Abstract
In this study we exploit the 2008 Icelandic economic collapse to explore the effect of a macroeconomic downturn on drinking behavior across gender and types of drinkers. Using comprehensive panel data, we furthermore shed light on the role of real income and working hours as mechanisms that may explain changes in drinking patterns pre to post the collapse. The unique panel data is from 2007 to 2009, incidentally before and after the crisis hit, and was collected as a postal survey by The Directorate of Health. We specifically explore four outcomes: Frequency of any alcohol consumption, frequency of binge drinking, binge drinking participation and alcohol dependence, using pooled OLS and linear probability models. We find that women tend to decrease their frequency of any alcohol consumption and frequency of binge drinking more than men between waves but men show a stronger negative response to the crisis in binge drinking participation and alcohol dependence. Changes in individual income explain most of men’s reduction in drinking, but women’s drinking responses are not operating through labor-market mechanisms to the same extent. Other factors in the demand function for alcohol that changed during the crisis seem to play a greater role, most notably the real price of alcohol, which increased considerably following the economic collapse.
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Notes
An extensive summary of possible pathways is offered in Dávalos et al. (2012).
These questions entered the survey as 3 out of 10 questions in the Alcohol Use Disorders Identification Test (AUDIT), developed for the World Health Organization (Saunders et al. 1993) and they are similar to some of the questions in Diagnostic and Statistical Manual of Mental Disorders for diagnosis of alcohol abuse/alcohol dependence (DSM-IV) and Alcohol Use Disorder (DSM-5) originating from The American Psychiatric Association (American Psychiatric Association 1994, 2013). We could not use the same diagnostic criteria, with our data, for alcohol abuse/alcohol dependency or alcohol use disorder as in DSM-IV and DSM-5 where there are 5, 6 and 11 questions in total (respectively). Our measure of alcohol dependence will therefore result in a larger proportion being identified as “alcohol dependent” than when the diagnostic criteria described in DSM-IV and DSM-5 is used, since an individual only needs to answer one of the three questions positively in our measure as opposed to at least 2 or 3 of the more options given in the diagnostic criteria that we refer to.
In the instances where proportionally larger mediation effect was detected by using household income as a mediator as opposed to individual income, it was associated with less precision in the corresponding point estimates. This result, combined with the problems inherent to the construction of the household income variable, does not warrant replacing individual income with household income. Results available upon request.
Exchange rate was about 123 krona to the US dollar at the end of November 2009 (The Central Bank of Iceland 2014). Thus, 1 million krona translates to about US$ 8,150.
Consistent with Baron and Kenny´s framework (1986) for how to conduct a mediation analysis, income and work hours are likely mediators for any alcohol consumption and work hours is a likely mediator for binge drinking consumption.
Ásgeirsdóttir et al. used the same data as in the current study but used different set of mediators; household income, work hours, loss in financial assets, increased mortgage debt and anxiety and poor mental health with FE-models. They furthermore only use one drinking outcome.
References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Press Inc.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Association.
American Psychological Association. (2012). Stress by generation. http://www.apa.org/news/press/releases/stress/2012/generation.pdf. Accessed June 2, 2014.
Ásgeirsdóttir, T. L., Corman, H., Noonan, K., Ólafsdóttir, T., & Reichman, N. E. (2014). Was the economic crisis of 2008 good for Icelanders? Impact on health behaviors. Economics & Human Biology, 13, 1–19. doi:10.1016/j.ehb.2013.03.005.
Asgeirsdottir, T. L., Olafsdottir, T., & Ragnarsdottir, D. O. (2013). Business cycles, hypertension and cardiovascular disease: Evidence from the Icelandic economic collapse. Blood Pressure, Early Online,. doi:10.3109/08037051.2013.862913.
Averett, S. L., Argys, L. M., & Sorkin, J. (2013). In sickness and in health: An examination of relationship status and health using data from the Canadian National Public Health Survey. Review of Economics of the Household, 11(4), 599–633. doi:10.1007/s11150-012-9143-z.
Baron, R. M., & Kenny, D. A. (1986). The moderator mediator variable distinction in social psychological-research—Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182. doi:10.1037/0022-3514.51.6.1173.
Bor, J., Basu, S., Coutts, A., McKee, M., & Stuckler, D. (2013). Alcohol use during the great recession of 2008–2009. Alcohol and Alcoholism, 48(3), 343–348. doi:10.1093/alcalc/agt002.
Carrigan, M. H., Ham, L. S., Thomas, S. E., & Randall, C. L. (2008). Alcohol outcome expectancies and drinking to cope with social situations. Addictive Behaviors, 33(9), 1162–1166. doi:10.1016/j.addbeh.2008.04.020.
Catalano, R. (1997). An emerging theory of the effect of economic contraction on alcohol abuse in the United States. Social Justice Research, 10(2), 191–201.
Charles, K. K., & DeCicca, P. (2008). Local labor market fluctuations and health: Is there a connection and for whom? Journal of Health Economics, 27(6), 1532–1550. doi:10.1016/j.jhealeco.2008.06.004.
Cook, P. J., & Moore, M. J. (2000). Alcohol. In A. J. Culyer & J. P. Newhouse (Eds.), Handbook of health economics (pp. 1629–1673). Amsterdam: Elsevier.
Dávalos, M. E., Fang, H., & French, M. T. (2012). Easing the pain of an economic downturn: Macroeconomic conditions and excessive alcohol consumption. Health Economics, 21(11), 1318–1335. doi:10.1002/hec.1788.
Dawson, D. A., Grant, B. F., & Ruan, W. J. (2005). The association between stress and drinking: Modifying effects of gender and vulnerability. Alcohol and Alcoholism, 40(5), 453–460. doi:10.1093/alcalc/agh176.
Dee, T. S. (2001). Alcohol abuse and economic conditions: Evidence from repeated cross-sections of individual-level data. Health Economics, 10(3), 257–270.
Economou, A., Nikolaou, A., & Theodossiou, I. (2008). Are recessions harmful to health after all? Evidence from the European Union. Journal of Economic Studies, 35(5), 368–384.
Ettner, S. L. (1997). Measuring the human cost of a weak economy: Does unemployment lead to alcohol abuse? Social Science and Medicine, 44(2), 251–260.
Fitzgerald, J., Gottschalk, P., & Moffitt, R. (1998). An analysis of sample attrition in panel data—The Michigan panel study of income dynamic. Journal of Human Resources, 33(2), 251–299. doi:10.2307/146433.
Freeman, R. B. (1984). Longitudinal analyses of the effects of trade-unions. Journal of Labor Economics, 2(1), 1–26. doi:10.1086/298021.
Gerdtham, U. G., & Johannesson, M. (2003). A note on the effect of unemployment on mortality. Journal of Health Economics, 22(3), 505–518. doi:10.1016/S0167-6296(03)00004-3.
Gerdtham, U. G., & Ruhm, C. J. (2006). Deaths rise in good economic times: Evidence from the OECD. Economics & Human Biology, 4(3), 298–316. doi:10.1016/j.ehb.2006.04.001.
Granados, J. (2005). Recessions and mortality in Spain, 1980–1997. European Journal of Population (Revue Europeenne De Demographie), 21(4), 393–422. doi:10.1007/s10680-005-4767-9.
Green, D. P., Ha, S. E., & Bullock, J. G. (2010). Enough already about “black box” experiments: Studying mediation Is more difficult than most scholars suppose. Annals of the American Academy of Political and Social Science, 628(1), 200–208. doi:10.1177/0002716209351526.
Grossman, M. (1972). On the concept of health capital and demand for health. Journal of Political Economy, 80(2), 223–225.
Hagenaars, A., de Vos, K., & Zaidi, M. A. (1994). Poverty statistics in the late 1980’s: Research based on micro-data. Luxembourg: Office for Official Publications of the European Communities.
International Monetary Fund. (2008). Iceland: Financial system stability assessment-update. http://www.imf.org/external/pubs/ft/scr/2008/cr08368.pdf. Accessed May 5, 2012 (Vol. December).
Jimenez-Martin, S., Labeaga, J. M., Vilaplana Prieto, C., & Fundación de Estudios de Economía, A. (2006). Further evidence about alcohol consumption and the business cycle. Madrid: FEDEA.
Johansson, E., Böckerman, P., Prättälä, R., & Uutela, A. (2006). Alcohol-related mortality, drinking behavior, and business cycles. The European Journal of Health Economics, 7(3), 212–217. doi:10.1007/s10198-006-0358-x.
Johnsen, G. (2014). Bringing down the banking system. New York: Palgrave Macmillan.
Johnston, L. D., O’Malley, P. M., & Bachman, J. G. (1993). Smoking, drinking, and illicit drug use among American Secondary School Students, College Students, and Young Adults, 1975–1991. Volume II: College Students and Young Adults, National Institute on Drug Policy, NIH. Publication No. 93-3481.
Jónsson, S. H., Guðlaugsson, J. O., Gylfason, H. F., & Guðmundsdóttir, D. G. (2011). Heilsa og líðan Íslendinga 2007: Framkvæmdaskýrsla. Reykjavík: The Public Institute of Iceland. Retrieved from: http://www.lydheilsustod.is/rannsoknir/heilsa-og-lidan-2007.
Kruger, N. A., & Svensson, M. (2010). Good times are drinking times: Empirical evidence on business cycles and alcohol sales in Sweden 1861–2000. Applied Economics Letters, 17(6), 543–546. doi:10.1080/13504850802167215.
Lewis, G., & Sloggett, A. (1998). Suicide, deprivation, and unemployment: Record linkage study. British Medical Journal, 317(7168), 1283–1286.
Luoto, R., Poikolainen, K., & Uutela, A. (1998). Unemployment, sociodemographic background and consumption of alcohol before and during the economic recession of the 1990s in Finland. International Journal of Epidemiology, 27(4), 623–629. doi:10.1093/Ije/27.4.623.
Martikainen, P. T., & Valkonen, T. (1996). Excess mortality of unemployed men and women during a period of rapidly increasing unemployment. Lancet, 348(9032), 909–912.
Nandi, A., Charters, T. J., Strumpf, E. C., Heymann, J., & Harper, S. (2013). Economic conditions and health behaviours during the ‘Great Recession’. Journal of Epidemiology and Community Health, 67(12), 1038–1046. doi:10.1136/jech-2012-202260.
National Institute on Alcohol Abuse and Alcoholism. (2014). Rethinking drinking. Alcohol and your health. http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking. Accessed June 2, 2014.
Neumayer, E. (2004). Recessions lower (some) mortality rates: evidence from Germany (vol 58, pg 1037, 2004). Social Science and Medicine, 59(9), 1993. doi:10.1016/j.socscimed.2004.02.018.
Ogwang, T., & Cho, D. I. (2009). Economic determinants of the consumption of alcoholic beverages in Canada: A panel data analysis. Empirical Economics, 37(3), 599–613. doi:10.1007/s00181-008-0248-4.
Prime Minister’s Office. (2008). Address to the Nation by H.E. Geir H. Haarde, Prime Minister of Iceland, October 6th 2008. Retrieved from http://www.forsaetisraduneyti.is/radherra/raedurGHH/nr/3034. Accessed April 5, 2012.
Ragnarsdóttir, B. H., Bernburg, J. G., & Ólafsdóttir, S. (2012). The global financial crisis and individual distress: The role of subjective comparisons after the collapse of the Icelandic economy. Sociology,. doi:10.1177/0038038512453790.
Ruhm, C. J. (1995). Economic conditions and alcohol problems. Journal of Health Economics, 14(5), 583–603.
Ruhm, C. J. (2000). Are recessions good for your health? Quarterly Journal of Economics, 115(2), 617–650.
Ruhm, C. J. (2005). Healthy living in hard times. Journal of Health Economics, 24(2), 341–363. doi:10.1016/j.jhealeco.2004.09.007.
Ruhm, C. J., & Black, W. E. (2002). Does drinking really decrease in bad times? Journal of Health Economics, 21(4), 659–678.
Saunders, J. B., Aasland, O. G., Babor, T. F., Delafuente, J. R., & Grant, M. (1993). Development of the alcohol-use disorders identification test (audit)—WHO collaborative project on early detection of persons with harmful alcohol-consumption. 2. Addiction, 88(6), 791–804. doi:10.1111/j.1360-0443.1993.tb02093.x.
Statistics Iceland. (2012). Activity rate, unemployment and labour force by quarters. http://www.statice.is/Statistics/Wages,-income-and-labour-market/Labour-market. Accessed December 1, 2012.
Statistics Iceland. (2013). Retail prices of some commodities and services 1996–2013. http://www.statice.is/?PageID=1253&src=/temp_en/Dialog/varval.asp?ma=VIS05200%26ti=Retail+prices+of+some+commodities+and+services+1996%2D2013%26path=../Database/visitolur/neysla/%26lang=1%26units=average price. Accessed February 15, 2013.
Statistics Iceland. (2014a). Consumption of alcoholic beverages 1980–2007. http://www.statice.is/?PageID=1253&src=https://rannsokn.hagstofa.is/pxen/Dialog/varval.asp?ma=VIS05120%26ti=Consumption+of+alcoholic+beverages+1980-2007+++%26path=../Database/visitolur/neyslaeldra/%26lang=1%26units=Litres. Accessed January 5, 2014.
Statistics Iceland. (2014b). Population by municipalities, sex and age 1 January 1998–2013—Current municipalities. http://www.statice.is/?PageID=1172&src=https://rannsokn.hagstofa.is/pxen/Dialog/varval.asp?ma=MAN02001%26ti=Population+by+municipalities%2C+sex+and+age+1+January+1998-2013+-+Current+municipalities%26path=../Database/mannfjoldi/sveitarfelog/%26lang=1%26units=Data. Accessed January 5, 2014.
Stuckler, D., Meissner, C. M., & King, L. P. (2008). Can a bank crisis break your heart? Globalization and Health,. doi:10.1186/1744-8603-4-1.
Svensson, M. (2007). Do not go breaking your heart: Do economic upturns really increase heart attack mortality? Social Science and Medicine, 65(4), 833–841. doi:10.1016/j.socscimed.2007.04.015.
The Central Bank of Iceland. (2014). Exchange rate. http://www.cb.is/exchange-rate/. Accessed June 3, 2014.
The State Alcohol and Tobacco Company of Iceland (ÁTVR). (2013). Total annual alcohol sales. 2012 annual report. http://www.vinbudin.is/desktopdefault.aspx/tabid-37/83_read-358/.
Wilsnack, R. W., Vogeltanz, N. D., Wilsnack, S. C., & Harris, T. R. (2000). Gender differences in alcohol consumption and adverse drinking consequences: Cross-cultural patterns. Addiction, 95(2), 251–265. doi:10.1046/j.1360-0443.2000.95225112.x.
Xu, X. (2013). The business cycle and health behaviors. Social Science and Medicine, 77(1), 126–136. doi:10.1016/j.socscimed.2012.11.016.
Zhao, X. S., Lynch, J. G., & Chen, Q. M. (2010). Reconsidering Baron and Kenny: Myths and truths about mediation analysis. Journal of Consumer Research, 37(2), 197–206. doi:10.1086/651257.
Acknowledgments
Financial support from the University of Iceland Research Fund, Edda Center of Excellence and the Icelandic Research Fund (Grant Number 130611-051) is gratefully acknowledged. We thank the Editor-in-Chief Shoshana Grossbard and two anonymous reviewers for helpful comments and suggestions. We also thank Birgir Hrafnkelsson and Helgi Tómasson for technical assistance and Dhaval Dave for constructive comments and feedback.
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Ólafsdóttir, T., Ásgeirsdóttir, T.L. Gender differences in drinking behavior during an economic collapse: evidence from Iceland. Rev Econ Household 13, 975–1001 (2015). https://doi.org/10.1007/s11150-015-9283-z
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DOI: https://doi.org/10.1007/s11150-015-9283-z