Evidence map›Paper›PMID 28393903›Full record

ArticleScientific reports2017

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

Filippos T Filippidis, Vasiliki Gerovasili, Christopher Millett, Yannis Tountas

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
14.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Impacts of the 2008 Great Recession on dietary intake: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2021
    Pooled it
  3. Article
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  7. The Effect of the Great Recession on Italian Life Expectancy.Population research and policy review · 2023
    Article
  8. Article
  9. Economic Crisis Impact and Social Determinants of Perinatal Outcomes and Infant Mortality in Greece.International journal of environmental research and public health · 2020
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Physical Activity and Sedentary Behaviors of Young Children: Trends from 2009 to 2018.International journal of environmental research and public health · 2020
    Article
  15. Health-related quality of life in adult population before and after the onset of financial crisis: the case of Athens, Greece.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
    Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Filippos T FilippidisDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, United Kingdom.
Vasiliki GerovasiliDepartment of Respiratory Medicine, Harefield Hospital, Royal Brompton &Harefield NHS Foundation Trust, London, United Kingdom.
Christopher MillettDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, United Kingdom.
Yannis TountasCenter for Health Services Research, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Imperial College London · GBHarefield Hospital · GBNational and Kapodistrian University of Athens · GR

Funding

Department of Health RP_2014-04-032
6 · The paper itself

Abstract

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.

Indexed as

Economic RecessionHealth BehaviorDelivery of Health CareDietFemaleGreeceHealth Services AccessibilityHealth SurveysHumansMalePrevalenceSmokingSuicideSurvival Rate

Identifiers

PMID28393903
PMCPMC5385490
OpenAlexW2607013469

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.