Lifestyles in Italy during the crisis: changes in unhealthy behaviors according to the occupational conditions

Author/s Simone Sarti, Marco Terraneo, Mara Tognetti Bordogna
Publishing Year 2018 Issue 2018/150
Language Italian Pages 26 P. 23-48 File size 257 KB
DOI 10.3280/SL2018-150002
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Sociological literature recognizes in social structure an important determinant of individuals’ health conditions. A large number of studies stress the influence of social stratification, such as education and occupational position, on health indicators. However, we also know that the worsening of socio-economic conditions is only partly transmitted directly. In fact, many effects are associated with individual and familial lifestyles. Moreover, it’s important to describe the dynamics of these relationships also considering macro-changes, such as those imposed by the economic crisis. For example, some authors argue that phases of economic recession produce ambivalent effects on health. In this perspective this work shows changes in some risk factors in the years of the crisis associated with territorial dimension and the job position. The study uses data from ISTAT Multiscope Data Aspects of Daily Life (2005-2013). The analyzes are conducted with multivariate multilevel regression techniques. Among the epidemiologically validated risk factors we stress the followings: 1) smoking, 2) alcohol, 3) obesity and diet, and 4) physical activity. The results show a substantial stability over years considered, with the exception of a general decrease in alcohol consumption. The occupational stratification of unhealthy lifestyles would remain substantially unchanged, meanwhile the only social category that appears to be wors-ening (in particular smoking and physical activity) is composed of unemployed persons in southern Italy, an area strongly impacted by the crisis.

Keywords: Lifestyles, health inequalities, economic crisis, social class, occupational groups

  1. Schizzerotto A., a cura di (2002). Vite ineguali. Disuguaglianze e corsi di vita nell’Italia contemporanea. Bologna: il Mulino.
  2. Asgeirdottir T.L., Corman H., Noonan K., Olafsdottir P., Reichman N.E. (2014). Was the economic crisis of 2008 good for Icelanders? Impact on health behaviors. Economics and Human Biology, 13: 1-19.
  3. Bonaccio et al. (2014). Decline of the Mediterranean diet at a time of economic crisis. Results from the Moli-sani study. Nutrition, Metabolism and Cardiovascular Disease, 24: 853-860.
  4. Charles K.K., DeCicca P. (2008). Local labor market fluctuations and health: is there a connection and for whom? Journal of Health Economics, 27(6): 1532-1550.
  5. Colman G., Dave D. (2013). Exercise, physical activity, and exertion over the business cycle. Social Science & Medicine, 93: 11-20.
  6. Costa G. et al. (2012). Gli indicatori di salute ai tempi della crisi in Italia. Epidemiologia & Prevenzione, 36(3): 337-366.
  7. Costa, G., Marra M., Salmaso S. (2013). La salute ai tempi della crisi, in Giansini, G. F., Nicelli A.L., Trabucchi M., Vanara F. (2013). Rapporto Sanita 2013. Sistema sanitario e sviluppo del Paese: alcune specificita in tempo di crisi. Bologna: Fondazione Smith Kline, il Mulino.
  8. Costa et al., a cura di (2014). Equita nella salute in Italia. Milano: FrancoAngeli.
  9. Snijders T.A., Bosker R.J. (2011). Multilevel Analysis: An Introduction to Basic and Advanced Multilevel Modeling. SAGE.
  10. Davalos M., Fang H., French M.T. (2012). Easing the pain of an economic downturn: macroeconomic conditions and excessive alcohol consumption. Health Economics, 21(11): 1318-1335. Dave D.M., Kelly I.R. (2012). How does the business cycle affect eating habits? Social Science & Medicine, 74(2): 254-262.
  11. De Vogli R., Marmot M., Stuckler D. (2013). Excess suicides and attempted suicides in Italy attributable to the great recession. Journal of epidemiology and community health, 67(4): 378-379.
  12. Della Bella S., Tognetti Bordogna M. (2011). A comparative analysis of inequality in health across Europe. Sociological Research Online, 16(4): 1-15.
  13. Economou M., Madianos M., Theleritis C., et al. (2011). Increased suicidality amid economic crisis in Greece. The Lancet, 378: 1459.
  14. Filippidis F.T., Schoretsaniti S., Dimitrakaki C., Vardavas C.I., Behrakis P., Connolly G.N., Tountas Y. (2014). Trends in cardiovascular risk factors in Greece before and during the financial crisis: the impact of social disparities. European Journal of Public Health, 24: 974-979.
  15. Gallus S., Ghislandi S., Muttarak R. (2015). Effects of the economic crisis on smoking prevalence and number of smokers in the USA. Tobacco control, 24(1): 82-88.
  16. Gorini G., Carreras G., Allara E., Faggiano F. (2013). Decennial trends of social differences in smoking habits in Italy: a 30-year update. Cancer Causes & Control, 24(7): 1385-1391.
  17. Henkel D. (2011). Unemployment and substance use: a review of the literature (1990-2010). Current drug abuse reviews, 4(1): 4.
  18. Karanikolos M., Mladovsky P., Cylus J., Thomson S., Basu S., Stuckler D., McKee M. (2013). Financial crisis, austerity, and health in Europe. The Lancet, 381(9874): 1323-1331.
  19. Mackenbach J.P., Stirbu I., Roskam A.J., Schaap M.M., Menvielle G., Leinsalu M., Kunst A.E., European Union Working Group on Socioeconomic Inequalities in Health (2008). Socioeconomic inequalities in health in 22
  20. European countries. N Engl J Med, 358: 2468-2481.
  21. Marmot M.G., Bell R. (2009). How will the financial crisis affect health? British Medical Journal, 338: b1314.
  22. Marmot M., Allen J., Bell R., Bloomer E., Goldblatt P. (2016). WHO European review of social determinants of health and the health divide. The Lancet, 380(9846): 1011-1029. DOI: 10.1016/S0140-6736(12)61228-8
  23. Marra M., Migliardi A., Costa G. (2015). Disuguali a tavola ma non troppo: le differenze sociali nell’alimentazione in Italia prima e durante la crisi. Epidemiologia e Prevenzione, 39(5-6): 322-331.
  24. McClure C.B., Valdimarsdóttir U.A., Hauksdóttir A., Kawachi I. (2012). Economic crisis and smoking behaviour: prospective cohort study in Iceland. BMJ open, 2(5).
  25. Ruhm C., Black W. (2002). Does drinking really decreases in bad times? Journal of Health Economics, 21: 659-78.
  26. Ruhm C.J. (2005). Healthy living in hard times. Journal of Health Economics, 24(2): 341-363.
  27. Ruhm C.J., (2000). Are recessions good for your health? The Quarterly Journal of Economics, 115(2): 617-650. Sarti S. (2006). La classe sociale, in buona salute. Polis, 20(3): 317-346.
  28. Sarti S., Vitalini A. (2016). La salute degli italiani prima e dopo la crisi economica (2005-2013): alcune evidenze empiriche sulle categorie sociali a maggior rischio di impatto. Quaderni di Sociologia, (72): 31-55.
  29. Sarti S., Zella S. (2016). Changes in the labour market and health inequalities during the years of the recent economic downturn in Italy. Social science research, 57: 116-132.
  30. Sofi F., Cesari F., Abbate R., Gensini G.F., Casini A. (2008). Adherence to Mediterranean diet and health status: meta-analysis. BMJ, 337: a1344.
  31. Suhrcke M., Stuckler D. (2012). Will the recession be bad for our health? It depends. Social Science & Medicine, 74: 647-653.
  32. Terraneo M. (2018). La salute negata. Le sfide dell’equita in prospettiva sociologica. Milano: FrancoAngeli.
  33. Tognetti Bordogna M. (2017). Nuovi scenari di salute. Per una sociologia della salute e della malattia. Milano: FrancoAngeli.
  34. van Gool K., Pearson M. (2014). Health, Austerity and Econiomic Crisis. Assessing the short-term impact in OECD countries. OECD Health Working Paper, n. 76, OECD Publishing.
  35. WHO (2013). Review of social determinants and the health divide in the WHO European Region: final report, WHO Regional Office for Europe.
  36. WHO (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). Geneva: WHO.
  37. Xu X., Kaestner R. (2010). The business cycle and health behaviors. National Bureau of Economic Research, Working Paper No. 15737.
  38. Zengarini N., Spadea T., Ranzi A., D’Errico A. (2014). Principali meccanismi di generazione delle disuguaglianze di salute: i determinanti distali e prossimali e il loro impatto relativo. In: Costa et al., a cura di, Equita nella salute in Italia (pp. 73-136). Milano: FrancoAngeli.

  • The 2008 Financial Crisis and Changes in Lifestyle-Related Behaviors in Italy, Greece, Spain, and Portugal: A Systematic Review Monica Sane Schepisi, Anteo Di Napoli, Rosario Asciutto, Simona Vecchi, Concetta Mirisola, Alessio Petrelli, in International Journal of Environmental Research and Public Health /2021 pp.8734
    DOI: 10.3390/ijerph18168734

Simone Sarti, Marco Terraneo, Mara Tognetti Bordogna, Stili di vita nell’Italia della crisi: il cambiamento nelle abitudini insalubri secondo le condizioni lavorative in "SOCIOLOGIA DEL LAVORO " 150/2018, pp 23-48, DOI: 10.3280/SL2018-150002