Effect of Austerity Measures on Infant Mortality: Evidence From Greece.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Effect of Austerity Measures on Infant Mortality: Evidence From Greece.
Συγγραφείς: Kolesar RJ; Centre d'Etudes et Recherche sur le Développement International (CERDI), Université Clermont Auvergne, Clermont-Ferrand, France., Spruk R; University of Ljubljana, Ljubljana, Slovenia.; The University of Western Australia, Perth, Australia.
Πηγή: Health economics [Health Econ] 2026 Aug; Vol. 35 (8), pp. 1175-1191. Date of Electronic Publication: 2026 Apr 16.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley Country of Publication: England NLM ID: 9306780 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-1050 (Electronic) Linking ISSN: 10579230 NLM ISO Abbreviation: Health Econ Subsets: MEDLINE
Imprint Name(s): Original Publication: Chichester ; New York : Wiley, c1992-
Ιατρικοί όροι (MeSH): Infant Mortality*/trends , Economic Recession*/statistics & numerical data, Greece/epidemiology ; COVID-19/epidemiology ; Humans ; Infant ; Female ; Male ; Infant, Newborn
Περίληψη: Governments frequently adopt austerity policies when facing economic crises, yet their long-term consequences for population health remain incompletely understood. This paper examines the impact of large-scale fiscal austerity on infant mortality by exploiting the Troika-led economic adjustment program implemented in Greece beginning in 2010 as a quasi-experimental shock. Using the synthetic control method, we construct a counterfactual for Greece based on OECD and Union for the Mediterranean countries that did not experience austerity of comparable depth or duration. Relative to this counterfactual, Greece experienced a sharp and persistent increase in infant mortality following the onset of austerity. The divergence emerges immediately after 2010, remains statistically significant throughout the post-intervention period, and shows little evidence of full reversion prior to the COVID-19 pandemic. The estimated effect corresponds to an average 43 percent increase in the infant mortality rate. Mortality effects are larger for boys than for girls and are concentrated in the neonatal period. Accounting explicitly for the fertility decline, we estimate approximately 854 excess infant deaths cumulatively from 2010 to 2020. Extensive robustness checks support the findings. The results identify the total effect of austerity and highlight the importance of protecting early-life health during fiscal consolidation.
(© 2026 The Author(s). Health Economics published by John Wiley & Sons Ltd.)
References: Reprod Health. 2020 Dec 17;17(Suppl 3):187. (PMID: 33334356)
Lancet. 2013 Apr 13;381(9874):1323-31. (PMID: 23541059)
J Epidemiol Community Health. 2023 May;77(5):305-314. (PMID: 36813545)
Lancet. 2011 Oct 22;378(9801):1457-8. (PMID: 21988763)
Sci Rep. 2017 Apr 10;7:46423. (PMID: 28393903)
BMC Health Serv Res. 2016 Jul 27;16:309. (PMID: 27460938)
Cureus. 2024 May 31;16(5):e61418. (PMID: 38947716)
Epidemiology. 2021 Sep 1;32(5):653-660. (PMID: 34183528)
Health Policy. 2018 Apr;122(4):352-358. (PMID: 29290394)
Eur J Public Health. 2017 Oct 1;27(suppl_4):18-21. (PMID: 29028245)
Arch Dis Child Fetal Neonatal Ed. 2015 Sep;100(5):F439-47. (PMID: 25972443)
Lancet. 2018 Feb 10;391(10120):525-526. (PMID: 29617228)
PLoS Med. 2012;9(8):e1001287. (PMID: 22952433)
Hippokratia. 2022 Jul-Sep;26(3):98-104. (PMID: 37324039)
Cureus. 2024 Aug 20;16(8):e67295. (PMID: 39165622)
BMJ Open. 2018 Oct 12;8(10):e022932. (PMID: 30317184)
Lancet. 2005 Mar 5-11;365(9462):891-900. (PMID: 15752534)
Health Econ. 2026 Aug;35(8):1175-1191. (PMID: 41988926)
Eur J Public Health. 2018 Dec 1;28(6):1116-1121. (PMID: 29788184)
Soc Sci Med. 2022 Nov;313:115397. (PMID: 36194952)
Econ Hum Biol. 2014 Mar;13:1-19. (PMID: 23659821)
Lancet. 2014 May 3;383(9928):1543. (PMID: 24792847)
Am Econ Rev. 2015 Mar;105(3):1067-1104. (PMID: 25999599)
Annu Rev Public Health. 2011;32:431-50. (PMID: 21054175)
Health Econ. 2005 Sep;14(Suppl 1):S151-68. (PMID: 16161195)
J Health Polit Policy Law. 2005 Feb-Apr;30(1-2):143-67. (PMID: 15943391)
Lancet Public Health. 2016 Dec;1(2):e56-e65. (PMID: 29253418)
Health Syst Transit. 2017 Sep;19(5):1-166. (PMID: 29972131)
BMC Pregnancy Childbirth. 2013 May 02;13:101. (PMID: 23638921)
Int J Health Serv. 2016;46(1):5-35. (PMID: 26536911)
J Health Econ. 2015 Sep;43:103-17. (PMID: 26218985)
Cureus. 2025 Apr 3;17(4):e81657. (PMID: 40182171)
Demography. 2013 Apr;50(2):421-44. (PMID: 23151996)
Int J Equity Health. 2012 Aug 16;11:45. (PMID: 22898293)
Health Econ Policy Law. 2015 Jan;10(1):83-99. (PMID: 25662198)
Eur J Public Health. 2012 Feb;22(1):4-5. (PMID: 22199160)
Econ Hum Biol. 2018 Sep;30:162-171. (PMID: 30053639)
Lancet. 2014 May 3;383(9928):1544-5. (PMID: 24792849)
Health Policy. 2015 Jul;119(7):941-53. (PMID: 25979416)
Lancet. 2014 Feb 22;383(9918):748-53. (PMID: 24560058)
Lancet. 2014 Feb 22;383(9918):691-2. (PMID: 24560048)
Swiss J Econ Stat. 2018;154(1):11. (PMID: 30443504)
Eur J Public Health. 2013 Oct;23(5):727-31. (PMID: 23417622)
Lancet. 2015 Dec 5;386(10010):2275-86. (PMID: 26361942)
Health Policy. 2013 Nov;113(1-2):8-12. (PMID: 23790265)
Soc Sci Med. 2012 Aug;75(4):754-60. (PMID: 22651898)
Hum Biol. 2002 Dec;74(6):879-88. (PMID: 12617496)
BMC Public Health. 2020 May 19;20(1):564. (PMID: 32423441)
J Epidemiol Community Health. 2003 May;57(5):344-6. (PMID: 12700217)
Health Policy. 2014 Apr;115(2-3):111-9. (PMID: 24589039)
Int J Environ Res Public Health. 2020 Sep 11;17(18):. (PMID: 32932859)
Scand J Public Health. 2007;35(3):288-97. (PMID: 17530551)
BMJ. 2022 Nov 23;379:o2712. (PMID: 36418028)
Health Econ. 2016 Dec;25(12):1514-1528. (PMID: 26443693)
BMC Pregnancy Childbirth. 2021 Jan 6;21(1):13. (PMID: 33407233)
Econ Hum Biol. 2018 Feb;28:29-37. (PMID: 29197240)
Cureus. 2023 Jul 3;15(7):e41333. (PMID: 37546097)
Soc Sci Med. 2015 Apr;131:82-8. (PMID: 25769106)
BMJ Open. 2019 Aug 18;9(8):e025287. (PMID: 31427311)
Pediatrics. 1971 Dec;48(6):902-6. (PMID: 5129451)
Contributed Indexing: Keywords: Greece; austerity; infant mortality; synthetic control method
Entry Date(s): Date Created: 20260416 Date Completed: 20260702 Latest Revision: 20260813
Update Code: 20260813
PubMed Central ID: PMC13327493
DOI: 10.1002/hec.70107
PMID: 41988926
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1099-1050
DOI:10.1002/hec.70107