The recent economic recession and self-rated health in Estonia, Lithuania and Finland: a comparative cross-sectional study in 2004–2010

• Published in: Journal of epidemiology and community health (1979) 2014-11, Vol.68 (11), p.1072-1079
• Main Authors: Reile, Rainer, Helakorpi, Satu, Klumbiene, Jurate, Tekkel, Mare, Leinsalu, Mall
• Format: Article
• Language: English
• Subjects: Adult; Age Distribution; Age groups; Baltic and East European studies; Biological and medical sciences; Cross-Cultural Comparison; Cross-Sectional Studies; Economic crises; Economic growth; Economic Recession; Economic recessions; Economic statistics; Economics; Educational Status; Employment; Estonia - epidemiology; Ethnic Groups; Ethnicity; Female; Finland - epidemiology; GDP; General aspects; Gross Domestic Product; Health benefits; Health care inequality; Health Status Disparities; Health Surveys; Humans; Lithuania - epidemiology; Logistic Models; Male; Medical sciences; Men; Middle Aged; Miscellaneous; Other topics; Prevalence; Public health. Hygiene; Public health. Hygiene-occupational medicine; Recessions; Regression analysis; Response rates; Self Report; Sex Distribution; Social Class; Sociodemographics; Socioeconomics; Unemployment; Womens health; Young Adult; Östersjö- och Östeuropaforskning
• ISSN: 0143-005X; 1470-2738; 1470-2738
• DOI: 10.1136/jech-2014-204196

Background The late-2000s financial crisis had a severe impact on the national economies on a global scale. In Europe, the Baltic countries were among those most affected with more than a 20% decrease in per capita gross domestic product in 2008–2009. In this study, we explored the effects of economic recession on self-rated health in Estonia and Lithuania using Finland, a neighbouring Nordic welfare state, as a point of reference. Methods Nationally representative cross-sectional data for Estonia (n=10 966), Lithuania (n=7249) and Finland (n=11 602) for 2004–2010 were analysed for changes in age-standardised prevalence rates of less-than-good self-rated health and changes in health inequalities using logistic regression analysis. Results The prevalence of less-than-good self-rated health increased slightly (albeit not statistically significantly) in all countries during 2008–2010. This was in sharp contrast to the statistically significant decline in the prevalence of less-than-good health in 2004–2008 in Estonia and Lithuania. Health disparities were larger in Estonia and Lithuania when compared to Finland, but decreased in 2008–2010 (in men only). In Finland, both the prevalence of less-than-good health and health disparities remained fairly stable throughout the period. Conclusions Despite the rapid economic downturn, the short-term health effects in Estonia and Lithuania did not differ from those in Finland, although the recession years marked the end of the previous positive trend in self-rated health. The reduction in health disparities during the recession indicates that different socioeconomic groups were affected disproportionately; however, the reasons for this require further research.