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Economic fluctuations and cardiovascular diseases: A multiple-input time series analysis
- Source :
- PLoS ONE, Vol 14, Iss 8, p e0219358 (2019), PLoS ONE
- Publication Year :
- 2019
- Publisher :
- Public Library of Science (PLoS), 2019.
-
Abstract
- ObjectivesLittle is known about the gender and age differences associated with the effects of economic fluctuations on hospitalization for cardiovascular diseases. This paper investigates the impact of economic fluctuations on hospitalization for ischemic heart disease (IHD), stroke, and hypertension by age and gender between January 1996 and December 2012 in Taiwan.MethodsWe adopted a multiple-input time series analysis to examine the strength of the immediate and latent effects of the 17-year quarterly unemployment rates (UR), air pollution exposure (APE), gross domestic product (GDP), per capita consumption expenditure in cigarette and alcohol (ECA), and per capita healthcare expenditure (HE) on the adjusted quarterly incidence rate of hospitalization. The data used in this paper were retrieved from the National Health Insurance Research Database and the website of the Directorate-General of Budget, Accounting and Statistics (DGBAS), Executive Yuan.ResultsOur findings indicate that higher UR increased IHD hospitalization in young men and women and middle-aged women but reduced stroke hospitalization in young men. Higher APE increased IHD hospitalization in young men but reduced it for young women, increased stroke hospitalization in old men and middle-aged women but reduced it for young men, and increased hypertension hospitalization in middle-aged men and young women. Higher ECA reduced IHD hospitalization in middle-aged men, increased stoke hospitalization in middle-aged and old men and middle-aged women. Higher HE reduced IHD hospitalization in old men, young and old women, reduced stroke hospitalization in old women, and reduced hypertension hospitalization in young and middle-aged women.ConclusionsOverall, we found that the economic fluctuations caused increased harmful effects in certain population subgroups but also brought some soothing effects to some groups.
- Subjects :
- Male
Time Factors
Economics
Macroeconomics
Social Sciences
Blood Pressure
Disease
Cardiovascular Medicine
030204 cardiovascular system & hematology
Vascular Medicine
Geographical Locations
0302 clinical medicine
Epidemiology
Health care
Medicine and Health Sciences
Per capita
Coronary Heart Disease
Economic Status
Medicine
030212 general & internal medicine
Young adult
Stroke
education.field_of_study
Multidisciplinary
Middle Aged
Pollution
Hospitalization
Cardiovascular Diseases
Hypertension
Female
Research Article
Employment
Adult
medicine.medical_specialty
Asia
Science
Population
Taiwan
Cardiology
Young Adult
03 medical and health sciences
Health Economics
Air Pollution
Humans
cardiovascular diseases
education
Aged
Health economics
business.industry
Ecology and Environmental Sciences
medicine.disease
Economic Analysis
Health Care
Labor Economics
Unemployment Rates
People and Places
business
Demography
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- PLOS ONE
- Accession number :
- edsair.doi.dedup.....385145d2c0a98980af0bb56e7e9017d0