Impact of COVID-19 Containment Measures on Unemployment: A Multi-country Analysis Using a Difference-in-Differences Framework

Document Type : Original Article

Authors

Institute for Global Health, University College, London, UK

Abstract

Background 
At the start of the coronavirus disease 2019 (COVID-19) pandemic, in the absence of pharmaceutical interventions, countries resorted to containment measures to stem the spread of the disease. In this paper, we have conducted a global study using a sample of 46 countries to evaluate whether these containment measures resulted in
unemployment.

Methods 
We use a difference-in-differences (DID) specification with a heterogenous intervention to show the varying intensity effect of containment measures on unemployment, on a sample of 46 countries. We explain variations in unemployment from January-June 2020 using stringency of containment measures, controlling for gross domestic product (GDP) growth, inflation rate, exports, cases of COVID-19 per million, COVID-19-specific fiscal spending, time fixed effects, region fixed effects, and region trends. We conduct further subset analyses by COVID-cases quintiles and gross national income (GNI) per capita quintiles.

Results 
The median level of containment stringency in our sample was 43.7. Our model found that increasing stringency to this level would result in unemployment increasing by 1.87 percentage points (or 1.67 pp, after controlling for confounding). For countries with below median COVID-19 cases and below median GNI per capita, this effect is larger.

Conclusion 
Containment measures have a strong impact on unemployment. This effect is larger in poorer countries and countries with low COVID-19 cases. Given that unemployment has profound effects on mortality and morbidity, this consequence of containment measures may compound the adverse health effects of the pandemic for the most vulnerable groups. It is necessary for governments to consider this in future pandemic management, and to attempt to alleviate the impact of containment measures via effective fiscal spending.

Keywords

Main Subjects

References

  1. Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): the epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924. doi:1016/j.ijantimicag.2020.105924
  2. World Health Organization (WHO). WHO Director-General's Opening Remarks at the Media Briefing on COVID-19 - 11 March 2020. WHO; 2020. https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
  3. Johns Hopkins University. COVID-19 Dashboard by the Centre for Systems Science and Engineering (CSSE). Johns Hopkins University; 2021.
  4. Hale T, Petherick A, Phillips T, Webster S. Variation in government responses to COVID-19. Blavatnik school of government working paper. 2020;31.
  5. Bodenstein M, Corsetti G, Guerrieri L. Social distancing and supply disruptions in a pandemic. Quant Econom. 2022;13(2):681-721. doi:3982/qe1618
  6. Fong MW, Gao H, Wong JY, et al. Nonpharmaceutical measures for pandemic influenza in nonhealthcare settings-social distancing measures. Emerg Infect Dis. 2020;26(5):976-984. doi:3201/eid2605.190995
  7. World Health Organization (WHO). Coronavirus Disease 2019 (COVID-19): Situation Report, 44. WHO; 2020.
  8. Fang H, Wang L, Yang Y. Human Mobility Restrictions and the Spread of the Novel Coronavirus (2019-nCoV) in China. National Bureau of Economic Research; 2020.
  9. Greenstone M, Nigam V. Does Social Distancing Matter? Becker Friedman Institute for Economics Working Paper No. 2020-26. University of Chicago; 2020.
  10. Dave D, Friedson A, Matsuzawa K, Sabia JJ, Safford S. Were Urban Cowboys Enough to Control COVID-19? Local Shelter-in-Place Orders and Coronavirus Case Growth. National Bureau of Economic Research; 2020.
  11. Hsiang S, Allen D, Annan-Phan S, et al. The effect of large-scale anti-contagion policies on the COVID-19 pandemic. medRxiv [Preprint]. May 21, 2020. https://www.medrxiv.org/content/10.1101/2020.03.22.20040642v4.
  12. Gourinchas PO. Flattening the pandemic and recession curves. In: Baldwin RE, Weder B, eds. Mitigating the COVID Economic Crisis: Act Fast and Do Whatever. CEPR Press; 2020. p. 31.
  13. International Monetary Fund (IMF). World Economic Outlook Update, June 2020. IMF; 2020.
  14. Brodeur A, Gray D, Islam A, Bhuiyan S. A literature review of the economics of COVID-19. J Econ Surv. 2021;35(4):1007-1044. doi:1111/joes.12423
  15. Butterworth P, Rodgers B, Windsor TD. Financial hardship, socio-economic position and depression: results from the PATH Through Life Survey. Soc Sci Med. 2009;69(2):229-237. doi:1016/j.socscimed.2009.05.008
  16. Tucker-Seeley RD, Li Y, Subramanian SV, Sorensen G. Financial hardship and mortality among older adults using the 1996-2004 Health and Retirement Study. Ann Epidemiol. 2009;19(12):850-857. doi:1016/j.annepidem.2009.08.003
  17. Reddy SG. Population health, economics and ethics in the age of COVID-19. BMJ Glob Health. 2020;5(7):e003259. doi:1136/bmjgh-2020-003259
  18. Guerrieri V, Lorenzoni G, Straub L, Werning I. Macroeconomic Implications of COVID-19: Can Negative Supply Shocks Cause Demand Shortages? National Bureau of Economic Research; 2020.
  19. Gupta S, Montenovo L, Nguyen TD, et al. Effects of Social Distancing Policy on Labor Market Outcomes. National Bureau of Economic Research; 2020.
  20. Bauer A, Weber E. COVID-19: how much unemployment was caused by the shutdown in Germany? Appl Econ Lett. 2021;28(12):1053-1058. doi:1080/13504851.2020.1789544
  21. Adams-Prassl A, Boneva T, Golin M, Rauh C. Inequality in the impact of the coronavirus shock: evidence from real time surveys. J Public Econ. 2020;189:104245. doi:1016/j.jpubeco.2020.104245
  22. Mongey S, Weinberg A. Characteristics of Workers in Low Work-from-Home and High Personal-Proximity Occupations. Becker Friedman Institute for Economics White Paper; 2020.
  23. Bick A, Blandin A. Real-Time Labor Market Estimates During the 2020 Coronavirus Outbreak. 2020. https://ssrn.com/abstract=3692425.
  24. Kahn LB, Lange F, Wiczer DG. Labor Demand in the Time of COVID-19: Evidence from Vacancy Postings and UI Claims. National Bureau of Economic Research; 2020.
  25. Aum S, Lee SYT, Shin Y. Inequality of Fear and Self-Quarantine: Is There a Trade-Off Between GDP and Public Health? National Bureau of Economic Research; 2020.
  26. Altig D, Baker S, Barrero JM, et al. Economic uncertainty before and during the COVID-19 pandemic. J Public Econ. 2020;191:104274. doi:1016/j.jpubeco.2020.104274
  27. Goolsbee A, Syverson C. Fear, lockdown, and diversion: comparing drivers of pandemic economic decline 2020. J Public Econ. 2021;193:104311. doi:1016/j.jpubeco.2020.104311
  28. Hall RE, Jones CI, Klenow PJ. Trading off Consumption and COVID-19 Deaths. National Bureau of Economic Research; 2020.
  29. Ferguson N, Laydon D, Nedjati-Gilani G, et al. Report 9: Impact of Non-Pharmaceutical Interventions (NPIs) to Reduce COVID19 Mortality and Healthcare Demand. Imperial College London; 2020.
  30. Leduc S, Liu Z. Uncertainty shocks are aggregate demand shocks. J Monet Econ. 2016;82:20-35. doi:1016/j.jmoneco.2016.07.002
  31. Caggiano G, Castelnuovo E, Groshenny N. Uncertainty shocks and unemployment dynamics in US recessions. J Monet Econ. 2014;67:78-92. doi:1016/j.jmoneco.2014.07.006
  32. Labour Force Survey - Unemployment by Sex and Age Monthly Data. 2020. https://ec.europa.eu/eurostat/web/lfs/data/database.
  33. Organization for Economic Co-operation and Development (OECD). Unemployment Rate (Indicator). OECD; 2020. doi:1787/52570002-en
  34. Hale T, Angrist N, Cameron-Blake E, et al. Oxford COVID-19 Government Response Tracker. 2020. https://www.bsg.ox.ac.uk/research/covid-19-government-response-tracker.
  35. Hasell J, Mathieu E, Beltekian D, et al. A cross-country database of COVID-19 testing. Sci Data. 2020;7(1):345. doi:1038/s41597-020-00688-8
  36. World Bank. World Development Indicators Database. 2020. https://data.worldbank.org/.
  37. Banerjee A, Duflo E, Postel-Vinay G, Watts T. Long-run health impacts of income shocks: wine and phylloxera in nineteenth-century France. Rev Econ Stat. 2010;92(4):714-728. doi:1162/REST_a_00024
  38. Goodman-Bacon A. The long-run effects of childhood insurance coverage: medicaid implementation, adult health, and labor market outcomes. Am Econ Rev. 2021;111(8):2550-2593. doi:1257/aer.20171671
  39. Akbulut-Yuksel M. War during childhood: the long run effects of warfare on health. J Health Econ. 2017;53:117-130. doi:1016/j.jhealeco.2017.02.005
  40. Mandel C, Liebens P. The relationship between GDP and unemployment rate in the US. Int J Bus Soc Sci. 2019;10(4):17-24. doi:30845/ijbss.v10n4p3
  41. Hassan M, Nassar R. Effects of debt and GDP on the unemployment rate: an empirical study. Journal of International Business Disciplines. 2015;10(2):52-69.
  42. Miskolczi M, Langhamrová J, Fiala T. Unemployment and GDP. In: International Days of Statistics and Economics. Prague: VŠE; 2011. p. 407-415.
  43. Mankiw NG. The inexorable and mysterious tradeoff between inflation and unemployment. Econ J. 2001;111(471):45-61. doi:1111/1468-0297.00619
  44. Kónya L. Exports and growth: Granger causality analysis on OECD countries with a panel data approach. Econ Model. 2006;23(6):978-992. doi:1016/j.econmod.2006.04.008
  45. Janiak A. Does Trade Liberalization Lead to Unemployment? Theory and Some Evidence. Université Libre de Bruxelles; 2006.
  46. Casado MG, Glennon B, Lane J, McQuown D, Rich D, Weinberg BA. The Effect of Fiscal Stimulus: Evidence from COVID-19. Cambridge, MA: National Bureau of Economic Research; 2020.
  47. Rendahl P. Fiscal policy in an unemployment crisis. Rev Econ Stud. 2016;83(3):1189-1224. doi:1093/restud/rdv058
  48. Auray S, Eyquem A. The macroeconomic effects of lockdown policies. J Public Econ. 2020;190:104260. doi:1016/j.jpubeco.2020.104260
  49. Jin RL, Shah CP, Svoboda TJ. The impact of unemployment on health: a review of the evidence. CMAJ. 1995;153(5):529-540.
  50. Kasl SV, Jones BA. The impact of job loss and retirement on health. In: Berkman LF, Kawachi I, eds. Social Epidemiology. New York: Oxford University Press; 2000. p. 118-136.
  51. Wilson SH, Walker GM. Unemployment and health: a review. Public Health. 1993;107(3):153-162. doi:1016/s0033-3506(05)80436-6
  52. Montgomery S, Udumyan R, Magnuson A, Osika W, Sundin PO, Blane D. Mortality following unemployment during an economic downturn: Swedish register-based cohort study. BMJ Open. 2013;3(7):e003031. doi:1136/bmjopen-2013-003031
  53. Voss M, Nylén L, Floderus B, Diderichsen F, Terry PD. Unemployment and early cause-specific mortality: a study based on the Swedish twin registry. Am J Public Health. 2004;94(12):2155-2161. doi:2105/ajph.94.12.2155
  54. Janke K, Lee K, Propper C, Shields K, Shields M. Macroeconomic Conditions and Health in Britain: Aggregation, Dynamics and Local Area Heterogeneity. 2020. CEPR Discussion Paper No. DP14507. https://ssrn.com/abstract=3560315.
  55. Zheng Z, Peng F, Xu B, et al. Risk factors of critical & mortal COVID-19 cases: a systematic literature review and meta-analysis. J Infect. 2020;81(2):e16-e25. doi:1016/j.jinf.2020.04.021
  56. Veldhoen M, Simas JP. Endemic SARS-CoV-2 will maintain post-pandemic immunity. Nat Rev Immunol. 2021;21(3):131-132. doi:1038/s41577-020-00493-9
  57. Webb Hooper M, Nápoles AM, Pérez-Stable EJ. COVID-19 and racial/ethnic disparities. JAMA. 2020;323(24):2466-2467. doi:1001/jama.2020.8598
  58. Tai DBG, Shah A, Doubeni CA, Sia IG, Wieland ML. The disproportionate impact of COVID-19 on racial and ethnic minorities in the United States. Clin Infect Dis. 2021;72(4):703-706. doi:1093/cid/ciaa815
  59. Khunti K, Platt L, Routen A, Abbasi K. COVID-19 and ethnic minorities: an urgent agenda for overdue action. BMJ. 2020;369:m2503. doi:1136/bmj.m2503
  60. Baena-Díez JM, Barroso M, Cordeiro-Coelho SI, Díaz JL, Grau M. Impact of COVID-19 outbreak by income: hitting hardest the most deprived. J Public Health (Oxf). 2020;42(4):698-703. doi:1093/pubmed/fdaa136
  61. Abrams EM, Szefler SJ. COVID-19 and the impact of social determinants of health. Lancet Respir Med. 2020;8(7):659-661. doi:1016/s2213-2600(20)30234-4
  62. Banks J, Karjalainen H, Propper C. Recessions and health: the long-term health consequences of responses to the coronavirus. Fisc Stud. 2020;41(2):337-344. doi:1111/1475-5890.12230
  63. Crossley TF, Fisher P, Low H. The heterogeneous and regressive consequences of COVID-19: evidence from high quality panel data. J Public Econ. 2021;193:104334. doi:1016/j.jpubeco.2020.104334
  64. Couch KA, Fairlie RW, Xu H. Early evidence of the impacts of COVID-19 on minority unemployment. J Public Econ. 2020;192:104287. doi:1016/j.jpubeco.2020.104287
  65. Douglas M, Katikireddi SV, Taulbut M, McKee M, McCartney G. Mitigating the wider health effects of COVID-19 pandemic response. BMJ. 2020;369:m1557. doi:1136/bmj.m1557
  66. Williams I, Essue B, Nouvet E, et al. Priority setting during the COVID-19 pandemic: going beyond vaccines. BMJ Glob Health. 2021;6(1):e004686. doi:1136/bmjgh-2020-004686
  67. Martin-Howard S, Farmbry K. Framing a needed discourse on health disparities and social inequities: drawing lessons from a pandemic. Public Adm Rev. 2020;80(5):839-844. doi:1111/puar.13265
  68. Coibion O, Gorodnichenko Y, Weber M. Labor Markets During the COVID-19 Crisis: A Preliminary View. National Bureau of Economic Research; 2020.
  69. Kong E, Prinz D. Disentangling policy effects using proxy data: which shutdown policies affected unemployment during the COVID-19 pandemic? J Public Econ. 2020;189:104257. doi:1016/j.jpubeco.2020.104257.
  70. Quammen D. Spillover: Animal Infections and the Next Human Pandemic. WW Norton & Company; 2012.

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History

  • Receive Date: 25 December 2021
  • Revise Date: 15 June 2022
  • Accept Date: 04 December 2022
  • First Publish Date: 05 December 2022

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