TY - JOUR AU - Ruhm,Christopher J. TI - Economic Expansions Are Unhealthy: Evidence from Microdata JF - National Bureau of Economic Research Working Paper Series VL - No. 8447 PY - 2001 Y2 - August 2001 UR - http://www.nber.org/papers/w8447 L1 - http://www.nber.org/papers/w8447.pdf N1 - Author contact info: Christopher J. Ruhm Frank Batten School of Leadership and Public Policy University of Virginia 235 McCormick Rd. P.O. Box 400893 Charlottesville, VA 22904-40893 Tel: 434-243-3729 E-Mail: ruhm@virginia.edu AB - This study uses microdata from the 1972-1981 National Health Interview Surveys to examine how health status and medical care utilization fluctuate with state macroeconomic conditions, after controlling for personal characteristics, location fixed-effects, general time effects and (usually) state-specific time trends. The major finding is that there is a countercyclical variation in physical health that is especially pronounced for individuals of prime-working age, employed persons, and males. The negative health effects of economic expansions accumulate over several years, are larger for acute than chronic ailments, and occur despite increased use of medical care. Finally, there is some evidence that mental health is procyclical, in sharp contrast to physical well-being. ER -