Northwestern University Feinberg School of Medicine, Department of Medical Social Sciences, Abbott Hall, 710 N. Lake Shore Drive, Suite 729, Chicago, IL 60611, USA.
Soc Sci Med. 2013 Aug;91:94-100. doi: 10.1016/j.socscimed.2013.05.009. Epub 2013 May 16.
Household financial debt in America has risen dramatically in recent years. While there is evidence that debt is associated with adverse psychological health, its relationship with other health outcomes is relatively unknown. We investigate the associations of multiple indices of financial debt with psychological and general health outcomes among 8400 young adult respondents from the National Longitudinal Study of Adolescent Health (Add Health). Our findings show that reporting high financial debt relative to available assets is associated with higher perceived stress and depression, worse self-reported general health, and higher diastolic blood pressure. These associations remain significant when controlling for prior socioeconomic status, psychological and physical health, and other demographic factors. The results suggest that debt is an important socioeconomic determinant of health that should be explored further in social epidemiology research.
近年来，美国家庭的金融债务急剧上升。虽然有证据表明债务与不良心理健康有关，但它与其他健康结果的关系相对未知。我们调查了在全国青少年健康纵向研究（Add Health）中，8400 名年轻成年受访者的多种金融债务指标与心理和一般健康结果之间的关系。我们的研究结果表明，与可用资产相比，报告较高的金融债务与较高的感知压力和抑郁、较差的自我报告一般健康状况和较高的舒张压有关。当控制先前的社会经济地位、心理和身体健康以及其他人口统计学因素时，这些关联仍然显著。结果表明，债务是健康的一个重要社会经济决定因素，应该在社会流行病学研究中进一步探讨。
