Skip to main content
Top
Published in: The European Journal of Health Economics 3/2006

01-09-2006 | Original Papers

Alcohol-related mortality, drinking behavior, and business cycles

Are slumps really dry seasons?

Authors: Edvard Johansson, Petri Böckerman, Ritva Prättälä, Antti Uutela

Published in: The European Journal of Health Economics | Issue 3/2006

Login to get access

Abstract

This paper explores the connection between alcohol-related mortality, drinking behavior, and macroeconomic conditions in Finland using both aggregate and microlevel data from recent decades. The aggregate data reveal that an improvement in economic conditions produces a decrease in alcohol-related mortality. Microlevel data show that alcohol consumption increases during economic expansion while the probability of being a drinker remains unchanged. This demonstrates that alcohol-related mortality and self-reported alcohol consumption may be delinked in the short-run business cycle context. One explanation for this paradox is that most harmful forms of drinking are not captured in survey-based data used to study the effect of macroeconomic conditions on alcohol consumption. Our evidence does not overwhelmingly support the conclusions reported for the United States that temporary economic downturns are good for health.
Literature
1.
go back to reference Brenner H (1973) Mental illness and the economy. Cambridge: Harvard University Press Brenner H (1973) Mental illness and the economy. Cambridge: Harvard University Press
2.
go back to reference Brenner H (1975) Trends in alcohol consumption and associated illnesses: some effects of economic changes. Am J Public Health 65: 1279–1292PubMed Brenner H (1975) Trends in alcohol consumption and associated illnesses: some effects of economic changes. Am J Public Health 65: 1279–1292PubMed
3.
go back to reference Brenner H (1979) Mortality and the national economy. Lancet 26: 568–573 Brenner H (1979) Mortality and the national economy. Lancet 26: 568–573
4.
go back to reference Clark K, Summers L (1982) The dynamics of youth unemployment. The youth labor market: its nature, causes, and consequences. Chicago: University of Chicago Press Clark K, Summers L (1982) The dynamics of youth unemployment. The youth labor market: its nature, causes, and consequences. Chicago: University of Chicago Press
5.
go back to reference Cook P, Moore M (1987) Alcohol. Handbook of health economics, vol 1. Amsterdam: Elsevier Cook P, Moore M (1987) Alcohol. Handbook of health economics, vol 1. Amsterdam: Elsevier
6.
go back to reference Dee T (2001) Alcohol abuse and economic conditions: evidence from repeated cross-sections of individual-level data. J Health Econ 10: 257–270CrossRef Dee T (2001) Alcohol abuse and economic conditions: evidence from repeated cross-sections of individual-level data. J Health Econ 10: 257–270CrossRef
7.
go back to reference Forbes J, McGregor A (1984) Unemployment and mortality in post-war Scotland. J Health Econ 3: 219–257CrossRef Forbes J, McGregor A (1984) Unemployment and mortality in post-war Scotland. J Health Econ 3: 219–257CrossRef
8.
go back to reference Gravelle H, Hutchinson G, Stern J (1981) Mortality and unemployment: a critique of Brenner’s time series analysis. Lancet II: 675–679CrossRef Gravelle H, Hutchinson G, Stern J (1981) Mortality and unemployment: a critique of Brenner’s time series analysis. Lancet II: 675–679CrossRef
9.
go back to reference Ilmakunnas P, Maliranta M (2003) The turnover of jobs and workers in a deep recession: evidence from the Finnish business sector. Int J Manpower 24: 216–246CrossRef Ilmakunnas P, Maliranta M (2003) The turnover of jobs and workers in a deep recession: evidence from the Finnish business sector. Int J Manpower 24: 216–246CrossRef
10.
go back to reference Joyce T, Mocan N (1993) Unemployment and infant health: time-series evidence from the state of Tennessee. J Hum Resour 28: 185–203CrossRef Joyce T, Mocan N (1993) Unemployment and infant health: time-series evidence from the state of Tennessee. J Hum Resour 28: 185–203CrossRef
11.
go back to reference Jäntti M, Martikainen P, Valkonen T (2000) When the welfare state works: unemployment and mortality in Finland. The mortality crisis in transitional economies. UNU/Wider studies in development economics. Oxford: Oxford University Press Jäntti M, Martikainen P, Valkonen T (2000) When the welfare state works: unemployment and mortality in Finland. The mortality crisis in transitional economies. UNU/Wider studies in development economics. Oxford: Oxford University Press
12.
go back to reference Mangeloja E, Pehkonen J (2006) Prices, income and availability: consumption of spirits, wine and beer in Finland, 1960–2004. Working paper no 309. Jyväskylä: University of Jyväskylä Mangeloja E, Pehkonen J (2006) Prices, income and availability: consumption of spirits, wine and beer in Finland, 1960–2004. Working paper no 309. Jyväskylä: University of Jyväskylä
13.
go back to reference Martikainen P, Valkonen T (1996) Excess mortality of unemployed men and women during a period of rapidly increasing unemployment. Lancet 348: 909–912CrossRefPubMed Martikainen P, Valkonen T (1996) Excess mortality of unemployed men and women during a period of rapidly increasing unemployment. Lancet 348: 909–912CrossRefPubMed
14.
go back to reference Martikainen P, Valkonen T, Martelin T (2001) Change in male and female life expectancy by social class: decomposition by age and cause of death in Finland 1971–95. J Epidemiol Community Health 55: 494–499CrossRefPubMed Martikainen P, Valkonen T, Martelin T (2001) Change in male and female life expectancy by social class: decomposition by age and cause of death in Finland 1971–95. J Epidemiol Community Health 55: 494–499CrossRefPubMed
15.
go back to reference McAvinchey IA (1994) Comparison of unemployment, income, and mortality interaction for five European countries. Appl Econ 20: 453–471 McAvinchey IA (1994) Comparison of unemployment, income, and mortality interaction for five European countries. Appl Econ 20: 453–471
16.
go back to reference Moulton BR (1990) An illustration of a pitfall in estimating the effects of aggregate variables on micro units. Rev Econ Stat 72: 334–338CrossRef Moulton BR (1990) An illustration of a pitfall in estimating the effects of aggregate variables on micro units. Rev Econ Stat 72: 334–338CrossRef
17.
go back to reference Mäkelä P (1998) Alcohol-related mortality by age and sex and its impact on life expectancy. Eur J Public Health 8: 43–51CrossRef Mäkelä P (1998) Alcohol-related mortality by age and sex and its impact on life expectancy. Eur J Public Health 8: 43–51CrossRef
18.
go back to reference Mäkelä P (1999) Alcohol-related mortality during an economic boom and recession. Contemp Drug Problems 26: 369–390 Mäkelä P (1999) Alcohol-related mortality during an economic boom and recession. Contemp Drug Problems 26: 369–390
19.
go back to reference Mäkelä P, Ripatti S, Valkonen T (2001) Alue-erot miesten alkoholikuolleisuudessa. Suomen Lääkärilehti 56: 2513–2519 Mäkelä P, Ripatti S, Valkonen T (2001) Alue-erot miesten alkoholikuolleisuudessa. Suomen Lääkärilehti 56: 2513–2519
20.
go back to reference Neumayer E (2004) Recessions lower (some) mortality rates: evidence from Germany. Soc Sci Med 58: 1037–1047CrossRefPubMed Neumayer E (2004) Recessions lower (some) mortality rates: evidence from Germany. Soc Sci Med 58: 1037–1047CrossRefPubMed
21.
24.
go back to reference Ruhm C (2005b) Macroeconomic conditions, health and mortality. Elgar companion to health economics. Cheltenham: Edward Elgar Ruhm C (2005b) Macroeconomic conditions, health and mortality. Elgar companion to health economics. Cheltenham: Edward Elgar
25.
26.
go back to reference Stern J (1983) The relationship between unemployment, morbidity, and mortality in Britain. Popul Stud 37: 61–74 Stern J (1983) The relationship between unemployment, morbidity, and mortality in Britain. Popul Stud 37: 61–74
27.
go back to reference Vartiainen E, Puska P, Jousilahti P et al. (1995) Twenty year trends in coronary risk factors in North Karelia and other areas of Finland. The North Karelia project. 20 year results and experiences. Helsinki: National Public Health Institute Vartiainen E, Puska P, Jousilahti P et al. (1995) Twenty year trends in coronary risk factors in North Karelia and other areas of Finland. The North Karelia project. 20 year results and experiences. Helsinki: National Public Health Institute
28.
go back to reference Wagstaff A (1985) Time series analysis of the relationship between unemployment and mortality: a survey of econometric critiques and replications of Brenner’s studies. Soc Sci Med 21: 985–996CrossRefPubMed Wagstaff A (1985) Time series analysis of the relationship between unemployment and mortality: a survey of econometric critiques and replications of Brenner’s studies. Soc Sci Med 21: 985–996CrossRefPubMed
Metadata
Title
Alcohol-related mortality, drinking behavior, and business cycles
Are slumps really dry seasons?
Authors
Edvard Johansson
Petri Böckerman
Ritva Prättälä
Antti Uutela
Publication date
01-09-2006
Publisher
Springer-Verlag
Published in
The European Journal of Health Economics / Issue 3/2006
Print ISSN: 1618-7598
Electronic ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-006-0358-x

Other articles of this Issue 3/2006

The European Journal of Health Economics 3/2006 Go to the issue