Relationship between economic recessions and health inequity: analysis of the gap in life expectancy at birth between Mexican States.

IF 2.7 3区经济学 Q1 ECONOMICS

Health Economics Review Pub Date : 2025-03-28 DOI:10.1186/s13561-025-00618-7

Juan Pablo Gutiérrez, Karina Mendoza, Armando Sánchez-Vargas, Stefano M Bertozzi

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引用次数: 0

Abstract

Objective: To estimate the effect of economic recessions on health inequality, with a focus on identifying recessions that have a health component.

Methods: This retrospective observational study uses the interannual rate of change in gross domestic product (GDP) as an indicator of economic conditions, and life expectancy at birth among Mexican states as a measure of health inequality. We calculated the Gini coefficient of life expectancy for the period 1980 to 2021 and examined its relationship with identified recessions through graphical analysis and an interrupted time series model.

Results: The disparity in life expectancy at birth between states decreased over the study period. However, the Gini coefficient of life expectancy showed an inverse relationship with the interannual rate of GDP change, indicating increased inequality during economic recessions, with the most pronounced effect observed during the COVID-19-associated recession in 2020.

Conclusion: Economic recessions have detrimental effects on health, exacerbating pre-existing inequalities. It is crucial to implement protection mechanisms targeted at socially vulnerable populations to mitigate these effects and prevent the widening of health inequalities.

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目的：估算经济衰退对健康不平等的影响，重点是识别与健康有关的衰退：估算经济衰退对健康不平等的影响，重点是识别与健康有关的衰退：这项回顾性观察研究使用国内生产总值（GDP）的跨年度变化率作为衡量经济状况的指标，并使用墨西哥各州出生时的预期寿命作为衡量健康不平等的指标。我们计算了 1980 年至 2021 年期间预期寿命的基尼系数，并通过图形分析和间断时间序列模型研究了基尼系数与已确定的经济衰退之间的关系：在研究期间，各州之间出生时预期寿命的差距有所缩小。然而，预期寿命的基尼系数与 GDP 年际变化率呈反比关系，表明在经济衰退期间不平等现象加剧，在 2020 年与 COVID-19 相关的衰退期间观察到的影响最为明显：经济衰退会对健康产生不利影响，加剧原有的不平等。关键是要针对社会弱势群体实施保护机制，以减轻这些影响并防止健康不平等的扩大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Economics Review Multiple-

CiteScore

3.90

自引率

4.20%

发文量

审稿时长

13 weeks

期刊介绍： Health Economics Review is an international high-quality journal covering all fields of Health Economics. A broad range of theoretical contributions, empirical studies and analyses of health policy with a health economic focus will be considered for publication. Its scope includes macro- and microeconomics of health care financing, health insurance and reimbursement as well as health economic evaluation, health services research and health policy analysis. Further research topics are the individual and institutional aspects of health care management and the growing importance of health care in developing countries.