@article{ref1,
title="Unemployment, bankruptcies, and deaths from multiple causes in the CoViD-19 recession compared with the 2000‒2018 Great Recession impact",
journal="American journal of public health",
year="2021",
author="Brenner, M. Harvey",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVEs. To determine whether unemployment and bankruptcy rates are related to increased excess deaths during the COVID-19 recession and to examine whether the current recession-based mortality rate not only is dependent on COVID-19 but also continues the pattern of recessions, especially the Great Recession, in relation to chronic disease mortality rates and mental health disturbances (e.g., including suicide) from 2000 to 2018. <br><br>METHODS. This study used pooled cross-sectional time series analysis to determine the impact of unemployment and bankruptcy rates on excess deaths from February to November 2020 for US states. The study used a second pooled cross-sectional time series analysis to determine whether the COVID-19‒ era recessional mortality continues the impact of prepandemic recessions (2000-2018) on multiple causes of mortality. <br><br>RESULTS. When unemployment was at ten percent in January 2021, it was associated with approximately 48 149 excess deaths. At the same time, if bankruptcies are also accounted for at a similar recessional level, the combined effect of both produces 35 700 and 144 483 excess deaths, for unemployment and bankruptcies, respectively. These health-damaging COVID-19‒recessional findings suggest a reiteration of the significantly increased major cause‒specific mortality during 2000 to 2018, mitigated by the size of the health care workforce. <br><br>CONCLUSIONS. Minimization of deaths attributable to the COVID-19 recession requires ample funding for the unemployed and underemployed, especially Black and Hispanic communities, along with significant investments in the health workforce. (Am J Public Health. Published online ahead of print October 28, 2021:e1-e11. https://doi.org/10.2105/AJPH.2021.306490).<p /> <p>Language: en</p>",
language="en",
issn="0090-0036",
doi="10.2105/AJPH.2021.306490",
url="http://dx.doi.org/10.2105/AJPH.2021.306490"
}