In Reply: We agree with Drs Egger and Tapia Granados that economic downturns can produce specific health benefits, an effect partially attributable to transient reductions in risk behaviors such as smoking and alcohol consumption, as well as other changes such as reduced overtime work hours. The writers draw attention to the work of Ruhm, which provides further information.1
Ludwig DS, Pollack HA. Economic Conditions and Obesity—Reply. JAMA. 2009;301(24):2546–2547. doi:10.1001/jama.2009.872
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