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24.04.2024 | Research article

Economic instability, income, and unemployment effects on mortality: using SUR panel data in Iran

verfasst von: Haji Mohammad Neshat Ghojagh, Lotfali Agheli, Sajjad Faraji Dizaji, Mohammad Javad Kabir, Vahid Taghvaee

Erschienen in: International Journal of Health Economics and Management

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Abstract

This study aims to investigate the effects of socioeconomic factors on mortality in Iran. To this end, this research examines how economic instability, income, and unemployment affect mortality using a seemingly unrelated regression (SUR) with panel data for 30 provinces in Iran from 2004 to 2019. The results indicate that unemployment and mortality have a countercyclical relationship among the working age-groups 20–59 but a procyclical pattern among old-age (60+), except for rural mortality. This result is harmonious between employment and age-group mortality. This finding implies that unemployment increases mortality in working age-groups due to psychological stress and poverty risk. In addition, the income level decreases mortality in all ages over 40 years due to the provision of higher access to health and medical services and social welfare. However, it increases mortality in rural areas and age-group 20–39 because of their hazardous, unsafe, and stressful work conditions. Therefore, policymakers should plan for an inclusive economic growth to reduce poverty and out-of-pocket payments and increase the quality and accessibility of public health services, especially for beneficiaries of lower social groups. Moreover, they should adopt strategies to alleviate the burden of premature, preventable, and treatable deaths.
Fußnoten
1
Iran has 31 provinces, but the mortality data are available only for 30 provinces.
 
2
According to the official Iranian law, mortality data are recorded ten days after death.
 
Literatur
Zurück zum Zitat Biorn, E. (2004). Regression system for unbalanced panel data: A stepwise maximum likelihood procedure. Journal of Econometrics, 122, 281–291.CrossRef Biorn, E. (2004). Regression system for unbalanced panel data: A stepwise maximum likelihood procedure. Journal of Econometrics, 122, 281–291.CrossRef
Zurück zum Zitat Bodilsen, J., Nielsen, P. B., Søgaard, M., Dalager-Pedersen, M., Speiser, L. O. Z., Yndigegn, T., Nielsen, H., Larsen, T. B., & Skjøth, F. (2021). Hospital admission and mortality rates for non-covid diseases in Denmark during covid-19 pandemic: Nationwide population based cohort study. Bmj, 373. https://doi.org/10.1136/bmj.n1135. Bodilsen, J., Nielsen, P. B., Søgaard, M., Dalager-Pedersen, M., Speiser, L. O. Z., Yndigegn, T., Nielsen, H., Larsen, T. B., & Skjøth, F. (2021). Hospital admission and mortality rates for non-covid diseases in Denmark during covid-19 pandemic: Nationwide population based cohort study. Bmj, 373. https://​doi.​org/​10.​1136/​bmj.​n1135.
Zurück zum Zitat Einian, M., & Souri, D. (2018). Poverty Maps of Iran. 5th International Conference on Iran’s Economy. Einian, M., & Souri, D. (2018). Poverty Maps of Iran. 5th International Conference on Iran’s Economy.
Zurück zum Zitat Filipovic, M., Goldacre, M. J., Roberts, S. E., Yeates, D., Duncan, M. E., & Cook-Mozaffari, P. (2005). Trends in mortality and hospital admission rates for abdominal aortic aneurysm in England and Wales, 1979–1999. Journal of British Surgery, 92(8), 968–975. https://doi.org/10.1002/bjs.5118.CrossRef Filipovic, M., Goldacre, M. J., Roberts, S. E., Yeates, D., Duncan, M. E., & Cook-Mozaffari, P. (2005). Trends in mortality and hospital admission rates for abdominal aortic aneurysm in England and Wales, 1979–1999. Journal of British Surgery, 92(8), 968–975. https://​doi.​org/​10.​1002/​bjs.​5118.CrossRef
Zurück zum Zitat Greenaway-McGrevy, R. (2021). Mortality and fluctuations in macroeconomic activity in New Zealand. New Zealand Medical Journal, 134(1533), 46–60. PMID: 33927423.PubMed Greenaway-McGrevy, R. (2021). Mortality and fluctuations in macroeconomic activity in New Zealand. New Zealand Medical Journal, 134(1533), 46–60. PMID: 33927423.PubMed
Zurück zum Zitat Krakauer, H., Jacoby, I., Millman, M., & Lukomnik, J. E. (1996). Physician impact on hospital admission and on mortality rates in the Medicare population. Health Services Research, 31(2), 191–211. PMID: 8675439; PMCID: PMC1070113.PubMedPubMedCentral Krakauer, H., Jacoby, I., Millman, M., & Lukomnik, J. E. (1996). Physician impact on hospital admission and on mortality rates in the Medicare population. Health Services Research, 31(2), 191–211. PMID: 8675439; PMCID: PMC1070113.PubMedPubMedCentral
Zurück zum Zitat Mohamad Taghvaee, V., Assari Arani, A., Nodehi, M., Khodaparast Shirazi, J., Agheli, L., Ghojogh, N., Salehnia, H. M., Mirzaee, N., Taheri, A., Mohammadi, S., Saber, R., Faramarzi, H., Alvandi, R., & Ahmadi Rahbarian, H. (2021). Sustainable development goals: Transportation, health, and public policy. Review of Economics and Political Science. https://doi.org/10.1108/reps-12-2019-0168.CrossRef Mohamad Taghvaee, V., Assari Arani, A., Nodehi, M., Khodaparast Shirazi, J., Agheli, L., Ghojogh, N., Salehnia, H. M., Mirzaee, N., Taheri, A., Mohammadi, S., Saber, R., Faramarzi, H., Alvandi, R., & Ahmadi Rahbarian, H. (2021). Sustainable development goals: Transportation, health, and public policy. Review of Economics and Political Science. https://​doi.​org/​10.​1108/​reps-12-2019-0168.CrossRef
Zurück zum Zitat Nguyen, M., & Nguyen, H. (2010). Stata module: Estimation of system of regression equations with unbalanced panel data and random effects. Working Paper Nguyen, M., & Nguyen, H. (2010). Stata module: Estimation of system of regression equations with unbalanced panel data and random effects. Working Paper
Zurück zum Zitat Palència, L., Gotsens, M., Marí-Dell’Olmo, M., Bosakova, L., Burström, B., Costa, C., Deboosere, P., Dzurova, D., Lustigova, M., Morrison, J., Santana, P., & Borrell, C. (2020). Effect of the recent economic crisis on socioeconomic inequalities in mortality in nine urban areas in Europe. Gaceta Sanitaria, 34(3). https://doi.org/10.1016/j.gaceta.2019.11.001. Palència, L., Gotsens, M., Marí-Dell’Olmo, M., Bosakova, L., Burström, B., Costa, C., Deboosere, P., Dzurova, D., Lustigova, M., Morrison, J., Santana, P., & Borrell, C. (2020). Effect of the recent economic crisis on socioeconomic inequalities in mortality in nine urban areas in Europe. Gaceta Sanitaria, 34(3). https://​doi.​org/​10.​1016/​j.​gaceta.​2019.​11.​001.
Zurück zum Zitat Zilidis, C., & Hadjichristodoulou, C. (2020). Economic crisis impact and social determinants of perinatal outcomes and infant mortality in Greece. International Journal of Environmental Research and Public Health, 17(18). https://doi.org/10.3390/ijerph17186606. Zilidis, C., & Hadjichristodoulou, C. (2020). Economic crisis impact and social determinants of perinatal outcomes and infant mortality in Greece. International Journal of Environmental Research and Public Health, 17(18). https://​doi.​org/​10.​3390/​ijerph17186606.
Metadaten
Titel
Economic instability, income, and unemployment effects on mortality: using SUR panel data in Iran
verfasst von
Haji Mohammad Neshat Ghojagh
Lotfali Agheli
Sajjad Faraji Dizaji
Mohammad Javad Kabir
Vahid Taghvaee
Publikationsdatum
24.04.2024
Verlag
Springer US
Erschienen in
International Journal of Health Economics and Management
Print ISSN: 2199-9023
Elektronische ISSN: 2199-9031
DOI
https://doi.org/10.1007/s10754-024-09376-1