Evidence map›Paper›PMID 32423441›Full record

SynthesisBMC public health2020

Austerity policy and child health in European countries: a systematic literature review.

Luis Rajmil, Anders Hjern, Nick Spencer, David Taylor-Robinson, Geir Gunnlaugsson, Hein Raat

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

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  15. Global peace dividend and child health.BMJ paediatrics open · 2022
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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

6 authors.

Luis RajmilRetired, paediatrician and public health and epidemiology specialist, Homer 22 1rst 1, Barcelona, Spain.
Anders HjernCentre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, SE-106 91, Stockholm, Sweden. anders.hjern@su.se.ORCID http://orcid.org/0000-0002-1645-2058
Nick SpencerEmeritus Professor of Child Health, Division of Mental Health and Wellbeing, Warwick Medical School University of Warwick, Coventry, CV4 9JD, UK.
David Taylor-RobinsonClinical Senior Lecturer, Department of Public Health and Policy, Whelan Building University of Liverpool, Liverpool, UK.
Geir GunnlaugssonFaculty of Sociology, Anthropology and Folkloristics, University of Iceland, Reykjavik, Iceland.
Hein RaatDepartment of Public Health, Erasmus Medical Center, University Medical Center, PO Box 2040, 3000, CA, Rotterdam, The Netherlands.

Funding

Medical Research Council G0802448Medical Research Council MR/P008577/1
6 · The paper itself

Abstract

backgroundTo analyse the impact of austerity measures taken by European governments as a response to the 2008 economic and financial crisis on social determinants on child health (SDCH), and child health outcomes (CHO).

methodsA systematic literature review was carried out in Medline (Ovid), Embase, Web of Science, PsycInfo, and Sociological abstracts in the last 5 years from European countries. Studies aimed at analysing the Great Recession, governments' responses to the crisis, and its impact on SDCH were included. A narrative synthesis of the results was carried out. The risk of bias was assessed using the STROBE and EPICURE tools.

resultsFourteen studies were included, most of them with a low to intermediate risk of bias (average score 72.1%). Government responses to the crisis varied, although there was general agreement that Greece, Spain, Ireland and the United Kingdom applied higher levels of austerity. High austerity periods, compared to pre-austerity periods were associated with increased material deprivation, child poverty rates, and low birth weight. Increasing child poverty subsequent to austerity measures was associated with deterioration of child health. High austerity was also related to poorer access and quality of services provided to disabled children. An annual reduction of 1% on public health expenditure was associated to 0.5% reduction on Measles-Mumps-Rubella vaccination coverage in Italy.

conclusionsCountries that applied high level of austerity showed worse trends on SDCH and CHO, demonstrating the importance that economic policy may have for equity in child health and development. European governments must act urgently and reverse these austerity policy measures that are detrimental to family benefits and child protection.

Indexed as

Economic RecessionPublic PolicyChildChild HealthEuropeHumansSocial Determinants of HealthAusterityChild healthChild povertyEconomic crisisGreat recessionSocial inequalities

Identifiers

PMID32423441
PMCPMC7236143

What OpenQuestion holds

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Registered trials

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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.