Trends of Mortality in Greece Prior to and During Its Current Financial Crisis (2009-2015)

Konstantinos Z Vardakas; Margarita Kyriakidou; Katerina N Apiranthiti; Spiridoula E Almpani; Dominiki Heliou; Dimitra Stratigopoulou; Eleni Giourmetaki; Dimitra Lamprou; Georgia Binou; Elena Mpaltzoglou; Matthew E Falagas

doi:10.5041/RMMJ.10368

Trends of Mortality in Greece Prior to and During Its Current Financial Crisis (2009-2015)

Rambam Maimonides Med J. 2019 Jul 18;10(3):e0015. doi: 10.5041/RMMJ.10368.

Authors

Affiliations

¹ Alfa Institute of Biomedical Sciences, Athens, Greece.
² Department of Internal Medicine, Henry Dunant Hospital Center, Athens, Greece.
³ Department of Applied Mathematical and Physical Sciences, National Technical University of Athens, Athens, Greece.
⁴ Department of Internal Medicine, Tufts University School of Medicine, Boston, MA, USA.

Abstract

Objectives: To study mortality changes in Greece prior to and during the financial crisis.

Study design: Analysis of data by the Hellenic Statistical Authority (1955-2015).

Results: During the crisis, mortality increased from 9.76/1000 in 2009 to 10.52/1000 in 2012 and to 11.16/1000 in 2015, driven by an increase in the number of deaths and a decrease in the estimated population. The annual increase of the expected mortality accelerated during the crisis; in contrast, age-adjusted mortality continued to decrease up to 2014 and increased in 2015. The subpopulations that seemed to be affected more during the crisis were the elderly (especially those over 70 years), women, and citizens in southern Greece. The common denominator of all these subgroups was older age. Mortality due to heart diseases continued to decline at an accelerated pace; due to neoplasia continued to increase at an accelerated pace; and stroke mortality reversed (from decline to increment).

Conclusions: The increment of crude mortality during the financial crisis in Greece should be attributed to the increase in deaths, only in part due to the aging population, the reduction in births, and the increase in emigration that contracted the population.