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《西班牙的生活质量、健康与大衰退:为何老年人很重要?》

Quality of Life, Health and the Great Recession in Spain: Why Older People Matter?

机构信息

Department of Economics, University of Cantabria, 39005 Santander, Spain.

Research Group of Health Economics and Health Services Management-Research Institute Marqués de Valdecilla (IDIVAL), 39011 Santander, Spain.

出版信息

Int J Environ Res Public Health. 2021 Feb 19;18(4):2028. doi: 10.3390/ijerph18042028.

DOI:10.3390/ijerph18042028
PMID:33669703
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7922658/
Abstract

The financial crisis of 2008 precipitated the "Great Recession". In this scenario, we took Spain as a country of study, because although it experienced significant negative shocks associated with macroeconomic variables (GDP or unemployment), its welfare indicators have been marked by limited changes. This study used data from waves 2 and 4 (years 2006-2007 and 2010-2012, respectively) of the Survey on Health, Aging and Retirement in Europe (SHARE). Specifically, through logistic regressions we have analysed the effects of socioeconomic, demographic, health and "Great Recession" factors on the quality of life (QoL) of elders in Spain. Although QoL did not change too much during the "Great Recession", the results confirmed the importance of several factors (such as chronicity) that affect the satisfaction with the QoL among the older people. In this regard, statistically significant effects were obtained for individual exposure to recession. Therefore, a decrease in household income in the crisis period with respect to the pre-crisis period would increase by 44% the probability of reporting a low QoL (OR = 1.44; 95% CI: 1.00-2.07). Furthermore, gender differences were observed. Health and socioeconomic variables are the most significant when determining individual QoL. Therefore, when creating policies, establishing multidisciplinary collaborations is essential.

摘要

2008 年的金融危机引发了“大衰退”。在这种情况下,我们选择西班牙作为研究对象,因为尽管它经历了与宏观经济变量(GDP 或失业率)相关的重大负面冲击,但它的福利指标变化有限。本研究使用了欧洲健康、老龄化和退休调查(SHARE)的第 2 波和第 4 波(分别为 2006-2007 年和 2010-2012 年)的数据。具体来说,我们通过逻辑回归分析了社会经济、人口统计学、健康和“大衰退”因素对西班牙老年人生活质量(QoL)的影响。尽管在“大衰退”期间 QoL 没有太大变化,但结果证实了几个因素(如慢性疾病)的重要性,这些因素影响老年人对 QoL 的满意度。在这方面,个体对衰退的暴露具有统计学上的显著影响。因此,与危机前相比,家庭收入在危机期间下降将使报告低 QoL 的概率增加 44%(OR=1.44;95%CI:1.00-2.07)。此外,还观察到了性别差异。在确定个人 QoL 时,健康和社会经济变量最为重要。因此,在制定政策时,建立多学科合作至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e50/7922658/3204298a507f/ijerph-18-02028-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e50/7922658/3204298a507f/ijerph-18-02028-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e50/7922658/3204298a507f/ijerph-18-02028-g001.jpg

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