Seth A. Berkowitz (
Sanjay Basu is director of research at the Center for Primary Care, Harvard Medical School, in Boston, Massachusetts, and vice president of research and population health at Collective Health, in San Francisco, California.
Health Aff (Millwood). 2021 Mar;40(3):426-434. doi: 10.1377/hlthaff.2020.01990. Epub 2021 Feb 18.
Federal Pandemic Unemployment Compensation (FPUC) provided unemployment insurance beneficiaries an extra $600 a week during the unprecedented economic downturn during the coronavirus disease 2019 (COVID-19) pandemic, but it initially expired in July 2020. We applied difference-in-differences models to nationally representative data from the Census Bureau's Household Pulse Survey to examine changes in unmet health-related social needs and mental health among unemployment insurance beneficiaries before and after initial expiration of FPUC. The initial expiration was associated with a 10.79-percentage-point increase in risk for self-reported missed housing payments. Further, risk for food insufficiency, depressive symptoms, and anxiety symptoms also increased among households that reported receiving unemployment insurance benefits, relative to the period when FPUC was in effect. As further unemployment insurance reform is debated, policy makers should recognize the potential health impact of unemployment insurance.
联邦大流行失业补偿（FPUC）在 2019 年冠状病毒病（COVID-19）大流行期间为失业保险受益人每周额外提供 600 美元，这是在前所未有的经济低迷时期，但最初在 2020 年 7 月到期。我们应用差分模型分析了人口普查局家庭脉搏调查的全国代表性数据，以研究 FPUC 最初到期前后失业保险受益人的未满足的与健康相关的社会需求和心理健康变化。最初的到期与自我报告的住房付款逾期风险增加了 10.79 个百分点有关。此外，与 FPUC 生效期间相比，报告领取失业保险的家庭的粮食不足、抑郁症状和焦虑症状的风险也有所增加。随着进一步的失业保险改革的讨论，政策制定者应该认识到失业保险的潜在健康影响。
