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大衰退与免疫功能

The Great Recession and Immune Function.

作者信息

McClure Elizabeth, Feinstein Lydia, Ferrando-Martínez Sara, Leal Manuel, Galea Sandro, Aiello Allison E

机构信息

The Carolina Population Center and Department of Epidemiology, University of North Carolina at Chapel Hill.

Social & Scientific Systems, Inc.

出版信息

RSF. 2018 Apr;4(4):62-81. Epub 2018 Apr 4.

Abstract

The Great Recession precipitated unprecedented home foreclosures increases, but documentation of related neighborhood changes and population health is scant. Using the Detroit Neighborhood Health Study ( = 277), we examined associations between neighborhood-level recession indicators and thymic function, a life course immunological health indicator. In covariate-adjusted multilevel models, each 10 percentage point increase in abandoned home prevalence and 1 percentage point increase in 2009 home foreclosures was associated with 1.7-year and 3.3-year increases in thymic aging, respectively. Associations attenuated after adjustment for neighborhood-level social cohesion, suggesting community ties may buffer recession-related immune aging. Effects of neighborhood stressors were strongest in middle-income households, supporting theory of excess vulnerability in this group. Future research should assess whether ongoing foreclosure and blight reduction efforts improve health for residents of recession impacted neighborhoods.

摘要

大衰退引发了前所未有的房屋止赎率上升,但关于相关社区变化和人口健康的记录却很少。利用底特律社区健康研究(n = 277),我们研究了社区层面衰退指标与胸腺功能(一种生命历程免疫健康指标)之间的关联。在协变量调整的多层次模型中,废弃房屋患病率每增加10个百分点和2009年房屋止赎率每增加1个百分点,分别与胸腺衰老增加1.7年和3.3年相关。在调整了社区层面的社会凝聚力后,这种关联减弱,表明社区联系可能缓冲与衰退相关的免疫衰老。社区压力源对中等收入家庭的影响最强,支持了该群体过度脆弱性的理论。未来的研究应该评估正在进行的止赎和减少破败的努力是否能改善受衰退影响社区居民的健康状况。

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