Unit:
Κατεύθυνση Κλινικές Μελέτες: Σχεδιασμός και ΕκτέλεσηLibrary of the School of Health Sciences
Supervisors info:
Ψαλτοπούλου Θεοδώρα, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Σεργεντάνης Θεόδωρος, Επίκουρος Καθηγητής, Τμήμα Πολιτικών Δημόσιας Υγείας, Πανεπιστήμιο Δυτικής Αττικής
Γαβριατοπούλου Μαρία, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Καρδιαγγειακή υγεία σε περιόδους οικονομικής κρίσης κατά τον 20ο και 21ο αιώνα: συστηματική ανασκόπηση, Περίπτωση 1
Translated title:
Cardiovascular health in times of economic crisis in the 20th and 21st century: a systematic review, Case 1
Summary:
Background: It was established that economic crises affect public health worldwide and
associated with cardiovascular morbidity and mortality. This systematic review examines the association of factors contributing to CVDs and observes any potential changes in the trends and the severity of the established cardiovascular disease, among the general population living in countries exposed to financial crises.
Methods: A systematic search was conducted in PubMed, EMBASE and Google Scholar databases (end-of-search:May 12,2020). Studies examining the relationship between economic crisis and cardiovascular health in the 20th and 21st century, were included. The quality of included studies was assessed using the Newcastle-Ottawa Quality scale and AHRQ standards.
Results: The 38 eligible studies focused on impact of economic downturns on overall CV incidence, CV mortality, cardiac arrhythmias, and other heart diseases; 27 ecological studies, 6 cohort studies, 2 register-based studies and 3 cohort surveys included. Of those, 21(55%) were considered as high, 15(40%) at moderate, and only 2(5%) at low risk of bias, limiting the conclusions that can be drawn. Even though there were differences across countries and groups, there was some evidence that CVD morbidity increased and deteriorated during the crisis. Perversely, CVD mortality seems to be decreased during economic recessions. Results on self rated health and other indicators were mixed.
Discussion: Increased levels of psychosocial stress resulting from unemployment, low income, uncertainty, daily habits as well as changes in SES, were the main reasons of cardiovascular health deterioration in times of economic hardship. Additional quantitative analysis on CVD outcomes and economic factors seems desirable.
Main subject category:
Health Sciences
Keywords:
Economic crisis, Recession, Cardiovascular health, Heart diseases, Systematic review
Number of references:
111
