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Economic crisis, unemployment and health: conceptual and methodological issues in the modelling of national contexts

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Article
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Vahid Shahidi, Faraz ; Muntaner, Carles ; Siddiqi, Arjumand

Journal of Epidemiology and Community Health

2015

69

2

101-102

data analysis ; economic recession ; methodology ; health status ; suicide ; unemployment

Unemployment

http://dx.doi.org/10.1136/10.1136/jech-2014-204487

English

Bibliogr.

"First, despite making an important distinction between the direct and indirect effects of the recent economic crisis on suicide rates, we believe that the relationship between these effects is inappropriately specified in the analysis. According to the authors, the impact of the crisis on suicide rates is explained by an individual-level unemployment effect and a contextual-level crisis effect. To the extent that they are modelled in a distinctly additive fashion, both of these effects are thought to operate independently from the other. The authors distinguish between the two effects in order to parse out any potential bias caused by contextual features associated with the crisis, including an increase in perceived levels of job insecurity and political decisions such as budgetary cutbacks. They control for such contextual features with the intention of isolating the independent effect of unemployment on suicide rates. However, the authors neglect to consider the ways in which the latter effect itself varies as a function of the contextual factors for which they are attempting to provide a control.2 Ample evidence exists to suggest that unemployment does not transmit automatically from a decline in economic output. … "

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