Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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The Association Between Public Social Expenditure and Suicides: Evidence from OECD Countries

공공사회지출이 자살률에 미치는 영향: OECD 국가를 중심으로

  • Park, Yoo-Jin (Seoul National University Graduate School of Public Health) ;
  • Kim, Myoung-Hee (Department of Preventive Medicine Eulji University College of Medicine) ;
  • Kown, Soon-Man (Seoul National University Graduate School of Public Health) ;
  • Shin, Young-Jeon (Department of Preventive Medicine Hanyang University School of Medicine)
  • 박유진 (서울대학교 보건대학원) ;
  • 김명희 (을지대학교 의과대학 예방의학교실) ;
  • 권순만 (서울대학교 보건대학원) ;
  • 신영전 (한양대학교 의과대학교 예방의학교실)
  • Published : 2009.03.31
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Abstract

Objectives : This study aimed to examine the association between public social expenditure(PSE) and suicides in the 27 countries of the Organization for Economic Cooperation and Development(OECD) from 1980 to 2003. Methods : The age-standardized suicide rates and their annual change(%) were obtained from the OECD Health Data 2007. As a measure of social protection, the PSE(% GDP) was used. The covariates included the annual divorce rate(/100,000 population), fertility rate(number of children/woman aged 15 to 49 years), GDP per capita(US$ PPP), male unemployment rate(%), life expectancy(years) and alcohol consumption(liter/capita) for each country, which were all obtained from the OECD Health Data 2007 and the OECD Social Indicators 2006. Using hierarchical linear models that included these covariates, the effects of PSE on suicides(Model 1) and the annual percent change (Model 2) were examined(Model 3). Also, sub-sample analyses were done for six countries that experienced political/economic transition. Results : We could not find significant effects of PSE on suicides(Model 1), but we observed significantly negative effects on the annual percent change for men and women(Model 2). Such findings were replicated in the sub-sample analysis, and moreover, the effect size was much larger(Model 3). Conclusions : Our finding suggests that social welfare protection can be a pivotal factor for suicide epidemiology, and especially in countries experiencing a social crisis or transition.

Keywords

References

  1. World Health Organization. WHO Mortality 2006. Geneva: World Health Organization; 2006
  2. McLoone P. Suicide and deprivation in Scotland. BMJ 1996; 312(7030): 543-544 https://doi.org/10.1136/bmj.312.7030.543
  3. Park JY, Moon KT, Chae YM, Jung SH. Effects of sociodemographic factors, cancer, psychiatric disorder on suicide: Gender and age-specific patterns. J Prev Med Public Health 2008; 41(1): 51-60. (Korean) https://doi.org/10.3961/jpmph.2008.41.1.51
  4. Maris R, Berman A, Silverman M. Comprehensive Textbook of Suicidology. London: The Guilford Press; 2000
  5. Organization for Economic Cooperation and Development. OECD Health Data 2007. Paris: Organization for Economic Cooperation and Development; 2007
  6. Jae YM. Suicide suicidal attempt mental disorder. J Korean Soc Biol Ther Psychiatry 2004; 10(1): 3-10. (Korean)
  7. Kim W, Bahk WM. Do SSRIs really induce suicidal behavior: The critical review of evidences. Korean J Psychopharmacol 2007; 18(1): 25-35. (Korean)
  8. Park JS, Lee JY, Kim SD. A study for effects of economic growth rate and unemployment rate to suicide rate in Korea. Korean J Prev Med 2003; 36(1): 85-91. (Korean)
  9. Happy President? (The highest suicide rate, social homicide, after IMF). Medipharmnews [Internet], 2004 Sep 08 [cited 2008 Sep 14]. Available from: URL: http://medipharmnews.co.kr/newsbuilder/service/article/mess.asp?P_Index=11468
  10. Song HG. Globalization and Welfare States. Paju: Nanam Co.; 2001. (Korean)
  11. Zimmerman S. States public welfare expenditures as predictors of state suicide rates. Suicide Life Threat Behav 1987; 17(4): 271-287 https://doi.org/10.1111/j.1943-278X.1987.tb00068.x
  12. Minoiu C, Andres A. The effect of public spending on suicide: Evidence from U.S. state data. J Socio Econ 2008; 37(1): 237-261 https://doi.org/10.1016/j.socec.2006.09.001
  13. Robert H, Viola B. Comparative Health Policy. 2nd ed. New York: Palgrave macmillan; 2007
  14. Shin D. Cultural and social-structural causes of homicide and suicide: A test for Merton s Anomie Theory. Korean Sociol Assoc 2004; 38(4): 33-71. (Korean)
  15. Lynch J, Smith GD, Harper S, Hillemeier M. Is income inequality a determinant of population health? Part 2. U.S. National and regional trends in income inequality and age- and causespecific mortality. Milbank Q 2004; 82(2): 355-400 https://doi.org/10.1111/j.0887-378X.2004.00312.x
  16. Howden-Chapman P, Hales S, Chapman R, Keskimaki I. The Impact of Economic Recession on Youth Suicide: A Comparison of New Zealand and Finland. Wellington: Ministry of Health; 2005
  17. Veronika VE. Structural features of female employment status and earnings mobility: The experience in Germany. Rev Soc Econ 2003; 61(4): 511-533 https://doi.org/10.1080/0034676032000160912
  18. Organization for Economic Cooperation and Development. Society at a Glance: OECD Social Indicators 2006. Paris: Organization for Economic Cooperation and Development; 2006
  19. Andres A. Income inequality, unemployment, and suicide: A panel data analysis of 15 European countries. Appl Econ 2005: 37(4); 439-451 https://doi.org/10.1080/0003684042000295304
  20. Cormier HJ, Klerman GL. Unemployment and male-female labor force participation as determinants of changing suicide rates of males and females in Quebec. Soc Psychiatry 1985; 20(3): 109-114 https://doi.org/10.1007/BF00583575
  21. Judith DS. Using sas proc mixed to fit multilevel models, hierarchical models, and individual growth models. J Educ Behav Stat 1998; 23(4): 323-355
  22. Nasrullah M, Laflamme L, Khan J. Does economic level similarly matter for injury mortality in the OECD and non-OECD countries? Safety Sci 2008; 46(5): 784-791 https://doi.org/10.1016/j.ssci.2007.01.007
  23. Isacsson G. Suicide prevention: A medical breakthrough? Acta Psychiatr Scand 2000; 102(2): 113-117 https://doi.org/10.1034/j.1600-0447.2000.102002113.x
  24. Lorant V, Kunst AE, Huisman M, Bopp M, Mackenbach J; The EU Working Group. A European comparative study of marital status and socio-economic inequalities in suicide. Soc Sci Med 2005; 60(11): 2431-2441 https://doi.org/10.1016/j.socscimed.2004.11.033
  25. Hassen R. Social Factors in Suicide in Australia. Australia: Australian Institute of Criminology; 1996
  26. Durkheim E. Le Suicide. Kim CS, translator. Paju: Chungabook Co.; 2005. (Korean)
  27. Kim H, Song YJ, Yi JJ, Chung WJ, Nam CM. Changes in mortality after the recent economic crisis in South Korea. Ann Epidemiol 2004; 14(6): 442-446 https://doi.org/10.1016/j.annepidem.2003.09.018
  28. Makinen IH. Eastern European transition and suicide mortality. Soc Sci Med 2000; 51(9): 1405-1420 https://doi.org/10.1016/S0277-9536(00)00105-2
  29. Makinen IH. Suicide mortality of Eastern European regions before and after theCommunist period. Soc Sci Med 2006; 63(2): 307-319 https://doi.org/10.1016/j.socscimed.2006.01.002
  30. Lisa B, Ichiro K. Social Epidemiology. Shin YJ, Kim MH, Jeon HJ, Kim SH, translator. Seoul: Hanul academy Co.; 2003. (Korean)
  31. Chung H, Muntaner C. Political and welfare state determinants of infant and child health indicators: An analysis of wealthy countries. Soc Sci Med 2006; 63(3): 829-842 https://doi.org/10.1016/j.socscimed.2006.01.030
  32. Navarro V, Muntaner C, Borrell C, Benach J, Quiroga A, Rodríguez-Sanz M, et al. Politics and health outcomes. Lancet 2006; 368(9540): 1033-1037 https://doi.org/10.1016/S0140-6736(06)69341-0
  33. Ben-Shlomo Y. Real epidemiologists don t do ecological studies? Int J Epidemiol 2005; 34(6): 1181-1182 https://doi.org/10.1093/ije/dyi242
  34. Schwartz S. The fallacy of the ecological fallacy: The potential misuse of a concept and the consequences. Am J Public Health 1994; 84(5): 819-824 https://doi.org/10.2105/AJPH.84.5.819

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