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了解社会经济地位较低的家庭如何应对健康冲击:多部门关联数据的分析

Understanding how low-socioeconomic status households cope with health shocks: An analysis of multi-sector linked data.

作者信息

Leonard Tammy, Hughes Amy E, Pruitt Sandi L

机构信息

University of Dallas, Economics Department, Braniff Rm. 14, 1845 East Northgate Drive, Irving, Texas 75062-4736.

University of Texas Southwestern Medical Center.

出版信息

Ann Am Acad Pol Soc Sci. 2017 Jan;669(1):125-145. doi: 10.1177/0002716216680989. Epub 2016 Dec 20.

Abstract

Low-socioeconomic status (SES) households have little income or wealth to buffer against the negative impacts of an adverse health event () among adult household members. However, these households may employ a variety of other coping strategies such as receiving help from family, friends, and social services. Administrative data from a non-profit food distribution center, electronic medical record (EMR) data from a safety-net healthcare system, and publicly available residential appraisal data were linked to provide insight into these coping strategies. Three broad types of coping strategies were examined: changes in household structure, residential mobility, and utilization of social services. Of 3,235 households, 20.2% had at least one adult member who experienced a health shock. These households were more likely to gain additional adult household members and employed household members, were more likely to move residence and to move distances greater than one mile, and were less likely to visit the food distribution center after the shock.

摘要

社会经济地位低的家庭几乎没有收入或财富来缓冲成年家庭成员遭遇不良健康事件带来的负面影响。然而,这些家庭可能会采用各种其他应对策略,比如从家人、朋友和社会服务机构获得帮助。将一家非营利性食品分发中心的行政数据、一个安全网医疗系统的电子病历(EMR)数据以及公开可用的住宅评估数据相链接,以深入了解这些应对策略。研究了三种主要的应对策略类型:家庭结构变化、居住流动性以及社会服务的利用情况。在3235户家庭中,20.2%至少有一名成年成员经历了健康冲击。这些家庭更有可能增加成年家庭成员和就业家庭成员,更有可能搬家且搬家距离超过一英里,并且在健康冲击后去食品分发中心的可能性更小。

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