A Systematic Review on Health Resilience to Economic Crises
Open Access
- 23 April 2015
- journal article
- review article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 10 (4), e0123117
- https://doi.org/10.1371/journal.pone.0123117
Abstract
The health effects of recent economic crises differ markedly by population group. The objective of this systematic review is to examine evidence from longitudinal studies on factors influencing resilience for any health outcome or health behaviour among the general population living in countries exposed to financial crises. We systematically reviewed studies from six electronic databases (EMBASE, Global Health, MEDLINE, PsycINFO, Scopus, Web of Science) which used quantitative longitudinal study designs and included: (i) exposure to an economic crisis; (ii) changes in health outcomes/behaviours over time; (iii) statistical tests of associations of health risk and/or protective factors with health outcomes/behaviours. The quality of the selected studies was appraised using the Quality Assessment Tool for Quantitative Studies. PRISMA reporting guidelines were followed. From 14,584 retrieved records, 22 studies met the eligibility criteria. These studies were conducted across 10 countries in Asia, Europe and North America over the past two decades. Ten socio-demographic factors that increased or protected against health risk were identified: gender, age, education, marital status, household size, employment/occupation, income/ financial constraints, personal beliefs, health status, area of residence, and social relations. These studies addressed physical health, mortality, suicide and suicide attempts, mental health, and health behaviours. Women’s mental health appeared more susceptible to crises than men’s. Lower income levels were associated with greater increases in cardiovascular disease, mortality and worse mental health. Employment status was associated with changes in mental health. Associations with age, marital status, and education were less consistent, although higher education was associated with healthier behaviours. Despite widespread rhetoric about the importance of resilience, there was a dearth of studies which operationalised resilience factors. Future conceptual and empirical research is needed to develop the epidemiology of resilience.Keywords
This publication has 47 references indexed in Scilit:
- The Mental Health Consequences of the Recession: Economic Hardship and Employment of People with Mental Health Problems in 27 European CountriesPLOS ONE, 2013
- Mortality following unemployment during an economic downturn: Swedish register-based cohort studyBMJ Open, 2013
- Health and the 2008 Economic Recession: Evidence from the United KingdomPLOS ONE, 2013
- Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of EnglandBMJ Open, 2012
- Economic crisis and smoking behaviour: prospective cohort study in IcelandBMJ Open, 2012
- The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010European Journal of Public Health, 2012
- A life-cycle approach to the analysis of the relationship between social capital and health in BritainSocial Science & Medicine (1982), 2010
- Trends in Educational Differentials in Suicide Mortality between 1993 - 2006 in KoreaYonsei Medical Journal, 2009
- Economic recession and health inequalities in Japan: analysis with a national sample, 1986-2001Journal of Epidemiology and Community Health, 2008
- A Process for Systematically Reviewing the Literature: Providing the Research Evidence for Public Health Nursing InterventionsWorldviews on Evidence-Based Nursing, 2004