Evaluation of the Biases in the Studies that Assess the Effects of the Great Recession on Health. A Systematic Review
Autor: | Andrés Cabrera, Antonio Daponte, Marc Saez, Maria Antònia Barceló, Carme Saurina |
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Rok vydání: | 2019 |
Předmět: |
bias
Health Toxicology and Mutagenesis lcsh:Medicine Great Depression health status Review 0302 clinical medicine Medicine Selbstmord Salut Medicine Social Medicine 030212 general & internal medicine Evaluation Weltwirtschaftskrise Crisi financera global 2007-2013 Sozialwissenschaften Soziologie Mortality rate evaluation problem health Crisis financeres -- S. XXI Unobserved confounding Systematic review Economic Recession Mental Health Health Research Design Medicine and health ddc:300 0305 other medical science Suicide rates Great recession Sterblichkeit 03 medical and health sciences psychische Gesundheit Humans ddc:610 Social sciences sociology anthropology suicide Spanien Erhebungstechniken und Analysetechniken der Sozialwissenschaften time bias Medizin und Gesundheit 030505 public health business.industry Gesundheit lcsh:R Public Health Environmental and Occupational Health Global Financial Crisis 2007-2013 mortality Mental health EU-SILC Medizin Sozialmedizin Methods and Techniques of Data Collection and Data Analysis Statistical Methods Computer Methods Effects of the Great Recession Spain Gesundheitszustand Financial crises -- 21st century business great recession Demography |
Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, 2019, vol. 16, núm. 14, p. 2479 Articles publicats (D-EC) DUGiDocs – Universitat de Girona instname International Journal of Environmental Research and Public Health, Vol 16, Iss 14, p 2479 (2019) |
ISSN: | 1660-4601 |
Popis: | Our main objective was to evaluate the fundamental biases detected in studies assessing the effects the Great Recession had on health for the case of Spain. As secondary objectives we presented methods to control these biases and to discuss the results of the studies in question if they had controlled for them. Methods: We carried out a systematic review of the literature published up to June 2018. We evaluated the biases that could have happened in all the eligible studies. Results: From the review, we finally selected 53 studies. Of the studies we reviewed, 60.38% or 32 out of 53, were evaluated as having a high risk of bias. The main biases our review revealed were problems with evaluation, time bias, lack of control of unobserved confounding, and non-exogeneity when defining the onset of the Great Recession. Conclusions: The results from the studies that controlled the biases were quite consistent. Summing up, the studies reviewed found that the Great Recession increased the risk of declaring poor self-rated health and the deterioration of mental health. Both the mortality rate and the suicide rate may well have increased after the Great Recession, probably after a three- to four-year delay This work was partly supported by the CIBER of Epidemiology and Public Health (CIBERESP) through the strategic subprogram ‘Crisis and Health’ and by the University of Girona through the programs MPCUdG2016/69 and GDRCompetUdG2017 |
Databáze: | OpenAIRE |
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