Understanding the impact of the economic crisis on child health: the case of Spain.

INTRODUCTION: The objectives of the study were to explore the effect of the economic crisis on child health using Spain as a case study, and to document and assess the policies implemented in response to the crisis in this context. METHODS: Serial cross-sectional data from Eurostat, the Spanish Heal...

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Detalles Bibliográficos
Autores: Rajmil Rajmil, Luis Alberto, Siddiqi, Arjumand, Taylor-Robinson, David, Spencer, Nick
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/25731
Acceso en línea:http://hdl.handle.net/10230/25731
http://dx.doi.org/10.1186/s12939-015-0236-1
Access Level:acceso abierto
Palabra clave:Crisi financera global, 2007-2009 -- Aspectes socials
Infants -- Aspectes socials
Descripción
Sumario:INTRODUCTION: The objectives of the study were to explore the effect of the economic crisis on child health using Spain as a case study, and to document and assess the policies implemented in response to the crisis in this context. METHODS: Serial cross-sectional data from Eurostat, the Spanish Health Interview Survey, and the database of childhood hospitalisation were analysed to explore impacts on child health, and key determinants of child health. A content analysis of National data sources/government legislation, and Spanish literature was used to describe policies implemented following the crisis. RESULTS: Unemployment rates in the general population (8.7% in 2005 and 25.6% in 2013), and children living in unemployed families (5.6% and 13.8%) increased in the study period. The percentage of children living under the poverty line, and income inequalities increased 15-20% from 2005 to 2012. Severe material deprivation rate has worsened in families with Primary Education, while the number of families attending Non-Governmental Organisations has increased. An impact on children's health at the general population level has not currently been detected; however an impact on general health, mental health and use of healthcare services was found in vulnerable groups. Investment in social protection and public policy for children showed a reduction as part of austerity measures taken by the Spanish governments. CONCLUSIONS: Despite the impact on social determinants, a short-term impact on child health has been detected only in specific vulnerable groups. The findings suggest the need to urgently protect vulnerable groups of children from the impact of austerity.