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Medium-term impact of the economic crisis on mortality health-related behaviours and access to healthcare in Greece

机译:经济危机对希腊的死亡率健康相关行为和获得医疗保健的中期影响

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摘要

Previous studies on the health consequences of the crisis in Greece investigated short-term impacts on selected outcomes. This study examined the impact of the crisis on a key set of health indicators with longer follow up than previous studies. We conducted interrupted time series (ITS) analysis to compare trends in standardised mortality by cause before and during the crisis. We examined changes in fruit and vegetable consumption, smoking, physical activity, obesity, out-of-pocket payments and unmet needs for healthcare using national household data from the “Hellas Health” surveys. Standardised mortality rates for suicides (p < 0.001) and infant mortality (p = 0.003) increased during the crisis compared to pre-existing trends, while mortality from respiratory diseases (p = 0.053) and transport accidents (p = 0.067) decreased. The prevalence of smoking (42.6% to 36.5%; RR = 0.86) and sedentary lifestyle (43.4% to 29.0%; RR = 0.69) declined. The prevalence of unmet need for healthcare significantly increased from 10.0% to 21.9% (RR = 2.10) and the proportion of people paying out-of-pocket for healthcare from 34.4% to 58.7% (RR = 1.69) between 2010 and 2015. The impact of the economic crisis in Greece on health was more nuanced than previous reports suggest. Effective strategies to mitigate the adverse health impacts of economic crises need to be better understood and implemented.
机译:先前有关希腊危机对健康造成的后果的研究调查了对选定结果的短期影响。这项研究通过比以往的研究更长的随访时间,研究了危机对一系列关键健康指标的影响。我们进行了中断时间序列(ITS)分析,以比较危机发生前后危机期间标准化死亡率的趋势。我们使用“ Hellas Health”调查中的全国家庭数据检查了水果和蔬菜消费,吸烟,体育锻炼,肥胖,自付费用和医疗保健需求未满足方面的变化。与危机之前相比,危机期间自杀的标准死亡率(p <0.001)和婴儿死亡率(p = 0.003)有所增加,而呼吸系统疾病(p mortality = 0.053)和交通事故的死亡率(p = 0.067)则有所下降。吸烟率(42.6%至36.5%; RR = 0.86)和久坐的生活方式(43.4%至29.0%; RR = 0.69)下降。在2010年至2015年之间,未满足医疗保健需求的比例从10.0%显着增加到21.9%(RR = 2.10),自付费用的人群比例从34.4%增加到58.7%(RR = 1.69)。希腊经济危机对健康的影响比以前的报告所暗示的更为细微。需要更好地理解和实施减轻经济危机对健康的不利影响的有效策略。

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