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界定失业对心理健康的因果效应:来自四个国家的非参数证据。

Bounding the causal effect of unemployment on mental health: Nonparametric evidence from four countries.

作者信息

Cygan-Rehm Kamila, Kuehnle Daniel, Oberfichtner Michael

机构信息

Friedrich-Alexander University Erlangen-Nürnberg, Nürnberg, Germany.

IAB, Nürnberg, Germany.

出版信息

Health Econ. 2017 Dec;26(12):1844-1861. doi: 10.1002/hec.3510. Epub 2017 May 12.

Abstract

An important, yet unsettled, question in public health policy is the extent to which unemployment causally impacts mental health. The recent literature yields varying findings, which are likely due to differences in data, methods, samples, and institutional settings. Taking a more general approach, we provide comparable evidence for four countries with different institutional settings-Australia, Germany, the UK, and the United States-using a nonparametric bounds analysis. Relying on fairly weak and partially testable assumptions, our paper shows that unemployment has a significant negative effect on mental health in all countries. Our results rule out effects larger than a quarter of a standard deviation for Germany and half a standard deviation for the Anglo-Saxon countries. The effect is significant for both men and women and materialises already for short periods of unemployment. Public policy should hence focus on early prevention of mental health problems among the unemployed.

摘要

公共卫生政策中一个重要但尚未解决的问题是,失业在多大程度上对心理健康产生因果影响。最近的文献得出了不同的研究结果,这可能是由于数据、方法、样本和制度背景的差异所致。我们采用一种更通用的方法,运用非参数界限分析,为四个具有不同制度背景的国家——澳大利亚、德国、英国和美国——提供了可比的证据。基于相当薄弱且部分可检验的假设,我们的论文表明,失业在所有国家都对心理健康有显著的负面影响。我们的结果排除了德国超过四分之一标准差以及盎格鲁 - 撒克逊国家超过半标准差的影响。这种影响对男性和女性都很显著,并且在短期失业时就已显现。因此,公共政策应注重对失业者心理健康问题的早期预防。

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