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The effect of the economic collapse in Iceland on the probability of cardiovascular events.
Economics & Human Biology ( IF 2.5 ) Pub Date : 2020-02-08 , DOI: 10.1016/j.ehb.2020.100861
Kristín Helga Birgisdóttir 1 , Arna Hauksdóttir 2 , Christopher Ruhm 3 , Unnur Anna Valdimarsdóttir 4 , Tinna Laufey Ásgeirsdóttir 5
Affiliation  

After several years of a booming economy in Iceland, the economic bubble burst in 2008 and affected most Icelanders in one way or another. We explore whether the economic collapse in 2008 and subsequent economic crisis affected the probability of ischemic heart disease (IHD) events, independent of regular cyclical effects that can be attributed to typical economic conditions. Moreover, we conduct a mediation analysis to study the potential mechanisms through which the relationship between the economic collapse and cardiovascular health travels. We estimate linear probability models using administrative data on IHD events, earnings and balance-sheet status, as well as unemployment for all Icelanders aged 16 and older in 2000-2014. We find that the sharp change in economic conditions in 2008 increased the probability of cardiovascular events in both males and females in the long term. In absolute terms, these effects were small in magnitude but often statistically significant, amounting to approximately 13-16 extra cases of IHD events in each of the two years following the collapse for males and 3-5 addition cases for females. Moreover, they contrast with the finding that general business-cycle fluctuations operated in the opposite direction. Several potential mediators were correlated with the probability of IHD events, but their inclusion had little impact on the estimated effects of the economic crisis. A statistically significant business-cycle effect is found for both genders indicating that in general, harder economic times are beneficial for heart health. Thus, the general business cycle and the economic collapse in 2008 and subsequent crisis can be thought of as separate phenomena with differing effects on IHD.

中文翻译:

冰岛经济崩溃对心血管事件发生概率的影响。

在冰岛经济蓬勃发展了几年之后,经济泡沫在2008年破裂,并以某种方式影响了大多数冰岛人。我们探讨了2008年的经济崩溃和随后的经济危机是否会影响缺血性心脏病(IHD)事件的可能性,而不受可归因于典型经济状况的常规周期性影响的影响。此外,我们进行了一项调解分析,以研究经济崩溃与心血管健康之间关系传播的潜在机制。我们使用IHD事件,收入和资产负债表状况以及2000-2014年所有16岁及以上冰岛人的失业率的行政数据估算线性概率模型。我们发现,从长远来看,2008年经济状况的急剧变化增加了男性和女性发生心血管事件的可能性。从绝对意义上讲,这些影响的程度很小,但通常具有统计学意义,男性倒闭后的两年中,每年发生IHD事件的病例增加了13-16例,女性增加了3-5例。此外,他们与普遍的商业周期波动朝相反方向的发现相反。几种潜在的介体与IHD事件发生的可能性相关,但它们的加入对经济危机的估计影响几乎没有影响。在两个性别上都发现了具有统计意义的商业周期效应,表明总体而言,经济困难时期对心脏健康有益。从而,
更新日期:2020-03-31
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