Blanchflower David G, Bryson Alex
Adam Smith School of Business, Dartmouth College, University of Glasgow and NBER, Hanover, NH, United States of America.
UCL Social Research Institute, University College London, London, United Kingdom.
PLoS One. 2022 Nov 2;17(11):e0275095. doi: 10.1371/journal.pone.0275095. eCollection 2022.
Using data from all those born in a single week in 1958 in Britain we track associations between short pain and chronic pain in mid-life (age 44) and subsequent health, wellbeing and labor market outcomes in later life. We focus on data taken at age 50 in 2008, when the Great Recession hit and then five years later at age 55 in 2013 and again at age 62 in 2021 during the Covid pandemic. We find those suffering both short-term and chronic pain at age 44 continue to report pain and poor general health in their 50s and 60s. However, the associations are much stronger for those with chronic pain. Furthermore, chronic pain at age 44 is associated with a range of poor mental health outcomes, pessimism about the future and joblessness at age 55 whereas short-duration pain at age 44 is not. Pain has strong predictive power for pain later in life: pain in childhood predicts pain in mid-life, even when one controls for pain in early adulthood. Pain appears to reflect other vulnerabilities as we find that chronic pain at age 44 predicts whether or not a respondent has Covid nearly twenty years later.
我们利用1958年在英国同一周出生的所有人的数据,追踪中年时期(44岁)的短期疼痛和慢性疼痛与晚年健康、幸福及劳动力市场结果之间的关联。我们重点关注2008年大衰退来袭时50岁的数据,以及五年后的2013年55岁的数据,还有2021年新冠疫情期间62岁的数据。我们发现,44岁时遭受短期和慢性疼痛的人在50多岁和60多岁时仍会报告疼痛及总体健康状况不佳。然而,对于患有慢性疼痛的人来说,这些关联要强烈得多。此外,44岁时的慢性疼痛与一系列不良心理健康结果、对未来的悲观情绪以及55岁时的失业有关,而44岁时的短期疼痛则不然。疼痛对晚年的疼痛具有很强的预测能力:童年时期的疼痛可预测中年时期的疼痛,即使在控制了成年早期的疼痛之后也是如此。我们发现44岁时的慢性疼痛能预测近二十年后受访者是否感染新冠,这表明疼痛似乎反映了其他脆弱性。