Berlin, Berlin, Germany.
4; Institute for Health and Social Policy, McGill University, Montreal, QC, Canada.
5; Department of Health Psychology, Medical Faculty, P. J. Safarik University in Kosice, Kosice, Slovak Republic.
6; Department of Quantitative Methods, Faculty of Business Economy in Kosice, University of Economics in Bratislava, Bratislava, Slovak Republic.
7; Olomouc University Social Health Institute (OUSHI), Palacky University in Olomouc, Olomouc, Czech Republic.
8
Vyšlo v časopise:
BMC Public Health 2016, 16:860
Kategorie:
Research article
prolekare.web.journal.doi_sk:
https://doi.org/10.1186/s12889-016-3551-6
© 2016 The Author(s).
Open access
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
The electronic version of this article is the complete one and can be found online at: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3551-6
Souhrn
Background:
Many OECD countries have replied to economic recessions with an adaption in public spending on social benefits for families and young people in need. So far, no study has examined the impact of public social spending during the recent economic recession on health, and social inequalities in health among young people. This study investigates whether an increase in public spending relates to a lower prevalence in health complaints and buffers health inequalities among adolescents.
Methods:
Data were obtained from the 2009/2010 “Health Behaviour in School-aged Children (HBSC)” study comprising 11 – 15-year-old adolescents from 27 European countries (N = 144,754). Socioeconomic position was measured by the Family Affluence Scale (FAS). Logistic multilevel models were conducted for the association between the absolute rate of public spending on family benefits per capita in 2010 and the relative change rate in family benefits (2006–2010) in relation to adolescent psychological health complaints in 2009/2010.
Results:
The absolute rate of public spending on family benefits in 2010 did not show a significant association with adolescents’ psychological health complaints. Relative change rates of public spending on family benefits (2006–2010) were related to better health. Greater socioeconomic inequalities in psychological health complaints were found for countries with higher change rates in public spending on family benefits (2006–2010).
Conclusions:
The results partially support our hypothesis and highlight that policy initiatives in terms of an increase in family benefits might partially benefit adolescent health, but tend to widen social inequalities in adolescent health during the recent recession.
Keywords:
Health inequalities, Recession, Social spending, Adolescence, Multilevel analysis
Zdroje
1. Riva M, Bambra C, Easton S, Curtis S. Hard times or good times? Inequalities in the health effects of economic change. Int J Public Health. 2011;56:3–5.
2. Karanikolos M, Mladovsky P, Cylus J, Thomson S, Basu S, Stuckler D, et al. Financial crisis, austerity, and health in Europe. Lancet. 2013;381:1323–31.
3. de Vogli R, Marmot MG, Stuckler D. Strong evidence that the economic crisis caused a rise in suicides in Europe: the need for social protection. J Epidemiol Community Health. 2013;67:298.
4. Stuckler D, Basu S, Suhrcke M, Coutts A, McKee M. The public health effect of economic crises and alternative policy responses in Europe: an empirical analysis. Lancet. 2009;374:315–23.
5. Stuckler D, Basu S, McKee M. Budget crises, health, and social welfare programmes. BMJ. 2010;340:c3311.
6. Stuckler D, Basu S, Suhrcke M, Coutts A, McKee M. Effects of the 2008 recession on health: a first look at European data. Lancet. 2011;378:124–5.
7. Gili M, Roca M, Basu S, McKee M, Stuckler D. The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010. Eur J Public Health. 2013;23:103–8.
8. Zavras D, Tsiantou V, Pavi E, Mylona K, Kyriopoulos J. Impact of economic crisis and other demographic and socio-economic factors on self-rated health in Greece. Eur J Public Health. 2013;23:206–10.
9. OECD. Social spending after the crisis. Paris: OECD; 2012.
10. Wahlbeck K, McDaid D. Actions to alleviate the mental health impact of the economic crisis. World Psychiatry. 2012;11:139–45.
11. Catalano R, Goldman-Mellor S, Saxton K, Margerison-Zilko C, Subbaraman M, LeWinn K, Anderson E. The Health Effects of Economic Decline. Annu Rev Public Health. 2011;32:431–50.
12. Stanzani S. Economic crisis and well-being in Italy. Italian Sociol Rev. 2012;2:191–207.
13. Gerdtham U, Ruhm CJ. Deaths rise in good economic times: evidence from the OECD. Econ Hum Biol. 2006;4:298–316.
14. McDaid D, Park A. Investing in mental health and well-being: findings from the DataPrev project. Health Promot Int. 2011;26:i108–39.
15. Currie C, Nic Gabhainn S, Godeau E, International, Hbsc Network Coordinating Committee. The Health Behaviour in School-aged Children: WHO Collaborative Cross-National (HBSC) study: origins, concept, history and development 1982-2008. Int J Public Health. 2009; 54 Suppl 2:131–9. doi:10.1007/s00038-009-5404-x.
16. Pfoertner T, Rathmann K, Elgar FJ, Looze M, Hofmann F, Ottova-Jordan V, et al. Adolescents’ psychological health complaints and the economic recession in late 2007: a multilevel study in 31 countries. Eur J Public Health. 2014;24(6):961–7. doi:10.1093/eurpub/cku056.
17. Rajmil L, Medina-Bustos A, Fernandez de Sanmamed M, Mompart-Penina A. Impact of the economic crisis on children‘s health in Catalonia: a beforeafter approach. BMJ Open. 2013;3:e003286.
18. Currie C, Molcho M, Boyce W, Holstein BE, Torsheim T, Richter M. Researching health inequalities in adolescents: The development of the health behaviour in school-aged children (HBSC) family affluence scale. Soc Sci Med. 2008;66:1429–36.
19. Ravens-Sieberer U, Erhart M, Torsheim T, Hetland J, Freeman J, Danielson M, et al. An international scoring system for self-reported health complaints in adolescents. Eur J Public Health. 2008;18:294–9. doi:10.1093/eurpub/ckn001.
20. Currie C, Nic Gabhainn S, Godeau E, Roberts C. Inequalities in Young People’s Health. HBSC International Report from the 2005/2006 Survey. Copenhagen: World Health Organization (WHO); 2008.
21. Bambra C. Yesterday once more? Unemployment and health in the 21st century. J Epidemiol Community Health. 2010;64:213–5.
22. International Labour Office. Key indicators of the labour market (KILM). 7th ed. Geneva: ILO; 2011.
23. Rabe-Hesketh S, Skrondal A. Multilevel and longitudinal modeling using stata. College Station: Stata Press; 2012.
24. Rathmann K, Ottova V, Hurrelmann K, de Looze M, Levin K, Molcho M, et al. Macro-level determinants of young people’s subjective health and health inequalities: A multilevel analysis in 27 welfare states. Maturitas. 2015;80:414–20.
25. Richardson D. Child and family policies in a time of economic crisis. Child Soc. 2010;24:495–508.
26. UNICEF Office of Research. Children of the Recession: The impact of the economic crisis on child well-being in rich countries, Innocenti Report Card 12. Florence: UNICEF Office of research; 2014.
27. OECD. Society at a Glance 2014: OECD Social Indicators, Society at a glance. Paris: OECD Publishing; 2014.
28. Chzhen Y. Child poverty and material deprivation in the European Union during the Great Recession, Innocenti Working Paper 2014-06. Florence: UNICEF Office of research; 2014.
29. Lundberg M, Wuermli A. Children and youth in crisis: Protecting and promoting human development in times of economic shocks, Directions in development. Human development. Washington D.C.: World Bank; 2012.
30. Holstein BE, Currie C, Boyce WT, Damsgaard MT, Gobina I, Kökönyei G, et al. Socio-economic inequality in multiple health complaints among adolescents: International comparative study in 37 countries. Int J Public Health. 2009;54:260–70.
31. Andersen AN, Krølner R, Currie C, Dallago L, Due P, Richter M, et al. High agreement on family affluence between children’s and parents’ reports: international study of 11-year-old children. J Epidemiol Community Health. 2008;62:1092–4.
32. Boyce WT, Torsheim T, Currie C, Zambon A. The family affluence scale as a measure of national wealth: Validation of an adolescent self-report measure. Soc Indic Res. 2006;78:473–87.
33. Schoon I. Planning for the future in times of social change. Child Dev Perspect. 2012;6:335–41.
34. WHO. Impact of economic crises on mental health. Copenhagen: WHO; 2011.
35. Institute of Health Equity for the London Health Inequalities Network. The Impact of the Recession and Welfare Changes on Health Inequalities. London: UCL Institute of Health Equity; 2012.
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