The European Journal of Health Economics

, Volume 16, Issue 2, pp 175–184 | Cite as

The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain

  • Rosa M. Urbanos-Garrido
  • Beatriz G. Lopez-Valcarcel
Original Paper



To estimate the impact of (particularly long-term) unemployment on the overall and mental health of the Spanish working-age population and to check whether the effects of unemployment on health have increased or been tempered as a consequence of the economic crisis.


We apply a matching technique to cross-sectional microdata from the Spanish Health Survey for the years 2006 and 2011–2012 to estimate the average treatment effect of unemployment on self-assessed health (SAH) in the last year, mental problems in the last year and on the mental health risk in the short term. We also use a differences-in-differences estimation method between the two periods to check if the impact of unemployment on health depends on the economic context.


Unemployment has a significant negative impact on both SAH and mental health. This impact is particularly high for the long-term unemployed. With respect to the impact on mental health, negative effects significantly worsen with the economic crisis. For the full model, the changes in effects of long-term unemployment on mental problems and mental health risk are, respectively, 0.35 (CI 0.19–0.50) and 0.20 (CI 0.07–0.34).


Anxiety and stress about the future associated with unemployment could have a large impact on individuals’ health. It may be necessary to prevent health deterioration in vulnerable groups such as the unemployed, and also to monitor specific health risks that arise in recessions, such as psychological problems.


Economic crisis Unemployment Self-assessed health Mental health Matching techniques Spain 

JEL Classification

J64 I12 I18 

Supplementary material

10198_2014_563_MOESM1_ESM.doc (174 kb)
Supplementary material 1 (DOC 174 kb)


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Rosa M. Urbanos-Garrido
    • 1
  • Beatriz G. Lopez-Valcarcel
    • 2
  1. 1.Complutense University of MadridMadridSpain
  2. 2.Departamento de Métodos Cuantitativos en Economía y GestiónUniversity of Las Palmas de Gran CanariaLas Palmas de Gran CanariaSpain

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