The impact of the Great Recession on mental health and its inequalities: the case of a Southern European region, 1997-2013
Background: Numerous studies have shown that macroeconomic changes have a great influence on health, prompting different concerns in recent literature about the effects of the current recession. The objetive of the study was to assess the changes in the mental health of the working-age population in the Basque Country (Spain) and its social inequalities following the onset of the 2008 recession, with special focus on the role of unemployment. Methods: Repeated cross-sectional study on the population aged 16-64, using four Basque Health Surveys (1997-2013). Age-adjusted prevalences of poor mental health and incremental prevalence ratios (working status and social class adjusted) between years were calculated. Absolute/relative measures of social inequalities were also calculated. Results: From 2008, there was a clear deterioration in the mental health, especially among men. Neither changes in employment status nor social class accounted for these changes. In men, the deterioration affected all working status categories, except the retired but significant changes occurred only among the employed. In women, poor mental health significantly increased among the unemployed. Students were also especially affected. Relative inequalities increased only in men. Conclusions: The Great Recession is being accompanied by adverse effects on mental health, which cannot be fully explained by the increase of unemployment. Public health professionals should closely monitor the medium and lon ...
La Región Europea de la OMS ha vivido notables avances en salud, aunque persisten las desigualdades tanto entre países como dentro de ellos. Gracias a la publicación del informe de 2008 de la Comisión sobre Determinantes Sociales de la Salud ahora se conoce más sobre el alcance y las causas sociales de estas desigualdades. Este informe es una revisión de las inequidades en salud a través de los 53 estados miembros de la Región europea y se encargó de apoyar el desarrollo del nuevo marco de la política europea para la salud y el bienestar, Salud 2020. Está basado en la evidencia global y recomienda políticas para reducir las desigualdades en salud y la brecha de salud en todos los países, incluidos aquellos que tienen ingresos más bajos. El informe se divide en cuatros parte. En la Parte I constan los antecedentes y el contexto de la revisión y se establecen los principios de las recomendaciones y razones para abordar cuatro grandes temas: las etapas del curso de vida, la sociedad en general, el contexto macrosocial y la gobernanza. La Parte II resume la evidencia actual sobre la brecha de salud entre los países de la Región, describiendo las desigualdades en salud y sus determinantes sociales. La parte III hace propuestas basadas en la evidencia. Y por último, en la Parte IV se describen los problemas de implementación y se ofrece orientación y un resumen de las principales conclusiones y recomendaciones de la revisión.
Health Behaviour in School-aged Children (HBSC), a WHO collaborative cross-national study, has provided information about the health, well-being, social environment and health behaviour of 11-, 13- and 15-year-old boys and girls for over 30 years. This latest international report from the study presents findings from the 2013/2014 survey, which collected data from almost 220 000 young people in 42 countries in Europe and North America. The data focus on social context (relations with family, peers and school), health outcomes (subjective health, injuries, obesity and mental health), health behaviours (patterns of eating, toothbrushing and physical activity) and risk behaviours (use of tobacco, alcohol and cannabis, sexual behaviour, fighting and bullying) relevant to young people’s health and well-being. New items on family and peer support, migration, cyberbullying and serious injuries are also reflected in the report.
Early years, familiy and education task group: report. European review of social determinants of health and the health divide in the WHO European Regionwww.euro.who.int/en/publications/abstracts/early-years,-fami
The task group on early years, childhood and family was set up as part of the European review of social determinants of health and the health divide in the WHO European Region, a study commissioned to support the development of the new health policy framework for Europe, Health 2020. The task group was asked to identify interventions, strategies and approaches that policy-makers and practitioners in the Region can use in the childhood years to improve and equalize health outcomes throughout the life-course. The report’s analysis is organized in terms of early years and later childhood to reflect phases of children’s experience that are distinct in many ways and require different forms of service provision. The report uses evidence from international research, a review of reports from international organizations and case studies of practices in European countries. The report’s broad conclusions should be considered in conjunction with more detailed recommendations provided throughout the text.