Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, WV.
Department of Clinical Pharmacy, Faculty of Pharmacy, Jazan University, Jazan, Saudi Arabia.
Health Serv Res. 2018 Aug;53 Suppl 1(Suppl Suppl 1):2910-2931. doi: 10.1111/1475-6773.12802. Epub 2017 Nov 13.
To examine the race-stratified relationships between labor income and health among working-age adults in the United States.
Data from eight waves of the Panel Study of Income Dynamics from 1999 through 2013 were used for this study.
The study utilized a retrospective observational longitudinal design with repeated measures of labor income and health measures. System-generalized method of moment and heteroscedasticity-based instrument regressions were used to examine the relationships between labor income and physical and mental health measures, respectively. Dynamic panel models were used to examine the effect of loss in income on health measures.
DATA COLLECTION/EXTRACTION METHODS: We performed secondary data analysis.
Adults in higher labor income quartiles had better self-rated health than those in the lowest quartile regardless of racial group. The relationship between labor income and psychological distress varied by race groups. Reductions in labor income were associated with increases in psychological distress among whites only.
These findings suggest heterogeneous relationships between labor income and overall health across racial groups. Our results highlight the need to provide safety nets for adults who experience a decline in income to prevent deterioration in health.
考察美国劳动收入与工作年龄段成年人健康之间的按种族分层关系。
本研究使用了从 1999 年到 2013 年的 Panel Study of Income Dynamics 的八轮数据。
本研究采用回顾性观察性纵向设计，对劳动收入和健康指标进行重复测量。系统广义矩法和基于异方差的工具回归分别用于检验劳动收入与身体和心理健康指标之间的关系。动态面板模型用于检验收入损失对健康指标的影响。
数据收集/提取方法：我们进行了二次数据分析。
无论种族群体如何，处于较高劳动收入四分位的成年人的自我报告健康状况均好于处于最低四分位的成年人。劳动收入与心理困扰之间的关系因种族群体而异。只有白人的劳动收入减少与心理困扰增加有关。
这些发现表明，劳动收入与不同种族群体的整体健康之间存在异质关系。我们的研究结果强调，需要为那些经历收入下降的成年人提供安全网，以防止健康状况恶化。
