Asgeirsdottir Tinna Laufey, Olafsdottir Thorhildur, Ragnarsdottir Dagny Osk
Department of Economics, University of Iceland , Oddi v/Sturlugotu, 101 Reykjavik , Iceland.
Blood Press. 2014 Aug;23(4):213-21. doi: 10.3109/08037051.2013.862913. Epub 2013 Dec 13.
Business cycles affect people's lives. A growing literature examines their effect on health outcomes. The available studies on the relationship between ambient economic conditions and cardiovascular health show mixed results. They are furthermore limited in their outcome measures, focusing mostly on mortality.
We examined the relationship between economic conditions and cardiovascular disease and hypertension, using the Icelandic economic collapse of 2008. Logit regression analyses are used to examine the relationship between economic conditions and the probability of reporting a cardiovascular disease or hypertension. We furthermore investigated potential mediators of this relationship. The data used come from a health and lifestyle survey carried out by the Public Health Institute of Iceland in 2007 and 2009.
The crisis was positively related to hypertension in males but no statistically significant relationship was found for females. The mediation analyses indicated partial mediation through changes in working hours and stress level, but negligible mediation through changes in income. The male hypertension was, however, suppressed by concurrent changes in smoking and body weight.
Only examining mortality effects of society-wide economic conditions may understate the overall effect on cardiovascular health.
经济周期影响人们的生活。越来越多的文献研究其对健康结果的影响。关于环境经济状况与心血管健康之间关系的现有研究结果不一。此外，这些研究在结果测量方面存在局限性，主要集中在死亡率上。
我们利用2008年冰岛的经济崩溃来研究经济状况与心血管疾病和高血压之间的关系。采用逻辑回归分析来研究经济状况与报告心血管疾病或高血压概率之间的关系。我们还调查了这种关系的潜在中介因素。所使用的数据来自冰岛公共卫生研究所在2007年和2009年进行的一项健康与生活方式调查。
危机与男性高血压呈正相关，但女性未发现统计学上的显著关系。中介分析表明，通过工作时间和压力水平的变化存在部分中介作用，但通过收入变化的中介作用可忽略不计。然而，男性高血压因吸烟和体重的同时变化而受到抑制。
仅考察全社会经济状况对死亡率的影响可能会低估其对心血管健康的总体影响。
