Employment exit and entry among U.S. adults with and without arthritis during the Great Recession. A longitudinal study: 2007–2009, NHIS/MEPS

Work ◽  
2018 ◽  
Vol 60 (2) ◽  
pp. 303-318
Author(s):  
K.A. Theis ◽  
D. Roblin ◽  
C.G. Helmick ◽  
R. Luo
Keyword(s):  
Longitudinal Study ◽  
Great Recession ◽  
The Great Recession

scholarly journals Disparities in emergency department use between Italians and migrants residing in Rome, Italy: the Rome Dynamic Longitudinal Study from 2005 to 2015

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eleonora Trappolini ◽  
Claudia Marino ◽  
Nera Agabiti ◽  
Cristina Giudici ◽  
Marina Davoli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Longitudinal Study ◽  
Great Recession ◽  
Health Spending ◽  
Emergency Department Use ◽  
The Great Recession ◽  
Barriers To Access ◽  
Economic Downturns ◽  
Before And After ◽  
Utilisation Rate

Abstract Background The Emergency Department (ED) can be considered an indicator of accessibility and quality and can be influenced in period of economic downturns. In the last fifteen years, the number of migrants in Italy has doubled (from 2.4 million in 2005 to 5.2 in 2019, 4.1 and 8.7% of the total population, respectively). However, evidence about migrants’ healthcare use is poor, and no studies focused on the ED utilisation rate during the Great Recession are available. This study aims to analyse trends in all-cause and cause-specific ED utilisation among migrants and Italians residing in Rome, Italy, before and after 2008. Methods Longitudinal study based on data from the Municipal Register of Rome linked to the Emergency Department Register from 2005 to 2015. We analysed 2,184,467 individuals, aged 25–64 in each year. We applied a Hurdle model to estimate the propensity to use the ED and to model how often individuals accessed the ED. Results Migrants were less likely to be ED users than Italians, except for Africans (RR = 1.46, 95%CI 1.40–1.52) and Latin Americans (RR = 1.04, 95%CI 1.00–1.08) who had higher all-cause utilisation rates than non-migrants. Compared to the pre-2008 period, in the post-2008 we found an increase in the likelihood of being an ED user (OR = 1.34, 95%CI 1.34–1.35), and a decrease in ED utilisation rates (RR = 0.96, 95%CI 0.96–0.97) for the whole population, with differences among migrant subgroups, regardless of cause. Conclusions This study shows differences in the ED utilisation between migrants and Italians, and within the migrant population, during the Great Recession. The findings may reflect differentials in the health status, and barriers to access primary and secondary care among migrants. In this regard, health policies and cuts in health spending measures may have played a key role, and interventions to tackle health and access disparities should include policy measures addressing the underlying factors, adopting a Health in All Policies perspective. Further researches focusing on specific groups of migrants, and on the causes and diagnoses related to the ED utilisation, may help to explain the differences observed.

scholarly journals Economic insecurity during the Great Recession and metabolic, inflammatory and liver function biomarkers: analysis of the UK Household Longitudinal Study

2017 ◽  
Vol 71 (10) ◽  
pp. 1005-1013 ◽  
Author(s):  
Claire L Niedzwiedz ◽  
Srinivasa Vittal Katikireddi ◽  
Aaron Reeves ◽  
Martin McKee ◽  
David Stuckler
Keyword(s):  
Longitudinal Study ◽  
Liver Function ◽  
Great Recession ◽  
Economic Insecurity ◽  
The Great Recession ◽  
The Uk
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