From: Austerity policy and child health in European countries: a systematic literature review
Type of study (first author, year) | Country/−ies | Exposure measure (year/s of study, source of data) | Outcome measure | Risk of bias (% of the total score-STROBE) |
---|---|---|---|---|
Average score = 72.1 | ||||
Cross-sectional | ||||
Horridge et al. 2019 [16] | 32 EU countries | Survey to professionals and families/children. Countries classified according to the level of austerity following the European Union’s Maastricht criteria (2016–17) | Healthcare services to disabled children. Requests on changes in the quality and characteristics of services in the last years | Intermediate (70.4) |
Trends over time - Repeated cross-sectional analysis | ||||
Chzhen et al. 2017 [17] | 30 EU countries (27 EU plus Iceland, Norway, Switzerland) | Spending on Social protection as a share of GDP (EU-SILC) (2008–13) | Relative and anchored (2008) child poverty rates | Low (78.75)a |
Gunnlaugsson 2015 [18] | Iceland | Governmental responses to the crisis (2004–14) | Social determinants and child health | Low (76.25)a |
Herranz-Aguayo et al. 2016 [19] | Spain and Portugal | Government investment in family function (EU-SILC) | Child poverty rates and AROPE taxes | Intermediate (62.5)a |
Nygard et al. 2019 [20] | 22 EU countries | Public expenditure on family cash benefits and in-kind transfer benefits (OECD) (2006–15) | Child poverty rates (EU-SILC) | Low (87.5)a |
Rajmil et al. 2018 [21] | 16 EU countries | Countries stratified in 3 austerity groups according to the CAPB (IMF) (2005–15) | Material deprivation, child poverty, perinatal outcomes (EU-SILC), (OECD) | Low (82.5)a |
Rajmil et al. 2015 [22] | Spain | Government responses to the crisis (2005–13) | Social determinants, child health, and HCS | Intermediate (67.5)a |
Robinson et al. 2019 [23] | England | Effects during and after the English inequality strategy (1998–2010 / 2011–17) | IM according to the Towsend index of deprivation area in quintiles | Low (83.7)a |
Toffolutti et al. 2018 [24] | Italy | Public health expenditure 2000–14 | MMR coverage by health region | Low (82.5)a |
Zografaki et al. 2018 [25] | Greece | Changes in perinatal outcomes centered on the long term trends (1980–2004 and 2004–14) | Perinatal outcomes at early (2008–10) and “established crisis” (2011–14) | Intermediate (67) |
Before-after approach | ||||
D’Agostino et al.2019 [26] | Italy, Greece, France, United Kingdom | Changes in social protection benefits (EU-SILC) (2009/14) | Monetary and non-monetary indicators of well-being | Intermediate (75)a |
Stefansson et al. 2018 [27] | Iceland | People own assessment of their ability to make ends meet (EU-SILC) (2009/14) | Material deprivation by dimensions, vulnerability | High (46.25)a |
Cohort study | ||||
Reinhard et al. 2018 [28] | Ireland | Cohort GUI; 3 waves included a question on reduction in social welfare benefits (2009/11/13) | Family living conditions; child health, etc | Low (82.9) |
Qualitative study | ||||
Stalker et al. 2015 [29] | Scotland | Survey to providers for disabled children, and focus groups with carers and children (2011–13) | Changes in access and quality of services after budget cuts | STROBE: High (47.7) EPICURE (intermediate risk) |