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限制社会保障会损害健康吗？英国的一项自然实验。

Does capping social security harm health? A natural experiment in the UK.

作者信息

Reeves Aaron, Fransham Mark, Stewart Kitty, Patrick Ruth

机构信息

Department of Social Policy and Intervention University of Oxford Oxford UK.

International Inequalities Institute, LSE London UK.

出版信息

Soc Policy Adm. 2022 May;56(3):345-359. doi: 10.1111/spol.12768. Epub 2021 Sep 8.

DOI:10.1111/spol.12768
PMID:36092532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9437934/
Abstract

In this paper, we examine the mental health effects of lowering the UK's benefit cap in 2016. This policy limits the total amount a household with no-one in full-time employment can receive in social security. We treat the reduction in the cap as a natural policy experiment, comparing those at risk of being capped and those who were not, and examining the risk of experiencing poor mental health both before and after the cap was lowered. Drawing on data from ~900,000 individuals, we find that the prevalence of depression or anxiety among those at risk of being capped increased by 2.6 percentage points (95% confidence interval: 1.33-3.88) compared with those at a low risk of being capped. Capping social security may increase the risk of mental ill health and could have the unintended consequence of pushing out-of-work people even further away from the labour market.

摘要

在本文中，我们研究了2016年英国降低福利上限对心理健康的影响。这项政策限制了没有全职就业人员的家庭所能领取的社会保障总额。我们将福利上限的降低视为一项自然政策实验，比较有被设限风险的人群和无此风险的人群，并考察在福利上限降低前后出现心理健康问题的风险。利用来自约90万人的数据，我们发现，有被设限风险的人群中，抑郁或焦虑的患病率比低风险人群高出2.6个百分点（95%置信区间：1.33 - 3.88）。限制社会保障可能会增加精神健康不良的风险，并且可能产生将失业人员进一步推离劳动力市场的意外后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/2b8273b6b66e/SPOL-56-345-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/ce2e541244fc/SPOL-56-345-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/426bfcce9227/SPOL-56-345-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/2671c12f5094/SPOL-56-345-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/f5490bb59546/SPOL-56-345-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/2b8273b6b66e/SPOL-56-345-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/ce2e541244fc/SPOL-56-345-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/426bfcce9227/SPOL-56-345-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/2671c12f5094/SPOL-56-345-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/f5490bb59546/SPOL-56-345-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ea/9437934/2b8273b6b66e/SPOL-56-345-g005.jpg

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The effect of a transition into poverty on child and maternal mental health: a longitudinal analysis of the UK Millennium Cohort Study.贫困对儿童和产妇心理健康的影响：对英国千禧年队列研究的纵向分析。
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