NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

Macroeconomic Conditions, Health and Mortality

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Christopher J. Ruhm

NBER Working Paper No. 11007
Issued in December 2004
NBER Program(s):   HE

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Although health is conventionally believed to deteriorate during macroeconomic downturns, the empirical evidence supporting this view is quite weak and comes from studies containing methodological shortcomings that are difficult to remedy. Recent research that better controls for many sources of omitted variables bias instead suggests that mortality decreases and physical health improves when the economy temporarily weakens. This partially reflects reductions in external sources of death, such as traffic fatalities and other accidents, but changes in lifestyles and health behaviors are also likely to play a role. This paper summarizes our current understanding of how health is affected by macroeconomic fluctuations and describes potential mechanisms for the effects.

Published: Jones, Andrew M. (ed.) Elgar Companion to Health Economics. Cheltenham, UK: Edward Elgar Publishing, 2006.

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