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大衰退对健康的影响:一项批判性综述。

Health Impacts of the Great Recession: A Critical Review.

作者信息

Margerison-Zilko Claire, Goldman-Mellor Sidra, Falconi April, Downing Janelle

机构信息

Department of Epidemiology and Biostatistics, Michigan State University, 909 Fee Rd., Rm 601, East Lansing, MI 48824, Ph: 517-353-8623.

Department of Public Health, University of California, Merced, 5200 N. Lake Rd., Merced, CA 95342, Ph: (209) 228-2498.

出版信息

Curr Epidemiol Rep. 2016 Mar;3(1):81-91. doi: 10.1007/s40471-016-0068-6. Epub 2016 Feb 3.

Abstract

The severity, sudden onset, and multipronged nature of the Great Recession (2007-2009) provided a unique opportunity to examine the health impacts of macroeconomic downturn. We comprehensively review empirical literature examining the relationship between the Recession and mental and physical health outcomes in developed nations. Overall, studies reported detrimental impacts of the Recession on health, particularly mental health. Macro- and individual-level employment- and housing-related sequelae of the Recession were associated with declining fertility and self-rated health, and increasing morbidity, psychological distress, and suicide, although traffic fatalities and population-level alcohol consumption declined. Health impacts were stronger among men and racial/ethnic minorities. Importantly, strong social safety nets in some European countries appear to have buffered those populations from negative health effects. This literature, however, still faces multiple methodological challenges, and more time may be needed to observe the Recession's full health impact. We conclude with suggestions for future work in this field.

摘要

大衰退(2007 - 2009年)的严重程度、突然爆发以及多方面的性质为研究宏观经济衰退对健康的影响提供了一个独特的机会。我们全面回顾了实证文献,这些文献研究了发达国家衰退与身心健康结果之间的关系。总体而言,研究报告称衰退对健康有不利影响,尤其是对心理健康。衰退在宏观和个人层面与就业及住房相关的后遗症,与生育率下降、自评健康状况下降以及发病率上升、心理困扰和自杀率上升有关,尽管交通死亡率和总体酒精消费量有所下降。男性以及少数种族/族裔群体受到的健康影响更为严重。重要的是,一些欧洲国家强大的社会安全网似乎使这些人群免受负面健康影响。然而,这些文献仍面临多种方法学挑战,可能还需要更多时间来观察衰退对健康的全面影响。我们最后对该领域未来的工作提出了建议。

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