Abstract
This paper explores the connection between alcohol-related mortality, drinking behavior, and macroeconomic conditions in Finland using both aggregate and microlevel data from recent decades. The aggregate data reveal that an improvement in economic conditions produces a decrease in alcohol-related mortality. Microlevel data show that alcohol consumption increases during economic expansion while the probability of being a drinker remains unchanged. This demonstrates that alcohol-related mortality and self-reported alcohol consumption may be delinked in the short-run business cycle context. One explanation for this paradox is that most harmful forms of drinking are not captured in survey-based data used to study the effect of macroeconomic conditions on alcohol consumption. Our evidence does not overwhelmingly support the conclusions reported for the United States that temporary economic downturns are good for health.
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References
Brenner H (1973) Mental illness and the economy. Cambridge: Harvard University Press
Brenner H (1975) Trends in alcohol consumption and associated illnesses: some effects of economic changes. Am J Public Health 65: 1279–1292
Brenner H (1979) Mortality and the national economy. Lancet 26: 568–573
Clark K, Summers L (1982) The dynamics of youth unemployment. The youth labor market: its nature, causes, and consequences. Chicago: University of Chicago Press
Cook P, Moore M (1987) Alcohol. Handbook of health economics, vol 1. Amsterdam: Elsevier
Dee T (2001) Alcohol abuse and economic conditions: evidence from repeated cross-sections of individual-level data. J Health Econ 10: 257–270
Forbes J, McGregor A (1984) Unemployment and mortality in post-war Scotland. J Health Econ 3: 219–257
Gravelle H, Hutchinson G, Stern J (1981) Mortality and unemployment: a critique of Brenner’s time series analysis. Lancet II: 675–679
Ilmakunnas P, Maliranta M (2003) The turnover of jobs and workers in a deep recession: evidence from the Finnish business sector. Int J Manpower 24: 216–246
Joyce T, Mocan N (1993) Unemployment and infant health: time-series evidence from the state of Tennessee. J Hum Resour 28: 185–203
Jäntti M, Martikainen P, Valkonen T (2000) When the welfare state works: unemployment and mortality in Finland. The mortality crisis in transitional economies. UNU/Wider studies in development economics. Oxford: Oxford University Press
Mangeloja E, Pehkonen J (2006) Prices, income and availability: consumption of spirits, wine and beer in Finland, 1960–2004. Working paper no 309. Jyväskylä: University of Jyväskylä
Martikainen P, Valkonen T (1996) Excess mortality of unemployed men and women during a period of rapidly increasing unemployment. Lancet 348: 909–912
Martikainen P, Valkonen T, Martelin T (2001) Change in male and female life expectancy by social class: decomposition by age and cause of death in Finland 1971–95. J Epidemiol Community Health 55: 494–499
McAvinchey IA (1994) Comparison of unemployment, income, and mortality interaction for five European countries. Appl Econ 20: 453–471
Moulton BR (1990) An illustration of a pitfall in estimating the effects of aggregate variables on micro units. Rev Econ Stat 72: 334–338
Mäkelä P (1998) Alcohol-related mortality by age and sex and its impact on life expectancy. Eur J Public Health 8: 43–51
Mäkelä P (1999) Alcohol-related mortality during an economic boom and recession. Contemp Drug Problems 26: 369–390
Mäkelä P, Ripatti S, Valkonen T (2001) Alue-erot miesten alkoholikuolleisuudessa. Suomen Lääkärilehti 56: 2513–2519
Neumayer E (2004) Recessions lower (some) mortality rates: evidence from Germany. Soc Sci Med 58: 1037–1047
Ruhm C (2000) Are recessions good for your health? Q J Econ 115: 617–650
Ruhm C (2003) Good times make you sick. J Health Econ 22: 637–658
Ruhm C (2005a) Healthy living in hard times. J Health Econ 24: 341–363
Ruhm C (2005b) Macroeconomic conditions, health and mortality. Elgar companion to health economics. Cheltenham: Edward Elgar
Ruhm C, Black W (2002) Does drinking really decrease in bad times? J Health Econ 21: 659–678
Stern J (1983) The relationship between unemployment, morbidity, and mortality in Britain. Popul Stud 37: 61–74
Vartiainen E, Puska P, Jousilahti P et al. (1995) Twenty year trends in coronary risk factors in North Karelia and other areas of Finland. The North Karelia project. 20 year results and experiences. Helsinki: National Public Health Institute
Wagstaff A (1985) Time series analysis of the relationship between unemployment and mortality: a survey of econometric critiques and replications of Brenner’s studies. Soc Sci Med 21: 985–996
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Johansson, E., Böckerman, P., Prättälä, R. et al. Alcohol-related mortality, drinking behavior, and business cycles. Eur J Health Econ 7, 212–217 (2006). https://doi.org/10.1007/s10198-006-0358-x
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DOI: https://doi.org/10.1007/s10198-006-0358-x