Cylus Jonathan, Glymour M Maria, Avendano Mauricio
Jonathan Cylus and Mauricio Avendano are with LSE Health, Department of Social Policy, London School of Economics and Political Science, London, United Kingdom. J. Cylus is also with European Observatory on Health Systems and Policies, London. M. Avendano is also with Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA. M. Maria Glymour is with Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, and Department of Epidemiology and Biostatistics, University of California, San Francisco.
Am J Public Health. 2015 Feb;105(2):317-23. doi: 10.2105/AJPH.2014.302253.
We assessed the impact of unemployment benefit programs on the health of the unemployed.
We linked US state law data on maximum allowable unemployment benefit levels between 1985 and 2008 to individual self-rated health for heads of households in the Panel Study of Income Dynamics and implemented state and year fixed-effect models.
Unemployment was associated with increased risk of reporting poor health among men in both linear probability (b=0.0794; 95% confidence interval [CI]=0.0623, 0.0965) and logistic models (odds ratio=2.777; 95% CI=2.294, 3.362), but this effect is lower when the generosity of state unemployment benefits is high (b for interaction between unemployment and benefits=-0.124; 95% CI=-0.197, -0.0523). A 63% increase in benefits completely offsets the impact of unemployment on self-reported health.
Results suggest that unemployment benefits may significantly alleviate the adverse health effects of unemployment among men.
我们评估了失业福利项目对失业者健康的影响。
我们将1985年至2008年间美国各州关于最高可领取失业福利水平的法律数据与收入动态面板研究中家庭户主的个人自评健康状况相联系，并实施了州和年份固定效应模型。
在线性概率模型（b = 0.0794；95%置信区间[CI] = 0.0623，0.0965）和逻辑模型（优势比 = 2.777；95% CI = 2.294，3.362）中，失业均与男性报告健康状况不佳的风险增加相关，但当州失业福利的慷慨程度较高时，这种影响会降低（失业与福利之间交互作用的b = -0.124；95% CI = -0.197，-0.0523）。福利增加63%可完全抵消失业对自我报告健康的影响。
结果表明，失业福利可能会显著减轻失业对男性健康的不利影响。
