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Is this economic downturn just what the doctor ordered?

September 28, 2009 | 12:00 pm

If the recession has you worried about paying for visits to the doctor, here’s a small silver lining: a new study strengthens the link between a bad economy and good health.


The Great Depression that began with the stock market crash of 1929 was the economic low point of the 20th century. The economy shrank at annual rates reaching 14%, and unemployment peaked at 22.9%. The recovery didn’t begin until the middle of 1933.

And yet, public health was never better, according to a variety of measures laid out in a report by researchers from the University of Michigan.

Life expectancy, which had been stable or declining throughout the 1920s, increased during the Great Depression. For instance, life expectancy for nonwhite men fell by 8.1 years during the economic growth years of 1921 to 1926 but grew by the same amount between 1929 and 1933. Nonwhite women lost 7.4 years of life expectancy in the early and mid-1920s and gained back 8.2 years during the Depression, according to the study in Tuesday’s edition of Proceedings of the National Academy of Sciences.

In the 1930s, about two-thirds of all deaths were attributable to just six causes. Deaths due to cardiovascular and renal diseases rose during the 1920s but stabilized in the early 1930s. Tuberculosis deaths, which fell sharply in the '20s, kept on falling in the '30s. Influenza and pneumonia were less deadly in the 1930s than they had been the previous decade.

Several of these measures oscillated quite a bit during the 1920s and 1930s, as did the country’s gross domestic product. Using statistical techniques, the researchers were able to correlate these changes in health and economic conditions throughout the 20-year period.

How could this be true? The researchers offer several theories. When the economy is growing, people tend to sleep less and smoke and drink more. They also engage in more strenuous labor, endure more work stress and breathe more polluted air. Traffic and industrial accidents rise.

The researchers did find one exception to the overall trend. Suicides rose when times got worse. But since suicides accounted for fewer than 2% of all deaths, they didn’t change the overall findings.

-- Karen Kaplan

Photo: These men registering for unemployment relief had a lower risk of death during the Great Depression. Credit: Corbis /UPI / Bettmann

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Comments (5)

Ok well that is good news: the glass is half full. In times of hardship we naturally do more with less and focus on the core vs. peripheral concerns of our lives.

"When the economy is growing, people tend to sleep less and smoke and drink more."

Fascinating. Wonder if the people who survived the layoffs back then worked as hard as the survivors are now. That kind of stress, one would think, would contribute to poor health.

These reports about how healthy or unhealthy people were in the 1920's and 30's are irrelevant today. Antibiotics were not discovered until 1944, let alone all the marvelous medical/technilogical discoveries that have been made since that long ago time.
Do you really think that ALL the deaths of ALL the people were really recorded in a time when there was not even electricity in most of the country? Of course not.
Recessions, depressions are NOT good news at any time in history. It means that many, many people die. Period.
The ONLY good news that could possibly arise from this latest recession is the fact that many people are cutting back on unnecessary spending. It means that a lot, and I mean A LOT, of small businesses who benefited from the overflowing coffers of those who believed themselves to be rich, those businesses are now gone...and will remain gone.
As far as health care goes, everyone is healthy until the day they are not. Then everything changes forever.
America is in the painful process of accepting the fact that we, as a country, simply do not care about those of us who are ill.
Pay up or die is the American way. And, so it will be.

Well of course influenza was less deadly, we had just come out of a world wide pandemic in the previous decade (1918-1921).

This reads like a bunch of poorly cross-referenced statistics tossed like a Greek salad then presented with no real context. The old saw about 'anything can be proven with statistics' has just been re-sharpened.


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