Healthcare Utilization and Healthy Lifestyles among Elderly People Living in Southern Europe: Recent Evidence from the SHARE

Recent demographic and economic research has analyzed the expected increase in the proportion of the population who are elderly. One consequence of an increasing elderly population is expansion in health care utilization, hence funding problems may arise.. European institutions encourage member states to promote good health among their citizens to mitigate the ageing effects on the health care system. Our objective was to examine the effect of healthy lifestyles among Southern European older adults on health care utilization by focusing on the number of outpatient doctor visits (ODV) and nights hospitalized (NH). Negative binominal regressions were conducted using a panel data set consisting of five waves (2004–2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE). Our results add new empirical evidence on the effect of Southern European older adults’ lifestyles on their health care utilization. Engaging in vigorous physical activities reduces the number of ODV visits and NH by 7.8% and 28.25%, respectively. Moreover, smoking increases NH by 14.22%. Member states should establish policies to promote healthy lifestyles, with vigorous physical activities playing a key role, to reduce health services utilization.

     

Does Rising Income Inequality Reduce Life Expectancy? New Evidence for 26 European Countries (1995–2014)

An open debate these days is about how national income inequality could affect individuals’ health outcomes. Therefore, the present study aims to provide new evidence regarding life expectancy determinants and how they are related to the income inequality hypothesis. Precisely, it is provided new evidence on this relationship for 26 European countries during the period 1995–2014. The analysis is based on panel data techniques, with the latest data from both Eurostat and the OECD Health Statistics. Furthermore, data from the World Bank is also applied. Besides, we have tested the sensitivity of the estimates in our empirical analysis using three clusters of countries. Our results suggest that income inequality does not significantly reduce health in developed societies, like the European ones. Notwithstanding, as income inequality can be sometimes harmful for population health, these issues must be taken into account in order to improve health care policies.     

Examining an Alcohol consumption Kuznets Curve for developed countries

In this paper we expand the Simon Kuznets´ (1955) hypothesis to an ‘Alcohol consumption Kuznets curve’, showing that as income rise, further resources become available to buy more alcohol. Hence, people consume more alcohol and alcohol consumption rates increase. Nevertheless, as income rises, individual health becomes a more recognized point of interest and people decrease their alcohol consumption levels in order to increase their health status. For a selection of OECD countries, we find empirical evidence that alcohol consumption is influenced by income, inequality, unemployment rates, life expectancy and therefore the business cycle. Moreover, the demographic structure (ageing and youth ratio) does not affect the alcohol consumption level.